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Comparison of Sustained Natural Apophyseal Glide &Amp; Instrument Assisted Soft Tissue Mobilization

ConditionMechanical Neck Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-45
SponsorRiphah International University

About this trial

The aim of this randomized controlled trial is to evaluate and compare the effectiveness of two therapeutic techniques-Cervical Sustained Natural Apophyseal Glide (SNAG) and Instrument-Assisted Soft Tissue Mobilization (IASTM)-in the treatment of mechanical neck pain. The trial seeks to determine which method is more effective in reducing pain, improving range of motion, and enhancing overall neck function in individuals suffering from mechanical neck pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Both genders (males and females)

Age between 20 and 45 years

History of neck pain >3 month, with tenderness on palpation present on sternocleidomastoid and Levator scapulae muscles and pain aggravated by activities involving turning head towards the side

Patients with pain on NPRS (at least 3)

Disqualifiers

• patients with recent injuries or surgeries in and around the neck region

Cervical nerve root lesion (radiculopathy)

Traumatic injuries like whiplash injury

malignancy in and around the neck region

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cervical SNAGS (C3-C7) + Conventional PT

    Other intervention

    Cervical SNAGS at C3-C7 with active movements of lateral flexion and rotation with overpressure at the end range. .Frequency: 10 reps 3 times/week for 3 consecutive weeks Intensity: starting from 20% to 50% resistance across barrier provided by Physical therapist Conventional PT including 1-hot pack for 10 minutes 2-Cervical Stretchings for levator scapulae and sternocleidomastoid 3-cervical isometric exercises, 4. Cervical Range of motion exercises

  • IASTM (ergon) + Conventional PT

    Other intervention

    IASTM, ergon applied at levator scapulae and sternocleidomastoid muscle, with 30 strokes at an angle. After that icing done at the levator scapulae and sternocleidomastoid muscle for 5-10 minutes using cold pack.

Treatment groups

56 Participants
are divided into 2 treatment groups
Group A: Cervical SNAGS (C3-C7) + Conventional PTOther 1 intervention
Group B: IASTM (ergon) + Conventional PTActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Neck disability index (NDI)

The NDI is a Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation.

Time frame
3 weeks
2

Numeric Pain Rating Scale NPRS

The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

Time frame
3 weeks
3

Universal goniometer

It is an instrument that measures the range of motion at a joint.

Time frame
3 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov
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