Sustained Natural Apophysial Glide Versus Instrument Assisted Soft Tissue Mobilization in Patients With Chronic Mechanical Neck Pain

NCT06720116 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005464
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of sustained natural apophysial glide and Instrument assisted soft tissue mobilization on pain intensity, cervical range of motion and neck functional disability level in patients with chronic mechanical neck pain

Conditions

Mechanical Neck Pain

Keywords

Sustained Natural Apophysial Glide; instrument Assisted Soft Tissue Mobilization; Chronic Mechanical Neck Pain

Outcome Measures

Primary Outcomes (1)

• neck disability

  Assessment of neck disability will be performed by Arabic version of neck disability index .It is valid and reliable tool in the assessment of neck function. The NDI can be calculated as a raw score or as a percentage Each segment is graded on a scale of 0 to 5, with 0 representing "no discomfort" and 5 suggesting "the most excruciating pain imaginable." With a maximum score of 50 as following

  up to four weeks

Secondary Outcomes (2)

• pain intensity

  up to four weeks

• cervical range of motion

  up to four weeks

Study Arms (3)

sustained natural apophysial glide

EXPERIMENTAL

patients will receive sustained natural apophysial glide( SNAGS ) in addition to conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month

Other: sustained natural apophysial glide; Other: conventional physical therapy

instrument assisted soft tissue mobilization

EXPERIMENTAL

patients will receive instrument assisted soft tissue mobilization ( IASTM) technique in addition to conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month.

Other: instrument assisted soft tissue mobilization; Other: conventional physical therapy

conventional therapy

ACTIVE COMPARATOR

patients will receive conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month.

Other: conventional physical therapy

Interventions

sustained natural apophysial glide OTHER

The patients will be in the sitting position and asked to move their head in the direction that particularly produces their symptoms. As the participant moves their head, the physiotherapist gently glides the painful vertebra anteriorly and sustains the glide through the movement. During the application of the glide, the participant should stay symptom free and is instructed to stop moving if any PAIN is produced. This movement was repeated for 10 times for 3 sets, The interval between the sets was 15 to 20 seconds.After mobilization subject had to perform same exercises as conventional group plus conventional physical therapy

sustained natural apophysial glide

instrument assisted soft tissue mobilization OTHER

The subject will be in comfortable sitting position leaning on a treatment table with the arm crossed to rest the head. After cleaning the skin of the subject and the blade with alcohol swabs, a lubricant (Vaseline) was applied, and a sweeping technique was used to apply a deep yet comfortable soft tissue mobilization on the upper trapezius from origin to insertion for approximately 3 min. First, M2T blade will be utilized to locate the precise locations of limitation in the affected muscles. Second, the M2T blade was put at 45 degree angle by using convex surface to apply gentle strokes along the muscle. Subjects were instructed that slight hyperemia on the skin is a normal feeling and should subside before the next session.

instrument assisted soft tissue mobilization

conventional physical therapy OTHER

the patients will receive conventional physical therapy in the form of Infrared, TENS , stretching exercices, isometric exercises

conventional therapy; instrument assisted soft tissue mobilization; sustained natural apophysial glide

Eligibility Criteria

• Age: 20 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Sixety patients of chronic mechanical neck pain diagnosed and reffered from physicians will be participants in the study .
• Patients of both genders will be included.
• The age of the participants will beranged from 20 and 55 years
• The BMI ranged between 18.9 and 25 kg/m2
• All patients who suffered from neck pain more than 3 months.

You may not qualify if:

• Malignancy
• cervical and cranial surgery
• Recent fractures
• spinal tumors
• severe disc herniation
• uncontrolled hypertension
• Heart Disease ( arrhythmia, pacemaker).
• Pregnant and breast feeding women.

Sponsors & Collaborators

• Cairo University: lead

Central Study Contacts

menna allah abd elfatah, master

CONTACT

01006932687; menahesham2761@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : menna allah hesham abd elfatah

Model Details: mulligan and iASTM groups

Study Record Dates

• First Submitted: December 3, 2024
• First Posted: December 6, 2024
• Study Start: December 10, 2024
• Primary Completion: March 30, 2025
• Study Completion: March 30, 2025
• Last Updated: December 6, 2024

Record last verified: 2024-11