Effect of Sustained Natural Apophyseal Glide Combined With Strengthening Exercises of Lower Fibers of Trapezius in Patient With Unilateral Neck Pain

NCT06668480 | Active Not Recruiting

• 1 other identifier: FUI/CTR/2024/45
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is considered one of the very common cause behind musculoskeletal pain and is 4th leading cause of disability . Cervical pain is among 5 most contributing factors in causing years lived with disability.Individuals with unilateral neck pain exhibit significantly less Lower Trapezius strength than Middle and Upper Trapezius fibers .Mulligan is one of the mobilization techniques that can be applied in case of neck pain.In prolong neck pain there is a hyperactivation and shortening of upper trapezius which makes the lower trapezius weak this leads to imbalance between cervical and scapular muscles and result in impaired biomechanics. So mostly treatment focused on upper trapezius and neglecting the lower trapezius and this create increase chances of recurrency of neck pain because the imbalance remains present. So, this study aims at evaluating the effects of SNAGS combined with strengthening exercises of lower fibers of trapezius .

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  Pain will be measured on the basis of Numeric Pain Rating Scale score.It is rated on 0-10 scale in which 0 means no pain and 10 means the maximum possible pain

  2 weeks

• ROM

  Cervical ROM will be measured through CROM device

  2 weeks

• Level of Neck Disability

  Neck Disability Index will be used to measure level of neck disability

  2 weeks

• Muscle strength

  MMT for Lower fibers of trapezius

  2 weeks

Study Arms (2)

SNAGS + Conventional PT Group

EXPERIMENTAL

Participants of this group receive conventional physical therapy.Hot pack and tens ( 10 min each) * Sustained natural apophyseal glides to painful or restricted movement * 4 sets of 4 repetition per session * Strengthening of deep neck flexor

Procedure: Conventional Physical Therapy; Procedure: SNAG'S

SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

EXPERIMENTAL

* Participants of this group receive conventional physical therapy. It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes. * Sustained natural apophyseal glides to painful or restricted movement.4 sets of 3-5 repetition per session. * Strengthening of deep neck flexors * Then strengthening exercises of lower fibers of trapezius

Procedure: Conventional Physical Therapy; Procedure: Strengthening Exercise; Procedure: SNAG'S

Interventions

Conventional Physical Therapy PROCEDURE

It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.Strengthening of deep neck flexors

SNAGS + Conventional PT Group; SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

Strengthening Exercise PROCEDURE

Strengthening exercises of lower fibers of trapezius

SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

SNAG'S PROCEDURE

Sustained natural apophysial glides will consist of frequency: 4 sets of 3-5 repetition per session for 2 weeks

SNAGS + Conventional PT Group; SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals aged 18-35 years
• Both gender
• Unilateral neck pain
• Symptoms of duration more than 3 months.
• NPRS scoring of greater than or equal to 4 points.
• Neck disability index score of 20% or above.
• Manual muscle testing : grade 3

You may not qualify if:

• Prior cervical and thoracic spine fractures, dislocations, or surgeries, spinal osteoporosis or infection, or whiplash.
• Any trauma or localized infection in neck region
• Psychiatric diseases such as phobia/obsession and depression

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcome assessor will not be aware of which group the participant belongs to.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with SNAGS and the second will receive SNAGS and strengthening of lower fibers of trapezius with conventional physical therapy. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: October 30, 2024
• First Posted: October 31, 2024
• Study Start: June 10, 2024
• Primary Completion: December 10, 2024
• Study Completion: December 30, 2024
• Last Updated: November 20, 2024

Record last verified: 2024-10

Locations

PA (1)