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NCT Number: NCT05425706

Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients

Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited.

The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.

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Key information

Conditions

Neck Pain Dyssomnias Mental Disorders Nervous System Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Sleep Disorders, Intrinsic Sleep Initiation and Maintenance Disorders Sleep Wake Disorders

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istınye University Medical Park Hospital

Istanbul, Turkey (Türkiye)

About this study

This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Volunteer patients with non-specific neck pain lasting at least 3 months,
  • Volunteer patients without radicular pressure,
  • Volunteer patients with loss of strength,
  • Volunteer patients diagnosed with non-specific neck pain by a specialist physician.

Exclusion criteria

  • Volunteer patients with central nervous system disease,
  • Volunteer patients with distal-peripheral nerve injuries,
  • Volunteer patients with inflammatory joint disease,
  • Volunteer patients with cervical spine fracture or surgery, upper extremity surgery,
  • Volunteer patients with vertebrobasilar artery stenosis,
  • Volunteer patients with osteoporosis,
  • Volunteer patients with cervical dislocation,
  • Volunteer patients with cervical spine tumor and infection,
  • Volunteer patients with congenital anomalies involving the spine,
  • Volunteer patients with patients with diabetes.

Treatment and study plan

application of SNAGs technique

Other

in experiment group, the SNAGs technique was applied to 16 participants in addition to conventional therapy.

Primary outcomes

  1. Range of motion assessments

    Time frame: Two weeks for each participants

    Active and passive range of motion

  2. Pain assessments

    Time frame: Two weeks for each participants

    McGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain.

Secondary outcomes

  1. Sleep quality assessments

    Time frame: Two weeks for each participants

    Pittsburgh Sleep Quality Index (PSQI)

  2. Quality of life assessments

    Time frame: Two weeks for each participants

    The Nottingham Health Profile

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Official study title

Investigation of the Effectiveness of Mulligan Concept Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients: A Randomized Controlled Single Blinded Trial

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Jun 21, 2022
Registry last updated
Jun 21, 2022

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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