Effect of SNAGs and Scapular Mobilizations in Patients With Scapulocostal Syndrome

NCT06656182 | Recruiting

• 1 other identifier: REC/MS-PT/01941 Rabia Asif
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the impact of SNAGs and Scapular mobilizations on pain, cervical and shoulder Range of motion and functional outcomes in individuals with Scapulocostal Syndrome.

Conditions

Scapulocostal Syndrome

Keywords

non specific neck pain; SNAGs; Scapular mobilizations; NDI

Outcome Measures

Primary Outcomes (1)

• Neck disability index

  changes from baseline The Neck Disability Index (NDI) serves as a valuable tool for evaluating neck pain issues, drawing on the framework of the Oswestry index for back pain and the Pain Disability Index. Its effectiveness lies in its focus on the impact of neck pain on daily activities, reflecting the specific concerns and experiences of individual patients. Comprising 10 sections, each containing 5 questions related to affected activities, the index allows patients to select the response that best represents their situation, with scores ranging from 0 to 5.

  4th week

Secondary Outcomes (2)

• NPRS

  every week

• Cervical and Shoulder ROM

  every week

Study Arms (2)

Cervical and Thoracic SNAGs

EXPERIMENTAL

Cervical and Thoracic SNAGs with 6 reps and 1 set along with cervical and shoulder muscle stretching and scapular mobilizations

Other: Cervical and Thoracic SNAGs

traditional physical therapy and scapular mobilizations

ACTIVE COMPARATOR

cervical and shoulder muscle stretching and scapular mobilizations

Other: traditional physical therapy and scapular mobilizations

Interventions

Cervical and Thoracic SNAGs OTHER

cervical SNAGs (C3-C7) and thoracic SNAGs (T1-T12) with 6 repetitions of 1 set three times per week for 4 weeks along with scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

Cervical and Thoracic SNAGs

traditional physical therapy and scapular mobilizations OTHER

scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

traditional physical therapy and scapular mobilizations

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age- 18 to 40 years.
• Male and female both
• Nonspecific neck pain with a duration of greater than 3 months
• No pain reproduction on isometric muscle testing in shoulder.
• Patients who could not achieve 60 degrees of upward rotation when elevating the arms above the head i.e. presence of scapular dyskinesia
• pain with a referral pattern while receiving manual pressure of at least 3 points on the medial scapular muscles (levator scapulae, rhomboid major, rhomboid minor, and serratus posterior superior) evaluated through Travels and Simon criteria.
• Discomfort, pain, or limitations in neck extension, neck rotation bilaterally, shoulder forward flexion, shoulder abduction attributed to SCS.
• Willing to provide informed consent to participate in the study.

You may not qualify if:

• Musculoskeletal pathologies affecting the cervical spine or lower extremities (e.g., herniated disc, cervical radiculopathy, cervical stenosis, shoulder labral tear).
• history of degenerative shoulder joint disease
• rotator cuff dysfunction
• Thoracic outlet syndrome
• Brachial neuralgia
• shoulder impingement syndrome
• adhesive capsulitis
• Pregnant individuals due to potential discomfort.
• Open wounds, infections, or skin conditions at pain site.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DSK physio and Rehab Center

Rawalpindi, Punjab Province, 44000, Pakistan

RECRUITING

Study Officials

• Asmar Fatima, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Asmar Fatima, MS-OMPT

CONTACT

03336195644; asmar.fatima@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 23, 2024
• First Posted: October 24, 2024
• Study Start: May 1, 2024
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: October 24, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)