RecruitingNot ApplicableNCT06598644

Comparison of Sustained Natural Apophyseal Glide &Amp; Instrument Assisted Soft Tissue Mobilization

Comparison of Cervical Sustained Natural Apophyseal Glide and Instrument Assisted Soft Tissue Mobilization on Mechanical Neck Pain


Sponsor

Riphah International University

Enrollment

56 participants

Start Date

Sep 20, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The aim of this randomized controlled trial is to evaluate and compare the effectiveness of two therapeutic techniques-Cervical Sustained Natural Apophyseal Glide (SNAG) and Instrument-Assisted Soft Tissue Mobilization (IASTM)-in the treatment of mechanical neck pain. The trial seeks to determine which method is more effective in reducing pain, improving range of motion, and enhancing overall neck function in individuals suffering from mechanical neck pain.


Eligibility

Min Age: 20 YearsMax Age: 45 Years

Inclusion Criteria4

  • Both genders (males and females)
  • Age between 20 and 45 years
  • History of neck pain \>3 month, with tenderness on palpation present on sternocleidomastoid and Levator scapulae muscles and pain aggravated by activities involving turning head towards the side
  • Patients with pain on NPRS (at least 3)

Exclusion Criteria9

  • patients with recent injuries or surgeries in and around the neck region
  • Cervical nerve root lesion (radiculopathy)
  • Traumatic injuries like whiplash injury
  • malignancy in and around the neck region
  • rheumatoid arthritis
  • pregnant females
  • cervicogenic headache
  • Patients with unwillingness or inability to provide informed consent
  • Current participation in another neck pain treatment program

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Interventions

OTHERCervical SNAGS (C3-C7) + Conventional PT

Cervical SNAGS at C3-C7 with active movements of lateral flexion and rotation with overpressure at the end range. .Frequency: 10 reps 3 times/week for 3 consecutive weeks Intensity: starting from 20% to 50% resistance across barrier provided by Physical therapist Conventional PT including 1-hot pack for 10 minutes 2-Cervical Stretchings for levator scapulae and sternocleidomastoid 3-cervical isometric exercises, 4. Cervical Range of motion exercises

OTHERIASTM (ergon) + Conventional PT

IASTM, ergon applied at levator scapulae and sternocleidomastoid muscle, with 30 strokes at an angle. After that icing done at the levator scapulae and sternocleidomastoid muscle for 5-10 minutes using cold pack.


Locations(1)

Pakistan Railway hospital

Rawalpindi, Punjab Province, Pakistan

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NCT06598644


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