NCT06598644

Brief Summary

The aim of this randomized controlled trial is to evaluate and compare the effectiveness of two therapeutic techniques-Cervical Sustained Natural Apophyseal Glide (SNAG) and Instrument-Assisted Soft Tissue Mobilization (IASTM)-in the treatment of mechanical neck pain. The trial seeks to determine which method is more effective in reducing pain, improving range of motion, and enhancing overall neck function in individuals suffering from mechanical neck pain.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
56

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2024

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 12, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 19, 2024

Completed
1 day until next milestone

Study Start

First participant enrolled

September 20, 2024

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 26, 2025

Completed
Last Updated

February 21, 2025

Status Verified

February 1, 2025

Enrollment Period

12 months

First QC Date

September 12, 2024

Last Update Submit

February 20, 2025

Conditions

Mechanical Neck Pain

Keywords

cervical SNAGSInstrument assisted soft tissue mobilizationergon technique

Outcome Measures

Primary Outcomes (3)

  • Neck disability index (NDI)

    The NDI is a Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation.

    3 weeks

  • Numeric Pain Rating Scale NPRS

    The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

    3 weeks

  • Universal goniometer

    It is an instrument that measures the range of motion at a joint.

    3 weeks

Study Arms (2)

Cervical SNAGS (C3-C7) + Conventional PT

OTHER
Other: Cervical SNAGS (C3-C7) + Conventional PT

IASTM (ergon) + Conventional PT

ACTIVE COMPARATOR
Other: IASTM (ergon) + Conventional PT

Interventions

Cervical SNAGS (C3-C7) + Conventional PTOTHER

Cervical SNAGS at C3-C7 with active movements of lateral flexion and rotation with overpressure at the end range. .Frequency: 10 reps 3 times/week for 3 consecutive weeks Intensity: starting from 20% to 50% resistance across barrier provided by Physical therapist Conventional PT including 1-hot pack for 10 minutes 2-Cervical Stretchings for levator scapulae and sternocleidomastoid 3-cervical isometric exercises, 4. Cervical Range of motion exercises

Cervical SNAGS (C3-C7) + Conventional PT
IASTM (ergon) + Conventional PTOTHER

IASTM, ergon applied at levator scapulae and sternocleidomastoid muscle, with 30 strokes at an angle. After that icing done at the levator scapulae and sternocleidomastoid muscle for 5-10 minutes using cold pack.

IASTM (ergon) + Conventional PT

Eligibility Criteria

Age20 Years - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Both genders (males and females)
  • Age between 20 and 45 years
  • History of neck pain \>3 month, with tenderness on palpation present on sternocleidomastoid and Levator scapulae muscles and pain aggravated by activities involving turning head towards the side
  • Patients with pain on NPRS (at least 3)

You may not qualify if:

  • patients with recent injuries or surgeries in and around the neck region
  • Cervical nerve root lesion (radiculopathy)
  • Traumatic injuries like whiplash injury
  • malignancy in and around the neck region
  • rheumatoid arthritis
  • pregnant females
  • cervicogenic headache
  • Patients with unwillingness or inability to provide informed consent
  • Current participation in another neck pain treatment program

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pakistan Railway hospital

Rawalpindi, Punjab Province, 46600, Pakistan

RECRUITING

Study Officials

  • KINZA ANWAR, MS-OMPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

KINZA ANWAR, MS-OMPT

CONTACT

+92-3239735427kinza.anwar@riphah.edu.pk

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 12, 2024

First Posted

September 19, 2024

Study Start

September 20, 2024

Primary Completion

September 15, 2025

Study Completion

December 26, 2025

Last Updated

February 21, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)