Effect of Thoracic SNAGS on Vitals Among Individuals With Forward Head Posture

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: conventional therapy; Other: Thoracic SNAGs with conventional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06340477

Mahnoor Arif/ REC -01802

Details and patient eligibility

About

To determine how vitals (heart rate, blood pressure, respiratory rate, oxygen saturation) and craniovertebral angle will be affected by thoracic SNAGs in individuals with forward head posture.

Full description

Forward head posture (FHP) leads to abnormal activation of neck muscles. This leads to respiratory complications and changes in blood pressure. Due to regional interdependence Upper thoracic spine can restrict the movement of cervical spine Thoracic spine is is closely related to Sympathetic nervous system. T1-T5 spinal sympathetic neurons provide sympathetic innervation to the vessels that supply to the heart tissues and upper portion of the body. Thus, thoracic mobilization can regulate main body vitals as well as other visceral activities that maintain homeostasis

There is a manual therapy technique called sustained natural apophyseal glides (SNAGs) in which patient performs active movements along with the passive movements performed by the physiotherapist. It not only has biomechanical efficacy which includes pain reduction and improvement in ROM, but it also has neurophysiologic effects. Previous studies lack to provide how thoracic SNAGs can affect vitals. Thus, this study aims to determine the effect of thoracic SNAGs on vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation . Furthermore, this research will add to growing body of knowledge that how thoracic SNAGs can influence the correction of forward head posture

Enrollment: 28 patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both males and females
• Age 30-50yrs.
• Craniovertebral angle <50°
• Mild to moderate neck pain ranging between 3-6 on NPRS scale.
• Individuals with normal vitals:
• Heart rate (60-100 beats per minute)
• Respiratory rate (12-20 breaths per minute)
• Systolic BP (100- 139mmHg)(30).
• Diastolic BP (70-89 mmHg) (30).
• Oxygen saturation ≥96%

Exclusion criteria

• History of cervical/thoracic spine surgery
• Cardiopulmonary disorder or Hypertension ≥140/90mmHg (30).
• Vertebral instability
• Smokers
• Any infection or tumor

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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28 participants in 2 patient groups

Thoracic SNAGs with conventional therapy

Experimental group

Description:

Thoracic (T1- T5) SNAGs 3 repetitions x 1 set, 2 days/week Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week

Treatment:

Other: Thoracic SNAGs with conventional therapy

Conventional therapy

Other group

Description:

Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week

Treatment:

Other: conventional therapy