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Active, not recruitingNCT06668480Updated Nov 20, 2024

Effect of Sustained Natural Apophyseal Glide Combined With Strengthening Exercises of Lower Fibers of Trapezius in Patient With Unilateral Neck Pain

An interventional study of Conventional Physical Therapy and Strengthening Exercise in Neck Pain, sponsored by Foundation University Islamabad. Active, not recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2024-11-20.

Sponsored by Foundation University Islamabad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as active, not recruiting.
  • Registered 4 months after the study started (first participant enrolled Jun 2024, registered Oct 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
All
01

Study summary

Neck pain is considered one of the very common cause behind musculoskeletal pain and is 4th leading cause of disability . Cervical pain is among 5 most contributing factors in causing years lived with disability.Individuals with unilateral neck pain exhibit significantly less Lower Trapezius strength than Middle and Upper Trapezius fibers .Mulligan is one of the mobilization techniques that can be applied in case of neck pain.In prolong neck pain there is a hyperactivation and shortening of upper trapezius which makes the lower trapezius weak this leads to imbalance between cervical and scapular muscles and result in impaired biomechanics. So mostly treatment focused on upper trapezius and neglecting the lower trapezius and this create increase chances of recurrency of neck pain because the imbalance remains present. So, this study aims at evaluating the effects of SNAGS combined with strengthening exercises of lower fibers of trapezius .

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Conditions studied

  • Neck Pain

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03

In context

Neck Pain

1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.

This study's planned enrollment of 38 is below the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Foundation University Islamabad is the lead sponsor of 238 studies on the registry; 128 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Individuals aged 18-35 years
  • Both gender
  • Unilateral neck pain
  • Symptoms of duration more than 3 months.
  • NPRS scoring of greater than or equal to 4 points.
  • Neck disability index score of 20% or above.
  • Manual muscle testing : grade 3

Exclusion criteria

Exclusion Criteria:

  • Prior cervical and thoracic spine fractures, dislocations, or surgeries, spinal osteoporosis or infection, or whiplash.
  • Any trauma or localized infection in neck region
  • Psychiatric diseases such as phobia/obsession and depression
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
38 participants (estimated)

Study arms

  • Experimental
    SNAGS + Conventional PT Group

    Participants of this group receive conventional physical therapy.Hot pack and tens ( 10 min each) * Sustained natural apophyseal glides to painful or restricted movement * 4 sets of 4 repetition per session * Strengthening of deep neck flexor

    Procedure: Conventional Physical Therapy · Procedure: SNAG'S

  • Experimental
    SNAGS+Strengthening of lower fibers trapezius+Conventional PT Group

    * Participants of this group receive conventional physical therapy. It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes. * Sustained natural apophyseal glides to painful or restricted movement.4 sets of 3-5 repetition per session. * Strengthening of deep neck flexors * Then strengthening exercises of lower fibers of trapezius

    Procedure: Conventional Physical Therapy · Procedure: Strengthening Exercise · Procedure: SNAG'S

Interventions

  • ProcedureConventional Physical Therapy

    It will comprise of hot pack for 10 minutes, TENs at 80-100 Hz over trapezius for 10 minutes.Strengthening of deep neck flexors

  • ProcedureStrengthening Exercise

    Strengthening exercises of lower fibers of trapezius

  • ProcedureSNAG'S

    Sustained natural apophysial glides will consist of frequency: 4 sets of 3-5 repetition per session for 2 weeks

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What researchers measure

Primary outcomes

  1. Pain intensity

    Pain will be measured on the basis of Numeric Pain Rating Scale score.It is rated on 0-10 scale in which 0 means no pain and 10 means the maximum possible pain

    Time frame: 2 weeks

  2. ROM

    Cervical ROM will be measured through CROM device

    Time frame: 2 weeks

  3. Level of Neck Disability

    Neck Disability Index will be used to measure level of neck disability

    Time frame: 2 weeks

  4. Muscle strength

    MMT for Lower fibers of trapezius

    Time frame: 2 weeks

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Study locations

1 site
  • Foundation University College of Physical Therapy
    Rawalpindi, Punjab 46000, Pakistan
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06668480
Lead sponsor
Foundation University Islamabad
Responsible party
Sponsor
First posted
Oct 31, 2024
Start date
Jun 10, 2024
Primary completion
Dec 10, 2024 (estimated)
Completion
Dec 30, 2024 (estimated)
Last update
Nov 20, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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