Effect of SNAGs and Scapular Mobilizations in Patients With Scapulocostal Syndrome

NCT ID: NCT06656182

Last Updated: 2024-10-24

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-05-01
• Study Completion Date: 2025-03-31

Brief Summary

To determine the impact of SNAGs and Scapular mobilizations on pain, cervical and shoulder Range of motion and functional outcomes in individuals with Scapulocostal Syndrome.

Detailed Description

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.

Conditions

Scapulocostal Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Cervical and Thoracic SNAGs

Cervical and Thoracic SNAGs with 6 reps and 1 set along with cervical and shoulder muscle stretching and scapular mobilizations

Group Type: EXPERIMENTAL

Cervical and Thoracic SNAGs

Intervention Type: OTHER

cervical SNAGs (C3-C7) and thoracic SNAGs (T1-T12) with 6 repetitions of 1 set three times per week for 4 weeks along with scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

traditional physical therapy and scapular mobilizations

cervical and shoulder muscle stretching and scapular mobilizations

Group Type: ACTIVE_COMPARATOR

traditional physical therapy and scapular mobilizations

Intervention Type: OTHER

scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

Interventions

Cervical and Thoracic SNAGs

cervical SNAGs (C3-C7) and thoracic SNAGs (T1-T12) with 6 repetitions of 1 set three times per week for 4 weeks along with scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

Intervention Type: OTHER

traditional physical therapy and scapular mobilizations

scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)

Intervention Type: OTHER

Eligibility Criteria

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.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Asmar Fatima, MS-PT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

DSK physio and Rehab Center

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Asmar Fatima, MS-OMPT

Role: CONTACT

asmar.fatima@riphah.edu.pk

03336195644

Facility Contacts

Asmar Fatima, MS-OMPT

Role: primary

asmar.fatima@riphah.edu.pk

03336195644

Rabia Asif, MS_OMPT*

Role: backup

aasif.rabia@gmail.com

03335193218

Other Identifiers

REC/MS-PT/01941 Rabia Asif

Identifier Type: -

Identifier Source: org_study_id