Mechanical Neck Pain
Conditions
Keywords
Mechanical neck pain, Sustained Natural Apophyseal glides, suboccipital release, range of motion, functional disability
Brief summary
SNAGs (Sustained Natural Apophyseal Glides): SNAGs will be performed by applying a sustained passive glide to the cervical vertebra while the patient actively performs the restricted neck movement. This technique will aim to reduce neck pain and improve cervical range of motion. Suboccipital Muscle Release: Suboccipital muscle release will be performed by applying gentle, sustained pressure to the suboccipital muscles at the base of the skull in supine lying to reduce muscle tension, relieve pain, and improve cervical mobility. Neck Isometric Exercises: Neck isometric exercises will be performed by applying gentle resistance against head movements in flexion, extension, and right and left lateral flexion, right and left rotation without actual movement of the neck. These exercises will aim to improve neck muscle strength and stability.
Interventions
OTHERSNAGs
SNAGs will be performed by applying a sustained passive glide to the cervical vertebra while the patient actively performs the restricted neck movement. This technique will aim to reduce neck pain and improve cervical range of motion.
Suboccipital muscle release will be performed by applying gentle, sustained pressure to the suboccipital muscles at the base of the skull in supine lying to reduce muscle tension, relieve pain, and improve cervical mobility
Sponsors
University of Management and Technology Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
SNAGs (Sustained Natural Apophyseal Glides): SNAGs will be performed by applying a sustained passive glide to the cervical vertebra while the patient actively performs the restricted neck movement. This technique will aim to reduce neck pain and improve cervical range of motion. Suboccipital Muscle Release: Suboccipital muscle release will be performed by applying gentle, sustained pressure to the suboccipital muscles at the base of the skull in supine lying to reduce muscle tension, relieve pain, and improve cervical mobility.Neck Isometric Exercises: Neck isometric exercises will be performed by applying gentle resistance against head movements in flexion, extension, and right and left lateral flexion, right and left rotation without actual movement of the neck. These exercises will aim to improve neck muscle strength and stability.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Both gender Male and female. Participants aged 18-45 years. Participants with Neck Disability Index (NDI) ranging from 15 to 24. Participants with a Numeric Pain Rating Scale (NPRS) ranging from 4 to 6. Tenderness on palpation of the cervical region. Symptoms that become worse when the neck is moved or held in a certain position for a long time.
Exclusion criteria
* Cervical radiculopathy or myelopathy History of whiplash, Malignancy, inflammatory joint disorders, muscular disease, infections, tuberculosis, or other significant diseases of the cervical spine including carcinoma, cardiovascular disease or osteoporosis. Vertigo and cervicogenic headache. History of heat allergy or allergic reactions to heat treatments, such as hot pack application. Participants with psychiatric conditions, including phobias, depression, balance disorders, and psychotic problems.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS): | baseline and 6 weeks | Pain levels will be measured using the Numeric Pain Rating Scale (NPRS). This is an 11-point scale in which 0 represents no pain and 10 represents the worst possible pain. Scores of 1-3 will indicate mild pain, 4-6 will indicate moderate pain, and 7-10 will indicate severe pain. |
| Neck Disability Index (NDI) | baseline and 6 weeks | The Neck Disability Index (NDI) will be used to assess neck-related disability. It is a questionnaire comprising ten items covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreational activities. Each item will be scored from 0 to 5, with a maximum total score of 50. Higher scores will indicate greater disability, ranging from no disability to complete disability. |
| Clinometer | baseline and 6 weeks | Cervical range of motion (ROM) will be assessed using an Android smartphone application called Clinometer. The active range of motion of the cervical spine will be measured in flexion, extension, right and left side bending, and right and left rotation. Each participant will observe a brief demonstration of the six cervical movements while seated in a chair before measurement. Three measurements will be taken for each movement, and the average value will be recorded. |
Countries
Pakistan
Outcome results
None listed