Effect of Sustained Natural Apophyseal Glide Combined With Strengthening Exercises of Lower Fibers of Trapezius in Patient With Unilateral Neck Pain

Foundation University Islamabad

Status: Active, not recruiting

Conditions: Neck Pain

Treatments: Procedure: Strengthening Exercise; Procedure: SNAG'S; Procedure: Conventional Physical Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06668480

FUI/CTR/2024/45

Details and patient eligibility

About

Neck pain is considered one of the very common cause behind musculoskeletal pain and is 4th leading cause of disability . Cervical pain is among 5 most contributing factors in causing years lived with disability.Individuals with unilateral neck pain exhibit significantly less Lower Trapezius strength than Middle and Upper Trapezius fibers .Mulligan is one of the mobilization techniques that can be applied in case of neck pain.In prolong neck pain there is a hyperactivation and shortening of upper trapezius which makes the lower trapezius weak this leads to imbalance between cervical and scapular muscles and result in impaired biomechanics. So mostly treatment focused on upper trapezius and neglecting the lower trapezius and this create increase chances of recurrency of neck pain because the imbalance remains present. So, this study aims at evaluating the effects of SNAGS combined with strengthening exercises of lower fibers of trapezius .

Enrollment: 38 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individuals aged 18-35 years
• Both gender
• Unilateral neck pain
• Symptoms of duration more than 3 months.
• NPRS scoring of greater than or equal to 4 points.
• Neck disability index score of 20% or above.
• Manual muscle testing : grade 3

Exclusion criteria

• Prior cervical and thoracic spine fractures, dislocations, or surgeries, spinal osteoporosis or infection, or whiplash.
• Any trauma or localized infection in neck region
• Psychiatric diseases such as phobia/obsession and depression

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

38 participants in 2 patient groups

SNAGS + Conventional PT Group

Experimental group

Description:

Participants of this group receive conventional physical therapy.Hot pack and tens ( 10 min each) * Sustained natural apophyseal glides to painful or restricted movement * 4 sets of 4 repetition per session * Strengthening of deep neck flexor

Treatment:

Procedure: Conventional Physical Therapy

Procedure: SNAG'S

SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

Experimental group

Description:

* Participants of this group receive conventional physical therapy. It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes. * Sustained natural apophyseal glides to painful or restricted movement.4 sets of 3-5 repetition per session. * Strengthening of deep neck flexors * Then strengthening exercises of lower fibers of trapezius

Treatment:

Procedure: Conventional Physical Therapy

Procedure: SNAG'S

Procedure: Strengthening Exercise