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Non Specific Neck PainNCT07909759

Effects of Cervical SNAGs With and Without Thoracic Manipulation on Neck Pain and Disability in Smartphone Users

A study testing Cervical SNAGS and thoracic manipulation with conventional physiotherapy and Cervical SNAG Mobilization Alone + Conventional Physiotherapy in people with Non Specific Neck Pain, run by University of Management and Technology Lahore at 1 site in Pakistan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Non-specific neck pain is a pain and discomfort in the cervical spinal area that arises without trauma, clearly identifiable pathological cause such as fracture infection, nerve root compression, inflammatory disease or serious structural abnormality. Read more about this study

Who is it for?
Ages 20 to 50 years
Conditions the study is for
Non Specific Neck Pain
What is being tested?
Cervical SNAGS and thoracic manipulation with conventional physiotherapy and Cervical SNAG Mobilization Alone + Conventional Physiotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 sitePakistan
Study dates
27 Oct 2026to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 20 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Non-specific neck pain patients aged ≥ 20 to 50 years old (4). Both genders. Mild to moderate neck with NPRS pain score value of between 3/10 - 6/10. Patients with chronic non-specific neck pain (>=12 weeks) Individuals using smartphone for at-least 3-4 hours daily for the last 6 months

Who cannot join

  • Any cervical pathology such as cervical fracture, tumor, infection, Inflammatory disease or myelopathy.
  • Cervical radiculopathy or neurological signs Previous cervical spine surgery Any systemic or rheumatologic disease such as arthritis, ankylosing spondylitis, fibromyalgia or osteoporosis.
  • Having red flag symptoms such as unexplained weight loss, fever, cancer history, night pain or any vertebral artery insufficiency symptoms.
  • Any ongoing concurrent treatment such as other physiotherapy, chiropractic treatment or strong analgesic regimens

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Pakistan1 site
  • UMT, Lahore

    Lahore, Punjab Province, 54000

Other trials in Pakistan

About this study

Official title: Effects of Cervical Sustain Natural Apophyseal Glide With and Without Thoracic Spine Manipulation on Pain, Range of Motion and Neck Disability in Smartphone Users With Non-Specific Neck Pain.

Non-specific neck pain is a pain and discomfort in the cervical spinal area that arises without trauma, clearly identifiable pathological cause such as fracture infection, nerve root compression, inflammatory disease or serious structural abnormality. Frequent smartphone use in a pathological way forces the user to adopt a compromised posture, gradually resulting in changes to both the postural and musculoskeletal systems. The incidence of non-specific neck pain (NSNP) makes up approximately 25% of all outpatients in general clinics and 12-70% of the general population. According to symptom duration, Chronic non-specific neck pain is usually classified as pain lasting or recurring for > 3 months. Techniques such as SNAG mobilization and thoracic manipulation may also improve posture and cervical biomechanics by restoring normal spinal mobility. The objective of this study will be to compare the effects of Cervical, Sustain Natural Apophyseal Glide with and Without Thoracic Spine Manipulation on Pain, Range of Motion and Neck Disability in Smartphone Users with Non-Specific Neck Pain. Study design will be randomized clinical trial. Evaluation will be done by using NPRS, NDI and smartphone inclinometer. Non-probability convenient sampling will be used and the subjects will be allocated to two groups by random allocation. Group A will receive cervical SNAG and thoracic manipulation along with conventional physiotherapy and Group B will receive cervical SNAGS alone with conventional physiotherapy. Both groups will receive 12 sessions for the period of 4 weeks. Measurements of all the outcome variables will be taken at baseline, 2nd and 4th week. Results will be analyzed by using SPSS 24

Being tested
Cervical SNAGS and thoracic manipulation with conventional physiotherapy, Cervical SNAG Mobilization Alone + Conventional Physiotherapy
Keywords
SNAG, Mulligan mobilization, thoracic manipulation, non-specific neck pain, smartphone users, neck pain, range of motion, neck disability
Medical subject headings
Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cervical SNAGS and thoracic manipulation with conventional physiotherapyOther

    Participants in Group A will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization combined with thoracic spine manipulation along with conventional physiotherapy treatment.

