Effects of Reverse Natural Apophyseal Glides as Compared to Ventro-cranial Translatoric Glides in the Management of Upper Thoracic Spine Hypomobility.

NCT ID: NCT07006402

Last Updated: 2025-06-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-18

Study Completion Date

2025-06-20

Brief Summary

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This study is a randomized controlled trial and the purpose of the study is to determine the effects of reverse NAGs as compared to Ventro-cranial Translatoric Glides in upper thoracic spine hypomobility in terms of pain and range of motion.

Detailed Description

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OBJECTIVES:

The objectives of this study are :

1. To determine the effects of reverse NAGs as compared to ventrocranial translatoric glide on UPPER BACK PAIN in upper thoracic spine hypomobility.
2. To determine the effects of reverse NAGs as compared to ventrocranial translatoric glide on THORACIC ROM in upper thoracic spine hypomobility.

HYPOTHESIS:

Alternate Hypothesis:

1. There will be a statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of upper back pain in persons with upper thoracic hypo mobility (p\<0.05).
2. There will be a statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of thoracic ROM in persons with upper thoracic hypo mobility (p\<0.05).

NULL HYPOTHSIS :

1. There will be no statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of upper back pain in persons with upper thoracic hypo mobility (p\>0.05).
2. There will be no statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of thoracic ROM in persons with upper thoracic hypo mobility (p\>0.05).

RESEARCH DESIGN : Experimental study .Randomized control trail.

Conditions

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Upper Thoracic Spine Hypomobility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Control Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Interventional Group

Study Group (A):

3-4 treatment sessions per week (for 2 weeks)

1. TENS and Hot pack for 20 minutes.
2. Reverse NAGs at level T1-T4 In these type of mobilization, the inferior facet glides up on the superior. The mobilizations are repeated \<6 times and then movements are reassessed. If no change occurs, the process will be repeated upto 10 minutes with resting period.

Group Type EXPERIMENTAL

Reverse NAGS(experimental)

Intervention Type PROCEDURE

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Reverse NAGs on hypomobile segments at level T1-T4.

In these type of mobilization, the inferior facet glides up on the superior. The mobilizations are repeated \<6 times and then movements are reassessed. If no change occurs, the process will be repeated upto 10 minutes with resting period.

Control

Control Group (B):

3-4 treatment sessions per week (for 2 weeks)

1. TENS and Hot pack for 20 minutes.
2. Grade III Ventro-Cranial Translatoric Glides at level T1-T4 The mobilization will be applied and sustained for 30-40 seconds and will be continued for 10-15 minutes in a cyclic manner.

Group Type ACTIVE_COMPARATOR

Grade III Ventro-Cranial Translatoric Glides(standard protocol)

Intervention Type PROCEDURE

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Grade III Ventro-Cranial Translatoric Glides on hypomobile segments at level T1-T4.

The mobilization will be applied and sustained for 30-40 seconds and will be continued for 10-15 minutes in a cyclic manner.

The grades of mobilization will be tapered as per individual needs.

Interventions

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Reverse NAGS(experimental)

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Reverse NAGs on hypomobile segments at level T1-T4.

In these type of mobilization, the inferior facet glides up on the superior. The mobilizations are repeated \<6 times and then movements are reassessed. If no change occurs, the process will be repeated upto 10 minutes with resting period.

Intervention Type PROCEDURE

Grade III Ventro-Cranial Translatoric Glides(standard protocol)

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Grade III Ventro-Cranial Translatoric Glides on hypomobile segments at level T1-T4.

The mobilization will be applied and sustained for 30-40 seconds and will be continued for 10-15 minutes in a cyclic manner.

The grades of mobilization will be tapered as per individual needs.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\. Both male and females 2. Adults (18-39 years) 3. Upper Thoracic hypomobility (flexion \<20° or extension \<25° or side bending \<20° or rotation \<35°)

Exclusion Criteria

* 1-Ankylosing spondylitis 2-History of Spinal Fusion or spinal surgery (discectomy/laminectomy etc.) 3-Degenerative disc disorders 4-Cervical radiculopathy, Scoliosis 5-Spinal Stenosis or Myelopathy 6-Recent fracture or surgery 7-TB of spine, Spondylolisthesis 8-Not able to attend regular therapy appointments 9-Fibromyalgia/myofascial pain syndrome
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation University Islamabad

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foundation University College of Physical Therapy

Islamabad, , Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Anam Shabbir, DPT

Role: CONTACT

+923305848103

Facility Contacts

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Muhammad Furqan Hassan, MS-OMPT

Role: primary

+923334056768

Other Identifiers

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FUI/CTR/2024/78

Identifier Type: -

Identifier Source: org_study_id

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