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

Study Results

Results pending

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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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-10

Study Completion Date

2024-12-30

Brief Summary

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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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Detailed Description

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Conditions

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Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with SNAGS and the second will receive SNAGS and strengthening of lower fibers of trapezius with conventional physical therapy. Both groups will be recruited concurrently.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

The outcome assessor will not be aware of which group the participant belongs to.

Study Groups

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SNAGS + Conventional PT Group

Participants of this group receive conventional physical therapy.Hot pack and tens ( 10 min each)

* Sustained natural apophyseal glides to painful or restricted movement
* 4 sets of 4 repetition per session
* Strengthening of deep neck flexor

Group Type EXPERIMENTAL

Conventional Physical Therapy

Intervention Type 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

SNAG'S

Intervention Type PROCEDURE

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

SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

* Participants of this group receive conventional physical therapy. It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.
* Sustained natural apophyseal glides to painful or restricted movement.4 sets of 3-5 repetition per session.
* Strengthening of deep neck flexors
* Then strengthening exercises of lower fibers of trapezius

Group Type EXPERIMENTAL

Conventional Physical Therapy

Intervention Type 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

Intervention Type PROCEDURE

Strengthening exercises of lower fibers of trapezius

SNAG'S

Intervention Type PROCEDURE

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

Interventions

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Conventional Physical Therapy

It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.Strengthening of deep neck flexors

Intervention Type PROCEDURE

Strengthening Exercise

Strengthening exercises of lower fibers of trapezius

Intervention Type PROCEDURE

SNAG'S

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

Intervention Type PROCEDURE

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No