The individuals who have experienced non-specific neck pain within the past 3 months. C5 - C6 transverse SNAGs, non-specific neck pain, shoulder range of motion, shoulder muscle strength
Conditions
Interventions
The treatment will be administered by a physical therapist with at least 10 years of clinical experience and a minimum of 2 years of experience in the Mulligan Concept.
Patient Positioning and Techniq
however, no glided force will be applied during the cervical rotation.
C5 - C6 transverse SNAGs,Control
Sponsors
Sudaporn Pummoung
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 - 40 years 2. Must have experienced non-specific neck pain within the past 3 months. 3. Present with at least three of five clinical manifestations associated with C5 segmental facilitation: 1) brisk reflex of deltoid or biceps brachii muscles 2) hypertonicity to palpation on supraspinatus, infraspinatus, deltoid, and biceps brachii muscles 3) hyperesthesia over the upper back, scapular region, and upper arm areas 4) muscle weakness of shoulder external rotators and abductors 5) trophic changes such as alterations in skin color or skin temperature in the upper back, scapular region, and upper arm.
Exclusion criteria
Exclusion criteria: 1. Trauma or surgical involving the cervical spine or upper extremities within the past 3 years 2. Previous history of cervical spinal manipulation, mobilization, or traction therapy 3. Neck pain originating from non-musculoskeletal causes 4. Presence of numbness or neurological weakness in the upper extremities 5. Clinical diagnosis of any of the following conditions: Bone & Structural disorders: osteoporosis, osteomyelitis, spinal infection, spondylolisthesis, spondylolysis, or ankylosing spondylitis Inflammatory & Metabolic diseases: rheumatoid arthritis, gout, malignancy/tumors, liver, lung, or gallbladder diseases Joint instability: spinal instability, loosening of joints, or shoulder instability/laxity Acute trauma: Whiplash etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| shoulder range of motion in external rotation and abduction Baseline, Immediately post-initial treatment, and after 2-week GetMyROM (smartphone application),shoulder external rotator and abductor strength Baseline, Immediately post-initial treatment, and after 2-week hand-held dynamometer,neck pain Baseline, Immediately post-initial treatment, and after 2-week visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| None None None | — |
Countries
Thailand
Contacts
Public ContactSudaporn Pummoung
Huachiew Chalermprakiet University, Thailand
Outcome results
None listed