Comparative Effects of SNAG Vis GONG's Mobilization in Text Neck Syndrome Patients

NCT07720492 | Completed

• 1 other identifier: 2023-MS-PT-064
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage cervical dysfunction. This quasi-experimental pretest-posttest comparative study aimed to compare the effectiveness of SNAG and GONG's Mobilization on pain intensity, craniovertebral angle, and neck disability in individuals with text neck syndrome. Participants divided into 2 groups (Treatment group A and B) were undergo baseline and post-intervention assessments followed a 12-week treatment program

Conditions

Text Neck Syndrome; Forward Head Posture

Keywords

Text neck syndrome; Forward head posture; GONG's Mobilization; sustained natural appophyseal glide; neck disability; craniovertebral angle

Outcome Measures

Primary Outcomes (1)

• Craniovertebral Angle

  Craniovertebral angle was measured using a universal goniometer to assess forward head posture

  Baseline and Week 12 (end of the intervention)

Secondary Outcomes (1)

• Pain intensity

  Baseline and Week 12 (end of intervention)

Study Arms (2)

Baseline PLUS GONG's mobilization

EXPERIMENTAL

Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by GONG's Mobilization. GONG's Mobilization was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period.

Procedure: Moist Heat Therapy; Procedure: GONG's Mobilization

Baseline plus SNAG

ACTIVE COMPARATOR

Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by Sustained Natural Apophyseal Glides (SNAG). SNAG was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period

Procedure: Moist Heat Therapy; Procedure: Sustained Natural Apophyseal Glide (SNAG)

Interventions

GONG's Mobilization PROCEDURE

GONG's Mobilization was administered to the cervical spine using 10-15 repetitions per session for approximately 20 minutes, three sessions per week on alternate days for 12 weeks

Baseline PLUS GONG's mobilization

Moist Heat Therapy PROCEDURE

A moist hot pack was applied to the cervical region for 10 minutes before the manual therapy intervention in both study groups

Baseline PLUS GONG's mobilization; Baseline plus SNAG

Sustained Natural Apophyseal Glide (SNAG) PROCEDURE

SNAG mobilization was applied to the cervical spine with 10-15 repetitions per session for approximately 20 minutes, 3 sessions per week on alternate days for 12 weeks

Baseline plus SNAG

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both Male and Female who engage in prolonged computer and phone usage for more than 4 hours per day for over a year
• Neck pain (3 to 8 on NPRS)
• Altered cranio-vertebral angle\<49 degree

You may not qualify if:

• Recent cervical spine fracture/injury
• Congenital malformation
• Recent history of head and neck surgery
• Congenital torticollis

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

The University of Faisalabad (TUF)

Faisalabad, Punjab Province, 38000, Pakistan

Location

Study Officials

• Noreen Kiran, PhD

  University of Faisalabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr Noreen Kiran; PT

Model Details: The study was conducted with a nonrandomized, pretest-posttest quasi-experimental design of 2 parallel groups. As per the study protocol, the participants were randomly allocated to one of the two intervention groups. Pre and after intervention assessments were done to examine the effects of SNAG and GONG's Mobilization on pain, craniovertebral angle and neck impairment after a 12 week treatment period.

Study Record Dates

• First Submitted: July 17, 2026
• First Posted: July 22, 2026
• Study Start: October 25, 2025
• Primary Completion: April 10, 2026
• Study Completion: June 15, 2026
• Last Updated: July 22, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)