Clinical trial NCT05021458: Gong's Mobilization and Sustained Natural Apophyseal Glide in Office Workers With Cervical Spine Overload
Official title: Comparison of Gong's Mobilization and Sustained Natural Apophyseal Glide on Pain and Range of Motion in Office Workers With Cervical Spine Overload
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cervical Spine Sprain
Keywords: mobilization,
cervical spine overload,
Gong's mobilization,
SNAGs
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-08-25
Enrollment: 20
Sex: ALL
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Neck pain is a frequent and disabling complaint in the general population. One of the most common causes of neck pain is mechanical dysfunction of the cervical spine. Although diverse methods have been proposed for increasing cervical range of motion (ROM), joint mobilization has been confirmed as effective in several studies. Typically, joint mobilization methods for increasing cervical ROM include spinal manipulative therapy, the activator and diversified techniques. There are different mobilization techniques for neck pain, and mulligan's technique is one of them. It has two techniques Sustain Natural Apophyseal Glides (snags) and Natural Apophyseal Glides (nags). Gong's mobilization technique helps to heal physical pain as well as distract the mind from stress. In this study, the effectiveness of gong's mobilization and Sustained Natural Apophyseal Glides (snags) will be compared in office workers who have problems with cervical posture and range of motion (ROM) in order to examine the effects of gong's mobilization on cervical pain and cervical ROM. Twenty office workers with problems of cervical posture, pain and ROM is divided into a gong's mobilization group (n=10) and a Snags group (n=10). Gong's mobilization and nags will be administered three times a week for four weeks to each respective group and then changes in cervical posture, pain and cervical ROM will be evaluated.


Eligibility criteria: Inclusion Criteria:

* • Both Gender

  * Aged 25 to 45 years
  * Participants actively working in offices and who had been diagnosed with or self-reported chronic non-specific neck pain.
  * NPRS \>4

Exclusion Criteria:

* • Surgical treatment of cervical spine (Cervical Diskectomy)

  * Tumor around the neck
  * Rheumatoid arthritis
  * Nervous system disorder(Vestibular disorder)
  * Whiplash Injury

Primary outcomes:
measure: universal Goniometer
timeFrame: 4 weeks
measure: pain of patient
timeFrame: 4 weeks
measure: Function
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
Study officials:
affiliation: Riphah International University
name: Muhammad Salman Bashir, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.
citation: Borghouts JAJ, Koes BW, Bouter LM. The clinical course and prognostic factors of non-specific neck pain: a systematic review. Pain. 1998 Jul;77(1):1-13. doi: 10.1016/S0304-3959(98)00058-X.
citation: Jensen C. Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health. 2003 Jun;29(3):197-205. doi: 10.5271/sjweh.722.
citation: Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007 May;16(5):679-86. doi: 10.1007/s00586-006-0269-7. Epub 2006 Dec 8.