Neck Pain
Conditions
Brief summary
Neck pain is second largest cause of disability worldwide. Chronic neck pain prevalence is 14% which is somewhat higher in females as compared to males. In India reported prevalence is 6%. Therapeutically, neck pain is managed by physiotherapists using rest, stretching and strengthening exercises, educating patient, and intense proprioception and positional exercises.
Detailed description
To determine the evidences for the efficacy of SNAGs in the Management of Mechanical Neck Pain. 100 patients \[Age group 25-45 yrs\] who were diagnosed with neck pain, with onset ˃1-3 months (chronic) were randomly assigned to group A receiving conventional Physiotherapy plus SNAGs and group B receiving conventional Physiotherapy plus ultrasound. Subjects in-group A that received conventional Physiotherapy plus SNAGs showed greater Improvement in pain and range of motion compared with the conventional Physiotherapy plus ultrasound group on 2nd week compared with pretreatment. The result of study suggests that both SNAGs and Ultrasound groups improves the symptoms of neck pain. Ultrasound group improved the pain symptoms but was too small to reach satisfactory outcome for patients. Based on these results conventional Physiotherapy plus SNAGs should be the treatment of choice for neck pain rather than conventional Physiotherapy plus Ultrasound .
Interventions
OTHERUltrasound Therapy, SNAGs
Sponsors
Raj Nursing and Paramedical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Intervention model description
Participants randomly assigned to group A receiving conventional Physiotherapy plus SNAGs and group B receiving conventional Physiotherapy plus ultrasound.
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Age group between 20- 45 years. * Both Gender male and female. * Individuals having localized pain or stiffness in spine or both combined b/w C3 to C7 without upper limbs radiculopathy. * Pain reported on VAS score ˃3 in neck region. * Patients agree to sign written consent form.
Exclusion criteria
Patients were excluded if they were diagnosed with following conditions for ˃6 months: * T.B, carcinoma, heart disease, osteoporosis. * Neural disorders due to PIVD. * Any trauma or localized infection in neck region. * Upper MND, cervical stenosis, metabolic diseases in bone and joint. * Hyper flexibility * Open sores, * Ongoing radiotherapy, chemotherapy, steroid therapy or anticoagulants. * Psychiatric diseases such as phobia/obsession, depression. * Allergy to hot pack * Patients with history of surgery in cervical spine region with in a year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale | 2 weeks | Visual analog scale is a subjective outcome measurement where patients judge the intensity of their pain on a scale of 0-10, which is in the form of a 10cm straight line. On this 0-10 scale, zero denotes no pain and ten denotes severe pain intensity. |
| Neck Range of motion | 2 weeks | Range of motion of the cervical spine measured by bubble inclinometer. It consists of a 360-degree scale with a fluid filled circular tube containing a small air bubble. It is a gravity dependent Goniometer, which uses the gravity's effect on fluid level to measure joint position and motion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability Index | 2 weeks | Neck disability Index contains 10 items, seven related to activities of daily living, two related to pain, and one item related to concentration. Each item is scored ranging from 0 (no pain or disability) to 5 (severe pain and disability); and the total score is expressed as a percentage, with higher scores corresponding to greater disability. |
Outcome results
None listed