Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Wrestle

Study Overview
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Brief Summary
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This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.

Detailed Description
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The main aim of the study is to compare the effects of sustained natural apophyseal glides versus cervical manipulation on pain and disability in Nonspecific acute neck pain among wrestlers. Acute neck pain and disabilities are most common among wrestlers. Different studies occur on snags and mobilizations on various athletes but there is a literature gap between comparison of Snags and cervical manipulation in neck disabilities. This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.

Official Title
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Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Non Specific Neck Among Wrestlers

Conditions
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Neck Pain, Disability Physical

Intervention / Treatment
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* Other: SNAGs
* Other: Manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 to 35 years male only Acute non-specific neck pain Exclusion Criteria: Patients with history of discogenic cause in neck. History of Postoperative patients Individuals who was not willing and individuals with systemic disorders Any musculoskeletal(MSK) injury that effect their performance like fracture and bruises etc.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Male

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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SNAGs Group<br>Group A sustained natural apophyseal glides will be provided to wrestlers in the sitting position. SNAG technique applied on the dorsal side of the neck. The treatment will be given for 6 weeks, 2 sessions per week. | Other: SNAGs<br>* Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.<br>|
| Active Comparator: Manipulation Group<br>group bWrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week. | Other: Manipulation<br>* Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric pain Rating scale(NPRS) | Pain is rated on single 11 point scale in which 0 indicates no pain and 10 indicates possible worst pain. All individuals will be asked to point out the number mention on the scale. The exact values will be recorded and used for analysis. | 6 Weeks | 
| NECK DISABILITY INDEX (NDI) | NDI score varies from 0 to 50.Zero is the most desirable state of health.Value 50 is the least desirable state of health.NDI score varies from 0 to 50. Zero is the most desirable state of health.Value 50 is the least desirable state of health. Each of the 10 item is scored 0 to 5. The maximum score therefore 50.All the subjects will be asked to circle or tick the one choice from the given sections which most closely describe their problem. The overall item average score will be recorded. | 6 Weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain, Neck Injury, Snags, Cervical Manipulation, Disability