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SNAGs in Mechanical Neck Pain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04617288
Recruitment Status : Completed
First Posted : November 5, 2020
Last Update Posted : November 9, 2020
Sponsor:
Information provided by (Responsible Party):
Sharick Shamsi, Raj Nursing and Paramedical College

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.

Condition or disease Intervention/treatment Phase
Neck Pain Other: Ultrasound Therapy, SNAGs Not Applicable

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 .

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 100 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Participants randomly assigned to group A receiving conventional Physiotherapy plus SNAGs and group B receiving conventional Physiotherapy plus ultrasound.
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Efficacy of SNAGs in the Management of Mechanical Neck Pain
Actual Study Start Date : August 10, 2015
Actual Primary Completion Date : August 25, 2015
Actual Study Completion Date : August 25, 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Mean and standard deviations of age and height between group A and B
100 subjects with a mean age of 30.82±6.75 (group A, 31.42±6.67; group B, 30.82±6.82) ranging from 20 to 45 years, with a mean height of 165.52±7.85 (group A, 164.92±7.79; group B, 166.12±7.87) centimeters
Other: Ultrasound Therapy, SNAGs
Other Name: Hot Pack, Exercise

Experimental: Between group comparison of VAS, NDI and ROM
VAS, NDI and Neck ROM between two groups were compared at pretest (0 day) and posttest (end of two weeks)
Other: Ultrasound Therapy, SNAGs
Other Name: Hot Pack, Exercise




Primary Outcome Measures :
  1. Visual analog scale [ Time Frame: 2 weeks ]
    Visual analog scale is a subjective outcome measurement where patients judge the intensity of their pain on a scale of 0-10, which is in the form of a 10cm straight line. On this 0-10 scale, zero denotes no pain and ten denotes severe pain intensity.

  2. Neck Range of motion [ Time Frame: 2 weeks ]
    Range of motion of the cervical spine measured by bubble inclinometer. It consists of a 360-degree scale with a fluid filled circular tube containing a small air bubble. It is a gravity dependent Goniometer, which uses the gravity's effect on fluid level to measure joint position and motion.


Secondary Outcome Measures :
  1. Neck disability Index [ Time Frame: 2 weeks ]
    Neck disability Index contains 10 items, seven related to activities of daily living, two related to pain, and one item related to concentration. Each item is scored ranging from 0 (no pain or disability) to 5 (severe pain and disability); and the total score is expressed as a percentage, with higher scores corresponding to greater disability.



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Ages Eligible for Study:   25 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
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.
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Responsible Party: Sharick Shamsi, Principal Investigator, Raj Nursing and Paramedical College
ClinicalTrials.gov Identifier: NCT04617288    
Other Study ID Numbers: RajNursingParamedicalC
First Posted: November 5, 2020    Key Record Dates
Last Update Posted: November 9, 2020
Last Verified: November 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Neck Pain
Pain
Neurologic Manifestations