Neck Pain
Conditions
Brief 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 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 .
Interventions
PROCEDUREStrengthening Exercise
Strengthening exercises of lower fibers of trapezius
PROCEDUREConventional Physical Therapy
It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.Strengthening of deep neck flexors
PROCEDURESNAG'S
Sustained natural apophysial glides will consist of frequency: 4 sets of 3-5 repetition per session for 2 weeks
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor will not be aware of which group the participant belongs to.
Intervention 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.
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 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 | 2 weeks | Cervical ROM will be measured through CROM device |
| Level of Neck Disability | 2 weeks | Neck Disability Index will be used to measure level of neck disability |
| Muscle strength | 2 weeks | MMT for Lower fibers of trapezius |
Countries
Pakistan
Outcome results
None listed