    • Cervical SNAG Mobilization Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets.
    • Thoracic Spine Manipulation High velocity low amplitude (HVLA) thoracic manipulation will be applied to the upper thoracic region (T1-T4/T6) with the participant in prone lying position. Manipulation frequency will be 1-2 thrusts per session and target region will be upper thoracic hypomobile segments.
  • Cervical SNAG Mobilization Alone + Conventional PhysiotherapyOther

    Participants in Group B will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization alone along with conventional physiotherapy treatment. Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets

Study groups in NCT07909759
Study groupRoleWhat they receive
Cervical SNAGS and thoracic manipulation with conventional physiotherapyExperimentalParticipants in Group A will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization combined with thoracic spine manipulation along with conventional physiotherapy treatment. * Cervical SNAG Mobilization Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets. * Thoracic Spine Manipulation High velocity low amplitude (HVLA) thoracic manipulation will be applied to the upper thoracic region (T1-T4/T6) with the participant in prone lying position. Manipulation frequency will be 1-2 thrusts per session and target region will be upper thoracic hypomobile segments.
Receives: Other: Cervical SNAGS and thoracic manipulation with conventional physiotherapy
Cervical SNAGS alone with conventional physiotherapyExperimentalParticipants in Group B will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization alone along with conventional physiotherapy treatment. Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets.
Receives: Other: Cervical SNAG Mobilization Alone + Conventional Physiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. NUMERIC PAIN RATING SCALE

    Numeric Rating Scale (NPRS) is most frequently used instruments to measure pain intensity in low back pain (LBP). The 11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADLs).

    Measured: baseline and after 4 weeks

  2. The Neck Disability Index (NDI)

    The Neck Disability Index (NDI) is a ten-item questionnaire based on the Oswestry Low Back Pain Index that assesses disability associated with neck pain and whiplash.

    It is the most widely used and most strongly validated instrument for assessing self-rated disability in patients with neck pain. It has been used effectively in both clinical and research settings in the treatment of this very common problem. (16) There are four items that relate to subjective symptomatology (pain intensity, headache, concentration, sleeping) and six items that relate to activities of daily living (lifting, work, driving, recreation, personal care, reading). The questionnaire requires only 5-10 minutes to complete and score, and requires no special training to administer. A score of less than 4 indicates no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, and scores greater than 35 complete disabilities

    Measured: baseline and after 4 weeks

  3. SMARTPHONE INCLINOMETER

    Cervical range of motion (ROM) is commonly assessed using instruments such as the Universal Goniometer and smartphone-based inclinometers.

    Cervical range of motion (ROM) in the present study will be measured using a smartphone-based digital inclinometer application. Smartphone inclinometers utilize built-in accelerometer and gyroscope sensors to provide objective angular measurements in degrees. Recent evidence supports their validity and reliability for cervical ROM assessment in both clinical and research settings. A systematic review by Elgueta (18) reported that smartphone applications demonstrated good to excellent reliability and acceptable validity for measuring cervical ROM. Similarly Romero found that smartphone-based applications showed high concurrent validity and excellent intra- and inter-rater reliability for cervical ROM measurements.(19) Furthermore, Huang concluded that smartphone integrated inclinometers provide accurate, reliable, rapid, and convenient assessment o

    Measured: baseline and after 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Nov 2026
  2. Study start27 Oct 2026 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

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
Non-specific neck pain is a pain and discomfort in the cervical spinal area that arises without trauma, clearly identifiable pathological cause such as fracture infection, nerve root compression, inflammatory disease or serious structural abnormality. Frequent smartphone use in a pathological way forces the user to adopt a compromised posture, gradually resulting in changes to both the postural and musculoskeletal systems. The incidence of non-specific neck pain (NSNP) makes up approximately 25% of all outpatients in general clinics and 12-70% of the general population. According to symptom duration, Chronic non-specific neck pain is usually classified as pain lasting or recurring for \> 3 months. Techniques such as SNAG mobilization and thoracic manipulation may also improve posture and cervical biomechanics by restoring normal spinal mobility. The objective of this study will be to compare the effects of Cervical, SNAG with and Without Thoracic Spine manipulation
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07909759
Sponsor's protocol ID
RE-205-2026
Status last verified
Oct 2026
First submitted
26 Oct 2026
Last updated
2 Nov 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The results data collected, de-identified individual participant data will be shared.

Questions about this trial

What is this clinical trial studying?

A study testing Cervical SNAGS and thoracic manipulation with conventional physiotherapy and Cervical SNAG Mobilization Alone + Conventional Physiotherapy in people with Non Specific Neck Pain, run by University of Management and Technology Lahore 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 1 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: opening soon, as of the sponsor's last update on 2 Nov 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?

This study is still under way. Results are not available in the source record yet.

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?

NUMERIC PAIN RATING SCALE (time frame: baseline and after 4 weeks). The study lists 3 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 2 Nov 2026.

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