Neck PainNCT06668480
Effect of Sustained Natural Apophyseal Glide Combined With Strengthening Exercises of Lower Fibers of Trapezius in Patient With Unilateral Neck Pain
A study testing Conventional Physical Therapy, Strengthening Exercise and SNAG'S in people with Neck Pain, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Neck Pain
- What is being tested?
- Conventional Physical Therapy, Strengthening Exercise and SNAG'S
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 sitePakistan
- Study dates
- 10 Jun 2024to 30 Dec 2024
- 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 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, 46000
About this study
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 .
- Conditions
- Neck Pain
- Being tested
- Conventional Physical Therapy, Strengthening Exercise, SNAG'S
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional Physical TherapyProcedure or surgery
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 ExerciseProcedure or surgery
Strengthening exercises of lower fibers of trapezius
SNAG'SProcedure or surgery
Sustained natural apophysial glides will consist of frequency: 4 sets of 3-5 repetition per session for 2 weeks
| Study group | Role | What they receive |
|---|---|---|
| SNAGS + Conventional PT Group | Experimental | 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 Receives: Procedure: Conventional Physical Therapy; Procedure: SNAG'S |
| SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group | Experimental | * 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 Receives: Procedure: Conventional Physical Therapy; Procedure: Strengthening Exercise; Procedure: SNAG'S |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain intensity
Pain will be measured on the basis of Numeric Pain Rating Scale score.It is rated on 0-10 scale in which 0 means no pain and 10 means the maximum possible pain
Measured: 2 weeks
ROM
Cervical ROM will be measured through CROM device
Measured: 2 weeks
Level of Neck Disability
Neck Disability Index will be used to measure level of neck disability
Measured: 2 weeks
Muscle strength
MMT for Lower fibers of trapezius
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2024
- Study start10 Jun 2024
- Primary completion10 Dec 2024 (estimated)
- Study completion30 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neck PainStudies of the same condition, open and under way.
- More trials run by Foundation University IslamabadThe 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
- Parallel groups
- Model description
- 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.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 38 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06668480
- Sponsor's protocol ID
- FUI/CTR/2024/45
- Status last verified
- Oct 2024
- First submitted
- 30 Oct 2024
- Last updated
- 20 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Sustained Natural Apophyseal Glide Combined With Strengthening Exercises of Lower Fibers of Trapezius in Patient With Unilateral Neck Pain
- ClinicalTrials.gov ID
- NCT06668480
- Acronym / sponsor ID
- FUI/CTR/2024/45
- Conditions
- Neck Pain
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 38 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 10 Jun 2024 (actual)
- Primary completion
- 10 Dec 2024 (estimated)
- Study completion
- 30 Dec 2024 (estimated)
- First posted
- 31 Oct 2024 (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.
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 .
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| SNAGS + Conventional PT Group | Experimental | Procedure: Conventional Physical Therapy, Procedure: SNAG'SParticipants 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 |
| SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group | Experimental | Procedure: Conventional Physical Therapy, Procedure: Strengthening Exercise, Procedure: SNAG'S* 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 |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- 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.
Key exclusion criteria (3 listed)
- 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
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 |
|---|---|---|
| Conventional Physical TherapyIt will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.Strengthening of deep neck flexors | Procedure or surgery | SNAGS + Conventional PT Group, SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group |
| Strengthening ExerciseStrengthening exercises of lower fibers of trapezius | Procedure or surgery | SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group |
| SNAG'SSustained natural apophysial glides will consist of frequency: 4 sets of 3-5 repetition per session for 2 weeks | Procedure or surgery | SNAGS + Conventional PT Group, SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group |
Primary outcome
Pain intensity
Time frame: 2 weeks
Pain will be measured on the basis of Numeric Pain Rating Scale score.It is rated on 0-10 scale in which 0 means no pain and 10 means the maximum possible pain
ROM
Time frame: 2 weeks
Cervical ROM will be measured through CROM device
Level of Neck Disability
Time frame: 2 weeks
Neck Disability Index will be used to measure level of neck disability
Muscle strength
Time frame: 2 weeks
MMT for Lower fibers of trapezius
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Nov 2024.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Physical Therapy, Strengthening Exercise and SNAG'S in people with Neck Pain, run by Foundation University Islamabad at 1 site in Pakistan.
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 7 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 20 Nov 2024. 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 Pakistan. 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?
Results are not available in the source record.
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?
Pain intensity (time frame: 2 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 Nov 2024.