SNAGs in Mechanical Neck Pain

Efficacy of SNAGs in the Management of Mechanical Neck Pain

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.

Study Overview

• Status: Completed
• Conditions: Neck Pain
• Intervention / Treatment: Other: Ultrasound Therapy, SNAGs

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 .

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 45 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / 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 Names: 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 Names: Hot Pack, Exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual analog scale	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 weeks
Neck Range of motion	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.	2 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Neck disability Index	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.	2 weeks

Collaborators and Investigators

• Sponsor: Raj Nursing and Paramedical College

Study record dates

Study Major Dates

• Study Start (Actual): August 10, 2015
• Primary Completion (Actual): August 25, 2015
• Study Completion (Actual): August 25, 2015

Study Registration Dates

• First Submitted: October 30, 2020
• First Submitted That Met QC Criteria: October 30, 2020
• First Posted (Actual): November 5, 2020

Study Record Updates

• Last Update Posted (Actual): November 9, 2020
• Last Update Submitted That Met QC Criteria: November 5, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: RajNursingParamedicalC

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No