Text Neck SyndromeSNAG-GONGNCT07720492
Comparative Effects of SNAG Vis GONG's Mobilization in Text Neck Syndrome Patients
A study testing Moist Heat Therapy, Sustained Natural Apophyseal Glide (SNAG) and GONG's Mobilization in people with Text Neck Syndrome and Forward Head Posture, run by University of Faisalabad at 1 site in Pakistan.
Trial summary
Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage… Read more about this study
- Who is it for?
- Ages 18 to 25 years
- Conditions the study is for
- Text Neck Syndrome, Forward Head Posture
- What is being tested?
- Moist Heat Therapy, Sustained Natural Apophyseal Glide (SNAG) and GONG's Mobilization
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 sitePakistan
- Study dates
- 25 Oct 2025to 15 Jun 2026
- 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 25 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Both Male and Female who engage in prolonged computer and phone usage for more than 4 hours per day for over a year
- Neck pain (3 to 8 on NPRS)
- Altered cranio-vertebral angle<49 degree
Who cannot join
- Recent cervical spine fracture/injury
- Congenital malformation
- Recent history of head and neck surgery
- Congenital torticollis
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
The University of Faisalabad (TUF)
Faisalabad, Punjab Province, 38000
About this study
Official title: Comparative Effects of SNAG Versus GONG's Mobilization in Text Neck Syndrome Among Final Year Medical Students of The University of Faisalabad
Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage cervical dysfunction.
This quasi-experimental pretest-posttest comparative study aimed to compare the effectiveness of SNAG and GONG's Mobilization on pain intensity, craniovertebral angle, and neck disability in individuals with text neck syndrome. Participants divided into 2 groups (Treatment group A and B) were undergo baseline and post-intervention assessments followed a 12-week treatment program
Read the detailed description
Text neck syndrome has emerged as a growing health concern due to increased use of smartphones, laptops, and other digital devices. Prolonged forward head posture places excessive mechanical stress on cervical structures, leading to neck pain, muscle imbalance, postural abnormalities, and functional limitations.
Manual therapy interventions such as Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization have demonstrated beneficial effects in managing cervical spine dysfunction. However, evidence comparing these two techniques specifically in individuals with text neck syndrome remains limited.
A quasi-experimental pretest-posttest comparative study conducted. 48 participants were recruited aged 18-25 years from The University of Faisalabad. Participants diagnosed with text neck syndrome allocated into two treatment groups according to the study protocol. The participants divided into 2 groups (A and B) Both groups received moist heat therapy for 10 minutes before intervention. Group A received SNAG mobilization, while Group B received GONG's Mobilization. Treatment sessions were conducted three times per week on alternate days for 12 weeks.
Outcomes and outcome measuring tools were pain intensity by using the Numeric Pain Rating Scale (NPRS), Craniovertebral angle by Goniometer, and neck disability by Neck Disability Index (NDI).
- Conditions
- Text Neck Syndrome, Forward Head Posture
- Being tested
- Moist Heat Therapy, Sustained Natural Apophyseal Glide (SNAG), GONG's Mobilization
- Keywords
- Text neck syndrome, Forward head posture, GONG's Mobilization, sustained natural appophyseal glide, neck disability, craniovertebral angle
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Moist Heat TherapyProcedure or surgery
A moist hot pack was applied to the cervical region for 10 minutes before the manual therapy intervention in both study groups
Sustained Natural Apophyseal Glide (SNAG)Procedure or surgery
SNAG mobilization was applied to the cervical spine with 10-15 repetitions per session for approximately 20 minutes, 3 sessions per week on alternate days for 12 weeks
GONG's MobilizationProcedure or surgery
GONG's Mobilization was administered to the cervical spine using 10-15 repetitions per session for approximately 20 minutes, three sessions per week on alternate days for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Baseline PLUS GONG's mobilization | Experimental | Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by GONG's Mobilization. GONG's Mobilization was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period. Receives: Procedure: Moist Heat Therapy; Procedure: GONG's Mobilization |
| Baseline plus SNAG | Active comparator | Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by Sustained Natural Apophyseal Glides (SNAG). SNAG was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period Receives: Procedure: Moist Heat Therapy; Procedure: Sustained Natural Apophyseal Glide (SNAG) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Craniovertebral Angle
Craniovertebral angle was measured using a universal goniometer to assess forward head posture
Measured: Baseline and Week 12 (end of the intervention)
Secondary outcomes (1)
Pain intensity
Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported scale ranging from 0 (no pain) to 10 (worst imaginable pain)
Measured: Baseline and Week 12 (end of intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jul 2026
- Study start25 Oct 2025
- Primary completion10 Apr 2026
- Study completion15 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Text Neck SyndromeStudies of the same condition, open and under way.
- 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
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- The study was conducted with a nonrandomized, pretest-posttest quasi-experimental design of 2 parallel groups. As per the study protocol, the participants were randomly allocated to one of the two intervention groups. Pre and after intervention assessments were done to examine the effects of SNAG and GONG's Mobilization on pain, craniovertebral angle and neck impairment after a 12 week treatment period.
