Sustained Natural Apophysial Glide Versus Instrument Assisted Soft Tissue Mobilization in Patients With Chronic Mechanical Neck Pain

Last updated: December 3, 2024
Sponsor: Cairo University
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Neck Pain

Chronic Pain

Treatment

conventional physical therapy

sustained natural apophysial glide

instrument assisted soft tissue mobilization

Clinical Study ID

NCT06720116
P.T.REC/012/005464
  • Ages 20-55
  • All Genders

Study Summary

this study will be conducted to investigate the effect of sustained natural apophysial glide and Instrument assisted soft tissue mobilization on pain intensity, cervical range of motion and neck functional disability level in patients with chronic mechanical neck pain

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Sixety patients of chronic mechanical neck pain diagnosed and reffered fromphysicians will be participants in the study .

  • Patients of both genders will be included.

  • The age of the participants will beranged from 20 and 55 years

  • The BMI ranged between 18.9 and 25 kg/m2

  • All patients who suffered from neck pain more than 3 months.

Exclusion

Exclusion Criteria:

  • Malignancy

  • cervical and cranial surgery

  • Recent fractures

  • spinal tumors

  • severe disc herniation

  • uncontrolled hypertension

  • Heart Disease ( arrhythmia, pacemaker).

  • Pregnant and breast feeding women.

Study Design

Total Participants: 60
Treatment Group(s): 3
Primary Treatment: conventional physical therapy
Phase:
Study Start date:
December 10, 2024
Estimated Completion Date:
March 30, 2025

Study Description

Neck pain is a common musculoskeletal disorder in the era of technology. The International Association for the Study of Pain (IASP) has defined neck pain as:"Pain perceived as arising from anywhere with in the region bounded superiorly by superior nuchal line, inferior by an unoriginally transverse line through the tip of first thoracic spinous process, and laterally by saggital plane tangential to the lateral border of neck. Mulligan pioneered specific manual approach called mobilization with movement (MWM).The advance of this approach was aimed for application on the spinal joints. He claimed that his technique could improve the spinal range of motion (ROM) and decrease pain through the correction of a positional fault occurring between the surfaces of the involved facet joints. The most commonly used Mulligan technique is called "sustained natural apophyseal glides" or SNAGs, this technique has introduced in 1999 by Mulligan and is performed by applying an accessory glide along the axis of the facet joint of the affected level while the patient is doing an active movement from weight-bearing position. The pressure applied by the therapist in a cephalad direction over the spinous process (centrally) or the transverse process (unilaterally) or to the articular pillar of the affected vertebra.The IASTM therapy is designed to promote the restart of connective tissues by resorbing extra fibroses, encouraging collagen secondary to fibroblast recruited healing. In turn this leads to scar tissues, adhesions, and fascial limitations being released and broken down. M2t blade is a multifunctional instrument invented by Adam Bro ger that is reasonable in price and has many planes that can be used in treatment. Its efficiency in improving patients symptoms was proven through many studies. sixty patients with mechanical neck pain will be assigned randomly into three equal group; group A will receive mulligan plus traditional, group B will receive IASTM plus traditional and group C will receive traditional only