Sustained Natural Apophysial Glide Versus Instrument Assisted Soft Tissue Mobilization in Patients With Chronic Mechanical Neck Pain (MNP)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Mechanical Neck Pain

Treatments: Other: sustained natural apophysial glide; Other: conventional physical therapy; Other: instrument assisted soft tissue mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT06720116

P.T.REC/012/005464

Details and patient eligibility

About

this study will be conducted to investigate the effect of sustained natural apophysial glide and Instrument assisted soft tissue mobilization on pain intensity, cervical range of motion and neck functional disability level in patients with chronic mechanical neck pain

Full description

Neck pain is a common musculoskeletal disorder in the era of technology. The International Association for the Study of Pain (IASP) has defined neck pain as:"Pain perceived as arising from anywhere with in the region bounded superiorly by superior nuchal line, inferior by an unoriginally transverse line through the tip of first thoracic spinous process, and laterally by saggital plane tangential to the lateral border of neck. Mulligan pioneered specific manual approach called mobilization with movement (MWM).The advance of this approach was aimed for application on the spinal joints. He claimed that his technique could improve the spinal range of motion (ROM) and decrease pain through the correction of a positional fault occurring between the surfaces of the involved facet joints. The most commonly used Mulligan technique is called "sustained natural apophyseal glides" or SNAGs, this technique has introduced in 1999 by Mulligan and is performed by applying an accessory glide along the axis of the facet joint of the affected level while the patient is doing an active movement from weight-bearing position. The pressure applied by the therapist in a cephalad direction over the spinous process (centrally) or the transverse process (unilaterally) or to the articular pillar of the affected vertebra.The IASTM therapy is designed to promote the restart of connective tissues by resorbing extra fibroses, encouraging collagen secondary to fibroblast recruited healing. In turn this leads to scar tissues, adhesions, and fascial limitations being released and broken down. M2t blade is a multifunctional instrument invented by Adam Bro ger that is reasonable in price and has many planes that can be used in treatment. Its efficiency in improving patients symptoms was proven through many studies. sixty patients with mechanical neck pain will be assigned randomly into three equal group; group A will receive mulligan plus traditional, group B will receive IASTM plus traditional and group C will receive traditional only

Enrollment: 60 estimated patients

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Sixety patients of chronic mechanical neck pain diagnosed and reffered from physicians will be participants in the study .
• Patients of both genders will be included.
• The age of the participants will beranged from 20 and 55 years
• The BMI ranged between 18.9 and 25 kg/m2
• All patients who suffered from neck pain more than 3 months.

Exclusion criteria

• Malignancy
• cervical and cranial surgery
• Recent fractures
• spinal tumors
• severe disc herniation
• uncontrolled hypertension
• Heart Disease ( arrhythmia, pacemaker).
• Pregnant and breast feeding women.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

sustained natural apophysial glide

Experimental group

Description:

patients will receive sustained natural apophysial glide( SNAGS ) in addition to conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month

Treatment:

Other: conventional physical therapy

Other: sustained natural apophysial glide

instrument assisted soft tissue mobilization

Experimental group

Description:

patients will receive instrument assisted soft tissue mobilization ( IASTM) technique in addition to conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month.

Treatment:

Other: conventional physical therapy

Other: instrument assisted soft tissue mobilization

conventional therapy

Active Comparator group

Description:

patients will receive conventional therapy in the form of ( Infrared, TENS , stretching exercices, isometric exercises) for chronic mechanical neck pain ,3 sessions per week for one month.

Treatment:

Other: conventional physical therapy