Clinical trial NCT06996015: Effects of SNAGs & CBT on Pain, Craniovertebral Angle & Disability in Non Specific Neck Pain
Official title: Effects of SNAGs and Cognitive Behavior Therapy on Pain, Craniovertebral Angle and Disability in Patients With Non-Specific Neck Pain
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Neck Pain
Cognitive Behavior Therapy
Cervicalgia
Posture
Posterior Neck Pain
Neck Pain and Forward Head Posture
Keywords: snags
Non-Specific Neck Pain
Craniovertebral Angle
disability
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-05-30
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 28
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Non-specific neck pain is a prevalent condition causing discomfort, reduced craniovertebral angle, and disability. This randomized controlled trial will evaluate the combined effects of Sustained Natural Apophyseal Glides (SNAGs) and Cognitive Behavioral Therapy (CBT) on pain, posture, and function. Group A will receive SNAGs and CBT, while Group B will undergo SNAGs with cervical stabilization exercises, twice weekly for four weeks. Outcomes will include pain, craniovertebral angle, and disability, analyzed using SPSS.

Detailed description: Non-specific neck pain is a common musculoskeletal disorder that will affect a significant portion of the population, leading to discomfort, reduced craniovertebral angle, and functional disability. While traditional physical therapy methods provide symptomatic relief, there is growing interest in integrating psychological interventions to address underlying factors contributing to chronic pain. This study will investigate the combined effects of Sustained Natural Apophyseal Glides (SNAGs) and Cognitive Behavioral Therapy (CBT) on pain reduction, craniovertebral angle improvement, and disability in patients with non-specific neck pain.

This study will be a randomized controlled trial involving -- patients diagnosed with non-specific neck pain. Participants will be randomly assigned into two groups. Both groups will receive conservative treatment, including a 5-minute hot pack application and 5 minutes of myofascial release. Subsequently, SNAGs will be administered for 10 minutes to both groups. Group A will receive an additional 20-minute session of Cognitive Behavioral Therapy (CBT) focusing on pain management strategies. In contrast, Group B will receive cervical stabilization exercises for 20 minutes. The intervention will be administered twice a week for four weeks. Pain intensity, craniovertebral angle, and disability will be measured at baseline and post-intervention using standardized assessment tools. Data analysis will be performed using SPSS version 25, with within-group and between-group comparisons to evaluate the efficacy of the interventions.

Existing studies focus on manual therapies and short-term outcomes but lack insights into the combined and sustained effects of SNAGs and CBT. This research aims to bridge that gap, exploring the physical and psychological dimensions of treatment to improve long-term function and patient well-being.

Eligibility criteria: Inclusion Criteria:

* Age group: 18-28 Years(20)
* Gender Group: Both male and female participants(20)
* Individuals with a Craniovertebral angle \<53(20)
* Individuals having grade 2 neck pain according to KNGF Guidelines.(21)
* Individuals having localized pain or stiffness in spine or both combined between C3 and C7 without upper-limb radiculopathy(22)
* Individual who had not received any treatment for neck pain for the last 3 months will be included in the study.
* Patients willing to sign written consent form.

Exclusion Criteria:

* Those who had undergone spinal surgery(23)
* Neck pain caused by various pathologies (rheumatoid arthritis, ankylosing spondylitis, fracture, tumor, etc.)(23)
* Nerve root compression, (23)
* A positive vertebrobasilar artery test, (23)
* Severe radiculopathy,(23)
* Osteoporosis, or osteopenia(23)
* Long-term use of corticosteroids or anticoagulants (23)

Primary outcomes:
measure: NPRS
timeFrame: 4th week
measure: Neck Disability Index
timeFrame: 4th week
Secondary outcomes:
measure: Craniovertebral Angle
timeFrame: 4th week
Other outcomes:
Locations:
city: Faisalabad
country: Pakistan
facility: Syeda Khatoon e Jannat Trust Hospital,
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hira Shaukat, TDPT
role: PRINCIPAL_INVESTIGATOR
References: