Clinical trial NCT05425706: Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients
Official title: 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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: manual therapy
neck pain
SNAGs
sleep quality
quality of life
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2022-06-21
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Range of motion assessments
timeFrame: Two weeks for each participants
measure: Pain assessments
timeFrame: Two weeks for each participants
Secondary outcomes:
measure: Sleep quality assessments
timeFrame: Two weeks for each participants
measure: Quality of life assessments
timeFrame: Two weeks for each participants
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istınye University Medical Park Hospital
Study officials:
affiliation: ISTINYE UNİVERSITY
name: DUYGU KORKEM YORULMAZ, PhD.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4.
citation: Shin EJ, Lee BH. The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache. J Exerc Rehabil. 2014 Apr 30;10(2):131-5. doi: 10.12965/jer.140098. eCollection 2014 Apr.