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NCT Number: NCT06668480

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

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 .

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This study is active but is not currently recruiting participants.

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Key information

Conditions

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

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

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

Strengthening exercise

Procedure

Strengthening exercises of lower fibers of trapezius

SNAG'S

Procedure

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

Primary outcomes

  1. Pain intensity

    Time frame: 2 weeks

    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. ROM

    Time frame: 2 weeks

    Cervical ROM will be measured through CROM device

  3. Level of Neck Disability

    Time frame: 2 weeks

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

  4. Muscle strength

    Time frame: 2 weeks

    MMT for Lower fibers of trapezius

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Oct 31, 2024
Registry last updated
Nov 20, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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