Clinical trial NCT04617288: SNAGs in Mechanical Neck Pain
Official title: Efficacy of SNAGs in the Management of Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Lead sponsor: Raj Nursing and Paramedical College
Sponsor class: OTHER
First posted: 2020-11-05
Enrollment: 100
Sex: ALL
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants randomly assigned to group A receiving conventional Physiotherapy plus SNAGs and group B receiving conventional Physiotherapy plus ultrasound.
Primary purpose: TREATMENT

Brief summary: Neck pain is second largest cause of disability worldwide. Chronic neck pain prevalence is 14% which is somewhat higher in females as compared to males. In India reported prevalence is 6%. Therapeutically, neck pain is managed by physiotherapists using rest, stretching and strengthening exercises, educating patient, and intense proprioception and positional exercises.

Detailed description: To determine the evidences for the efficacy of SNAGs in the Management of Mechanical Neck Pain.

100 patients \[Age group 25-45 yrs\] who were diagnosed with neck pain, with onset ˃1-3 months (chronic) were randomly assigned to group A receiving conventional Physiotherapy plus SNAGs and group B receiving conventional Physiotherapy plus ultrasound.

Subjects in-group A that received conventional Physiotherapy plus SNAGs showed greater Improvement in pain and range of motion compared with the conventional Physiotherapy plus ultrasound group on 2nd week compared with pretreatment.

The result of study suggests that both SNAGs and Ultrasound groups improves the symptoms of neck pain. Ultrasound group improved the pain symptoms but was too small to reach satisfactory outcome for patients. Based on these results conventional Physiotherapy plus SNAGs should be the treatment of choice for neck pain rather than conventional Physiotherapy plus Ultrasound .

Eligibility criteria: Inclusion criteria

* Age group between 20- 45 years.
* Both Gender male and female.
* Individuals having localized pain or stiffness in spine or both combined b/w C3 to C7 without upper limbs radiculopathy.
* Pain reported on VAS score ˃3 in neck region.
* Patients agree to sign written consent form.

Exclusion Criteria Patients were excluded if they were diagnosed with following conditions for ˃6 months:

* T.B, carcinoma, heart disease, osteoporosis.
* Neural disorders due to PIVD.
* Any trauma or localized infection in neck region.
* Upper MND, cervical stenosis, metabolic diseases in bone and joint.
* Hyper flexibility
* Open sores,
* Ongoing radiotherapy, chemotherapy, steroid therapy or anticoagulants.
* Psychiatric diseases such as phobia/obsession, depression.
* Allergy to hot pack
* Patients with history of surgery in cervical spine region with in a year.

Primary outcomes:
measure: Visual analog scale
timeFrame: 2 weeks
measure: Neck Range of motion
timeFrame: 2 weeks
Secondary outcomes:
measure: Neck disability Index
timeFrame: 2 weeks
Other outcomes:
Locations:
Study officials:
References: