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Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients

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

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05425706
Enrollment
32
Registered
2022-06-21
Start date
2019-04-22
Completion date
2020-04-06
Last updated
2022-06-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Neck Pain

Keywords

manual therapy, neck pain, SNAGs, sleep quality, quality of life

Brief 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 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.

Interventions

OTHERapplication of SNAGs technique

in experiment group, the SNAGs technique was applied to 16 participants in addition to conventional therapy.

Sponsors

Hacettepe University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

* 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.

Exclusion criteria

* 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, * 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.

Design outcomes

Primary

MeasureTime frameDescription
Range of motion assessmentsTwo weeks for each participantsActive and passive range of motion
Pain assessmentsTwo weeks for each participantsMcGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain.

Secondary

MeasureTime frameDescription
Sleep quality assessmentsTwo weeks for each participantsPittsburgh Sleep Quality Index (PSQI)
Quality of life assessmentsTwo weeks for each participantsThe Nottingham Health Profile

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026