Clinical trial NCT07006402: Effects of Reverse Natural Apophyseal Glides as Compared to Ventro-cranial Translatoric Glides in the Management of Upper Thoracic Spine Hypomobility.
Official title: Effects of Reverse Natural Apophyseal Glides as Compared to Ventro-cranial Translatoric Glides in the Management of Upper Thoracic Spine Hypomobility.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Upper Thoracic Spine Hypomobility
Lead sponsor: Foundation University Islamabad
Sponsor class: OTHER
First posted: 2025-06-05
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Maximum age (years): 39
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized Control Trial
Primary purpose: TREATMENT

Brief summary: This study is a randomized controlled trial and the purpose of the study is to determine the effects of reverse NAGs as compared to Ventro-cranial Translatoric Glides in upper thoracic spine hypomobility in terms of pain and range of motion.

Detailed description: OBJECTIVES:

The objectives of this study are :

1. To determine the effects of reverse NAGs as compared to ventrocranial translatoric glide on UPPER BACK PAIN in upper thoracic spine hypomobility.
2. To determine the effects of reverse NAGs as compared to ventrocranial translatoric glide on THORACIC ROM in upper thoracic spine hypomobility.

HYPOTHESIS:

Alternate Hypothesis:

1. There will be a statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of upper back pain in persons with upper thoracic hypo mobility (p\<0.05).
2. There will be a statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of thoracic ROM in persons with upper thoracic hypo mobility (p\<0.05).

NULL HYPOTHSIS :

1. There will be no statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of upper back pain in persons with upper thoracic hypo mobility (p\>0.05).
2. There will be no statistically significant difference in the effects of reverse NAGs as compared to ventrocranial translatoric glides in terms of thoracic ROM in persons with upper thoracic hypo mobility (p\>0.05).

RESEARCH DESIGN : Experimental study .Randomized control trail.

Eligibility criteria: Inclusion Criteria:

* 1. Both male and females 2. Adults (18-39 years) 3. Upper Thoracic hypomobility (flexion \<20° or extension \<25° or side bending \<20° or rotation \<35°)

Exclusion Criteria:

* 1-Ankylosing spondylitis 2-History of Spinal Fusion or spinal surgery (discectomy/laminectomy etc.) 3-Degenerative disc disorders 4-Cervical radiculopathy, Scoliosis 5-Spinal Stenosis or Myelopathy 6-Recent fracture or surgery 7-TB of spine, Spondylolisthesis 8-Not able to attend regular therapy appointments 9-Fibromyalgia/myofascial pain syndrome

Primary outcomes:
measure: Thoracic Pain
timeFrame: Variable will be assessed at pre and post treatment for the total interval of 2 weeks.
measure: Range of Motion
timeFrame: Variable will be assessed at pre and post treatment for the total interval of 2 weeks.
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Foundation University College of Physical Therapy
Study officials:
References: