RecruitingNot ApplicableNCT07006402

Effects of Reverse Natural Apophyseal Glides as Compared to Ventro-cranial Translatoric Glides in the Management of Upper Thoracic Spine Hypomobility.

Sponsor

Foundation University Islamabad

Enrollment

48 participants

Start Date

Jul 18, 2024

Study Type

INTERVENTIONAL

Conditions

Upper Thoracic Spine Hypomobility

Summary

This study is a randomized controlled trial and the purpose of the study is to determine the effects of reverse NAGs as compared to Ventro-cranial Translatoric Glides in upper thoracic spine hypomobility in terms of pain and range of motion.

Eligibility

Min Age: 18 YearsMax Age: 39 Years

Inclusion Criteria1

\. Both male and females 2. Adults (18-39 years) 3. Upper Thoracic hypomobility (flexion <20° or extension <25° or side bending <20° or rotation <35°)

Exclusion Criteria1

-Ankylosing spondylitis 2-History of Spinal Fusion or spinal surgery (discectomy/laminectomy etc.) 3-Degenerative disc disorders 4-Cervical radiculopathy, Scoliosis 5-Spinal Stenosis or Myelopathy 6-Recent fracture or surgery 7-TB of spine, Spondylolisthesis 8-Not able to attend regular therapy appointments 9-Fibromyalgia/myofascial pain syndrome

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Interventions

PROCEDUREReverse NAGS(experimental)

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Reverse NAGs on hypomobile segments at level T1-T4. In these type of mobilization, the inferior facet glides up on the superior. The mobilizations are repeated \<6 times and then movements are reassessed. If no change occurs, the process will be repeated upto 10 minutes with resting period.

PROCEDUREGrade III Ventro-Cranial Translatoric Glides(standard protocol)

All participants will receive 2 weeks of intervention with a frequency of 3-4 days/week with a period of rest in between. 20 minutes of TENS+ hot pack will be given followed by Grade III Ventro-Cranial Translatoric Glides on hypomobile segments at level T1-T4. The mobilization will be applied and sustained for 30-40 seconds and will be continued for 10-15 minutes in a cyclic manner. The grades of mobilization will be tapered as per individual needs.

Locations(1)

Foundation University College of Physical Therapy

Islamabad, Pakistan

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NCT07006402