Effects of Sustained Natural Apophyseal Glides Combined With Kinesiotaping in Patients With Chronic Mechanical Neck Pain: A Randomised Controlled Trial
NCT ID: NCT06437483
Last Updated: 2024-05-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
42 participants
INTERVENTIONAL
2023-11-10
2024-06-30
Brief Summary
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Detailed Description
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1. Numeric pain rating scale
2. Inclinometer
3. Neck Disability Index
Participants of interest will be approached and explained about the research. They will be randomly allocated in to two groups. Informed written consent will be taken. The intervention protocol will be comprised of six sessions over a 2-week period (3 sessions per week on alternate days). Outcome measures will be assessed at baseline and after 2 weeks. Data will be analyzed and interpreted using SPSS.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group A
Participants in this group will receive Sustained Natural Apophyseal Glides followed by Kinesiotaping in addition to the conventional treatment. This arm of the study will assess the synergistic effects of SNAGs and kinesiotape.
Sustained Natural Apophyseal Glides
SNAGs:
Therapist will apply an antero-superior accessory glide to the superior spinous process of the involved motion segment (between C3 to C7) by pushing it towards the direction of eyeball at approximately a 45 degree angle, using the thumb. The other thumb will reinforce the glide. Painless accessory glide will be maintained and subject will slowly turn their head towards the painful or restricted side (that elicited symptoms) and sustain the position for a few seconds. In case of symptom-free, the subject will apply overpressure at the end of restricted range of motion. The glide will be maintained till the head returns to the midline.
Each session will consist of three sets of six to ten repetitions.
Kinesiotaping
Kinesiotaping (KT):
Subject will be in comfortable sitting position. Neck of the subject will be thoroughly cleaned with alcohol and sterile gauze pads before the application of Kinesiotape.The layers of KT will be applied in the form of two strips i.e. "Y strip" and "I strip". and applied over the neck in a position of cervical flexion and contralateral rotation and, pasted up and over either ridge of the spine covering the cervical muscles.It extends from T1-T2 to either side of C1-C2.The second layer is I-strip:The overlaying I-strip will be placed perpendicular to the Y-strip, It will be stretched from the both ends, and the middle portion of the tape will be applied first after which tension is released and ends are applied without tension.
Conventional Treatment
Hot pack (moist heat) and TENS will be applied, each for 10 minutes.
Group B
Participants in group B will receive Sustained Natural Apophyseal Glides along with the conventional treatment.
Sustained Natural Apophyseal Glides
SNAGs:
Therapist will apply an antero-superior accessory glide to the superior spinous process of the involved motion segment (between C3 to C7) by pushing it towards the direction of eyeball at approximately a 45 degree angle, using the thumb. The other thumb will reinforce the glide. Painless accessory glide will be maintained and subject will slowly turn their head towards the painful or restricted side (that elicited symptoms) and sustain the position for a few seconds. In case of symptom-free, the subject will apply overpressure at the end of restricted range of motion. The glide will be maintained till the head returns to the midline.
Each session will consist of three sets of six to ten repetitions.
Conventional Treatment
Hot pack (moist heat) and TENS will be applied, each for 10 minutes.
Interventions
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Sustained Natural Apophyseal Glides
SNAGs:
Therapist will apply an antero-superior accessory glide to the superior spinous process of the involved motion segment (between C3 to C7) by pushing it towards the direction of eyeball at approximately a 45 degree angle, using the thumb. The other thumb will reinforce the glide. Painless accessory glide will be maintained and subject will slowly turn their head towards the painful or restricted side (that elicited symptoms) and sustain the position for a few seconds. In case of symptom-free, the subject will apply overpressure at the end of restricted range of motion. The glide will be maintained till the head returns to the midline.
Each session will consist of three sets of six to ten repetitions.
Kinesiotaping
Kinesiotaping (KT):
Subject will be in comfortable sitting position. Neck of the subject will be thoroughly cleaned with alcohol and sterile gauze pads before the application of Kinesiotape.The layers of KT will be applied in the form of two strips i.e. "Y strip" and "I strip". and applied over the neck in a position of cervical flexion and contralateral rotation and, pasted up and over either ridge of the spine covering the cervical muscles.It extends from T1-T2 to either side of C1-C2.The second layer is I-strip:The overlaying I-strip will be placed perpendicular to the Y-strip, It will be stretched from the both ends, and the middle portion of the tape will be applied first after which tension is released and ends are applied without tension.
Conventional Treatment
Hot pack (moist heat) and TENS will be applied, each for 10 minutes.
Eligibility Criteria
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Inclusion Criteria
* Age range: 18-40 years
* Both males and females
* Having pain from at least last 3 months (chronic)
* Pain score greater than 3 on NPRS
* Pain and limitation on neck moverment
Exclusion Criteria
* Open wound around neck.
* History of traumatic injuries or fractures in the cervical spine.
* History of neurological and cardiac pathologies.
* History of some serious pathologies (e.g., malignancy, inflammatory disorder etc.).
* History of cervical or shoulder neurological movement disorder.
* Cervical spondylolisthesis, cervical radiculopathy, and spinal stenosis.
* Vascular syndromes such as basilar insufficiency.
* Diagnosed psychiatric disorders such as anxiety and depression.
* Interventions including medications, exercise or physical therapy in the last 3 months.
* Any other condition that contraindicates kinesiotaping such as skin sensitivity.
18 Years
40 Years
ALL
No
Sponsors
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Foundation University Islamabad
OTHER
Responsible Party
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Locations
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Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Ali Bin Asim, MS-OMPT
Role: primary
Other Identifiers
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FUI/CTR/2024/7
Identifier Type: -
Identifier Source: org_study_id