RecruitingNot ApplicableNCT06437483

Effects of Sustained Natural Apophyseal Glides Combined With Kinesiotaping in Patients With Chronic Mechanical Neck Pain: A Randomised Controlled Trial

Sponsor

Foundation University Islamabad

Enrollment

42 participants

Start Date

Nov 10, 2023

Study Type

INTERVENTIONAL

Conditions

Neck Pain

Summary

This study is a randomized controlled trial and its purpose is to determine the combined effects of sustained natural apophyseal glides and kinesiotaping on pain, range of motion and neck disability in patients with chronic mechanical neck pain.

Eligibility

Min Age: 18 YearsMax Age: 40 Years

Inclusion Criteria6

Mechanical Neck Pain
Age range: 18-40 years
Both males and females
Having pain from at least last 3 months (chronic)
Pain score greater than 3 on NPRS
Pain and limitation on neck moverment

Exclusion Criteria11

Recent surgery of spine, Temporomandibular joint or shoulder in the previous 12 months.
Open wound around neck.
History of traumatic injuries or fractures in the cervical spine.
History of neurological and cardiac pathologies.
History of some serious pathologies (e.g., malignancy, inflammatory disorder etc.).
History of cervical or shoulder neurological movement disorder.
Cervical spondylolisthesis, cervical radiculopathy, and spinal stenosis.
Vascular syndromes such as basilar insufficiency.
Diagnosed psychiatric disorders such as anxiety and depression.
Interventions including medications, exercise or physical therapy in the last 3 months.
Any other condition that contraindicates kinesiotaping such as skin sensitivity.

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Interventions

PROCEDURESustained Natural Apophyseal Glides

SNAGs: Therapist will apply an antero-superior accessory glide to the superior spinous process of the involved motion segment (between C3 to C7) by pushing it towards the direction of eyeball at approximately a 45 degree angle, using the thumb. The other thumb will reinforce the glide. Painless accessory glide will be maintained and subject will slowly turn their head towards the painful or restricted side (that elicited symptoms) and sustain the position for a few seconds. In case of symptom-free, the subject will apply overpressure at the end of restricted range of motion. The glide will be maintained till the head returns to the midline. Each session will consist of three sets of six to ten repetitions.

PROCEDUREKinesiotaping

Kinesiotaping (KT): Subject will be in comfortable sitting position. Neck of the subject will be thoroughly cleaned with alcohol and sterile gauze pads before the application of Kinesiotape.The layers of KT will be applied in the form of two strips i.e. "Y strip" and "I strip". and applied over the neck in a position of cervical flexion and contralateral rotation and, pasted up and over either ridge of the spine covering the cervical muscles.It extends from T1-T2 to either side of C1-C2.The second layer is I-strip:The overlaying I-strip will be placed perpendicular to the Y-strip, It will be stretched from the both ends, and the middle portion of the tape will be applied first after which tension is released and ends are applied without tension.

PROCEDUREConventional Treatment

Hot pack (moist heat) and TENS will be applied, each for 10 minutes.