Neck PainNCT05425706
Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients
A study testing application of SNAGs technique in people with Neck Pain, run by Hacettepe University at 1 site in Turkey (Türkiye).
Trial summary
Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the… Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- Neck Pain
- What is being tested?
- application of SNAGs technique
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 22 Apr 2019to 6 Apr 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Volunteer patients with non-specific neck pain lasting at least 3 months,
- Volunteer patients without radicular pressure,
- Volunteer patients with loss of strength,
- Volunteer patients diagnosed with non-specific neck pain by a specialist physician.
Who cannot join
- Volunteer patients with central nervous system disease,
- Volunteer patients with distal-peripheral nerve injuries,
- Volunteer patients with inflammatory joint disease,
- Volunteer patients with cervical spine fracture or surgery, upper extremity surgery,
- Volunteer patients with vertebrobasilar artery stenosis,
- Volunteer patients with osteoporosis,
Show all 10Show fewer
- Volunteer patients with cervical dislocation,
- Volunteer patients with cervical spine tumor and infection,
- Volunteer patients with congenital anomalies involving the spine,
- Volunteer patients with patients with diabetes.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istınye University Medical Park Hospital
Istanbul
About this study
Official title: Investigation of the Effectiveness of Mulligan Concept Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients: A Randomized Controlled Single Blinded Trial
Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited.
The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.
Read the detailed description
This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.
- Conditions
- Neck Pain
- Being tested
- application of SNAGs technique
- Keywords
- manual therapy, neck pain, SNAGs, sleep quality, quality of life
- Medical subject headings
- Neck Pain, Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
application of SNAGs techniqueOther
in experiment group, the SNAGs technique was applied to 16 participants in addition to conventional therapy.
| Study group | Role | What they receive |
|---|---|---|
| experiment group | Experimental | Number of participant is 16. In addition to the conventional therapy, SNAGs technique was applied. Receives: Other: application of SNAGs technique |
| control group | No intervention | Number of participant is 16. Only the conventional therapy was applied. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Range of motion assessments
Active and passive range of motion
Measured: Two weeks for each participants
Pain assessments
McGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain.
Measured: Two weeks for each participants
Secondary outcomes (2)
Sleep quality assessments
Pittsburgh Sleep Quality Index (PSQI)
Measured: Two weeks for each participants
Quality of life assessments
The Nottingham Health Profile
Measured: Two weeks for each participants
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jun 2022
- Study start22 Apr 2019
- Primary completion6 Jan 2020
- Study completion6 Apr 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Neck PainStudies of the same condition, open and under way.
- More trials run by Hacettepe UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Duygu Korkem, Hacettepe University
- Investigators
- DUYGU KORKEM YORULMAZ, PhD., Principal investigator, ISTINYE UNİVERSITY
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05425706
- Sponsor's protocol ID
- 2017-KAEK-120/2019-14
- Status last verified
- Jun 2022
- First submitted
- 8 Jun 2022
- Last updated
- 21 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4.
PubMed 25097535Shin EJ, Lee BH. The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache. J Exerc Rehabil. 2014 Apr 30;10(2):131-5. doi: 10.12965/jer.140098. eCollection 2014 Apr.
PubMed 24877050
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Effectiveness of Mulligan Concept Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients: A Randomized Controlled Single Blinded Trial
- ClinicalTrials.gov ID
- NCT05425706
- Acronym / sponsor ID
- 2017-KAEK-120/2019-14
- Conditions
- Neck Pain
- Keywords
- manual therapy, neck pain, SNAGs, sleep quality, quality of life
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 22 Apr 2019 (actual)
- Primary completion
- 6 Jan 2020 (actual)
- Study completion
- 6 Apr 2020 (actual)
- First posted
- 21 Jun 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited.
The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.
Detailed description
This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| experiment group | Experimental | Other: application of SNAGs techniqueNumber of participant is 16. In addition to the conventional therapy, SNAGs technique was applied. |
| control group | No intervention | –Number of participant is 16. Only the conventional therapy was applied. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Volunteer patients with non-specific neck pain lasting at least 3 months,
- Volunteer patients without radicular pressure,
- Volunteer patients with loss of strength,
- Volunteer patients diagnosed with non-specific neck pain by a specialist physician.
Key exclusion criteria (10 listed)
- Volunteer patients with central nervous system disease,
- Volunteer patients with distal-peripheral nerve injuries,
- Volunteer patients with inflammatory joint disease,
- Volunteer patients with cervical spine fracture or surgery, upper extremity surgery,
- Volunteer patients with vertebrobasilar artery stenosis,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| application of SNAGs techniquein experiment group, the SNAGs technique was applied to 16 participants in addition to conventional therapy. | Other | experiment group |
Primary outcome
Range of motion assessments
Time frame: Two weeks for each participants
Active and passive range of motion
Pain assessments
Time frame: Two weeks for each participants
McGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain.
2 secondary outcomes
Sleep quality assessments
Time frame: Two weeks for each participants
Quality of life assessments
Time frame: Two weeks for each participants
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2022.
- Background: PubMed 25097535Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4.
- Results publication: PubMed 24877050Shin EJ, Lee BH. The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache. J Exerc Rehabil. 2014 Apr 30;10(2):131-5. doi: 10.12965/jer.140098. eCollection 2014 Apr.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
DUYGU KORKEM YORULMAZ, PhD. principal investigator
ISTINYE UNİVERSITY
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing application of SNAGs technique in people with Neck Pain, run by Hacettepe University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Range of motion assessments (time frame: Two weeks for each participants). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05425706, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2022.