- Masking
- None (open label)
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Faisalabad
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr Noreen Kiran; PT, University of Faisalabad
- Investigators
- Noreen Kiran, PhD, Principal investigator, University of Faisalabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07720492
- Sponsor's protocol ID
- 2023-MS-PT-064
- Acronym
- SNAG-GONG
- Status last verified
- Jul 2026
- First submitted
- 17 Jul 2026
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of SNAG Versus GONG's Mobilization in Text Neck Syndrome Among Final Year Medical Students of The University of Faisalabad
- ClinicalTrials.gov ID
- NCT07720492
- Acronym / sponsor ID
- SNAG-GONG / 2023-MS-PT-064
- Conditions
- Text Neck Syndrome, Forward Head Posture
- Keywords
- Text neck syndrome, Forward head posture, GONG's Mobilization, sustained natural appophyseal glide, neck disability, craniovertebral angle
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 48 participants (actual)
- Lead sponsor
- University of FaisalabadUniversity, hospital or other
- Study start
- 25 Oct 2025 (actual)
- Primary completion
- 10 Apr 2026 (actual)
- Study completion
- 15 Jun 2026 (actual)
- First posted
- 22 Jul 2026 (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.
Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage cervical dysfunction.
This quasi-experimental pretest-posttest comparative study aimed to compare the effectiveness of SNAG and GONG's Mobilization on pain intensity, craniovertebral angle, and neck disability in individuals with text neck syndrome. Participants divided into 2 groups (Treatment group A and B) were undergo baseline and post-intervention assessments followed a 12-week treatment program
Detailed description
Text neck syndrome has emerged as a growing health concern due to increased use of smartphones, laptops, and other digital devices. Prolonged forward head posture places excessive mechanical stress on cervical structures, leading to neck pain, muscle imbalance, postural abnormalities, and functional limitations.
Manual therapy interventions such as Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization have demonstrated beneficial effects in managing cervical spine dysfunction. However, evidence comparing these two techniques specifically in individuals with text neck syndrome remains limited.
A quasi-experimental pretest-posttest comparative study conducted. 48 participants were recruited aged 18-25 years from The University of Faisalabad. Participants diagnosed with text neck syndrome allocated into two treatment groups according to the study protocol. The participants divided into 2 groups (A and B) Both groups received moist heat therapy for 10 minutes before intervention. Group A received SNAG mobilization, while Group B received GONG's Mobilization. Treatment sessions were conducted three times per week on alternate days for 12 weeks.
Outcomes and outcome measuring tools were pain intensity by using the Numeric Pain Rating Scale (NPRS), Craniovertebral angle by Goniometer, and neck disability by Neck Disability Index (NDI).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- The study was conducted with a nonrandomized, pretest-posttest quasi-experimental design of 2 parallel groups. As per the study protocol, the participants were randomly allocated to one of the two intervention groups. Pre and after intervention assessments were done to examine the effects of SNAG and GONG's Mobilization on pain, craniovertebral angle and neck impairment after a 12 week treatment period.
| Arm | Type | Receives |
|---|---|---|
| Baseline PLUS GONG's mobilization | Experimental | Procedure: Moist Heat Therapy, Procedure: GONG's MobilizationParticipants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by GONG's Mobilization. GONG's Mobilization was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period. |
| Baseline plus SNAG | Active comparator | Procedure: Moist Heat Therapy, Procedure: Sustained Natural Apophyseal Glide (SNAG)Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by Sustained Natural Apophyseal Glides (SNAG). SNAG was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Both Male and Female who engage in prolonged computer and phone usage for more than 4 hours per day for over a year
- Neck pain (3 to 8 on NPRS)
- Altered cranio-vertebral angle<49 degree
Key exclusion criteria (4 listed)
- Recent cervical spine fracture/injury
- Congenital malformation
- Recent history of head and neck surgery
- Congenital torticollis
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 |
|---|---|---|
| Moist Heat TherapyA moist hot pack was applied to the cervical region for 10 minutes before the manual therapy intervention in both study groups | Procedure or surgery | Baseline PLUS GONG's mobilization, Baseline plus SNAG |
| Sustained Natural Apophyseal Glide (SNAG)SNAG mobilization was applied to the cervical spine with 10-15 repetitions per session for approximately 20 minutes, 3 sessions per week on alternate days for 12 weeks | Procedure or surgery | Baseline plus SNAG |
| GONG's MobilizationGONG's Mobilization was administered to the cervical spine using 10-15 repetitions per session for approximately 20 minutes, three sessions per week on alternate days for 12 weeks | Procedure or surgery | Baseline PLUS GONG's mobilization |
Primary outcome
Craniovertebral Angle
Time frame: Baseline and Week 12 (end of the intervention)
Craniovertebral angle was measured using a universal goniometer to assess forward head posture
1 secondary outcome
Pain intensity
Time frame: Baseline and Week 12 (end of intervention)
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 22 Jul 2026.
- Individual participant dataSharing planned: No
Related trials for Text Neck Syndrome
Recruiting
Effects of Alexander Technique Versus Feldenkrais Somatic Training in Patients With Text Neck Syndrome
Text Neck Syndrome
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Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy in Text Neck Syndrome.(PNMCE-TNS)
Text Neck Syndrome
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Comparative Study Between Proprioceptive Neuromuscular Facilitation and Post-facilitation Stretching in Text Neck Syndrome
Text Neck Syndrome
Not yet recruitingObservational study
Comparison of Cervical and TMJ Parameters in Young Adults With and Without Text Neck Syndrome
Text Neck Syndrome, Temporomandibular Joint Disorders
Enrolling by invitation
Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome
Text Neck Syndrome
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.
Noreen Kiran, PhD principal investigator
University of Faisalabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Moist Heat Therapy, Sustained Natural Apophyseal Glide (SNAG) and GONG's Mobilization in people with Text Neck Syndrome and Forward Head Posture, run by University of Faisalabad 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 3 inclusion and 4 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 22 Jul 2026. 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?
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?
Craniovertebral Angle (time frame: Baseline and Week 12 (end of the intervention)). 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 22 Jul 2026.