Effect of SNAGs and Scapular Mobilizations in Patients With Scapulocostal Syndrome

The rationale for employing SNAGS (Sustained Natural Apophyseal Glides) in treating scapulocostal syndrome is multifaceted. By targeting specific joint surfaces and soft tissue structures, SNAGS aim to address joint dysfunction, alleviate pain, and improve mobility in the scapulothoracic region. These sustained gliding movements not only modulate pain signals but also promote relaxation and reduce muscle tension, thereby enhancing the effectiveness of therapeutic exercises aimed at strengthening the surrounding musculature. Additionally, SNAGS facilitate proper muscle activation patterns, optimizing muscle function and coordination. Their adaptability allows for a patient-centered approach, ensuring tailored treatment that considers individual symptoms, mobility deficits, and treatment goals, ultimately promoting better functional outcomes in individuals with scapulocostal syndrome.

Inclusion criteria

• 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.

Exclusion criteria

• 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.