Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients

Study Overview
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Brief Summary
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Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited. The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.

Detailed Description
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This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.

Official Title
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Investigation of the Effectiveness of Mulligan Concept Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients: A Randomized Controlled Single Blinded Trial

Conditions
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Neck Pain

Intervention / Treatment
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* Other: application of SNAGs technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteer patients with non-specific neck pain lasting at least 3 months, Volunteer patients without radicular pressure, Volunteer patients with loss of strength, Volunteer patients diagnosed with non-specific neck pain by a specialist physician. Exclusion Criteria: Volunteer patients with central nervous system disease, Volunteer patients with distal-peripheral nerve injuries, Volunteer patients with inflammatory joint disease, Volunteer patients with cervical spine fracture or surgery, upper extremity surgery, Volunteer patients with vertebrobasilar artery stenosis, Volunteer patients with osteoporosis, Volunteer patients with cervical dislocation, Volunteer patients with cervical spine tumor and infection, Volunteer patients with congenital anomalies involving the spine, Volunteer patients with patients with diabetes.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experiment group<br>Number of participant is 16. In addition to the conventional therapy, SNAGs technique was applied. | Other: application of SNAGs technique<br>* in experiment group, the SNAGs technique was applied to 16 participants in addition to conventional therapy.<br>|
| No Intervention: control group<br>Number of participant is 16. Only the conventional therapy was applied. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion assessments | Active and passive range of motion | Two weeks for each participants | 
| Pain assessments | McGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain. | Two weeks for each participants | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sleep quality assessments | Pittsburgh Sleep Quality Index (PSQI) | Two weeks for each participants | 
| Quality of life assessments | The Nottingham Health Profile | Two weeks for each participants | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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manual therapy, neck pain, SNAGs, sleep quality, quality of life