- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05474456
Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Wrestle
Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Non Specific Neck Among Wrestlers
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The main aim of the study is to compare the effects of sustained natural apophyseal glides versus cervical manipulation on pain and disability in Nonspecific acute neck pain among wrestlers. Acute neck pain and disabilities are most common among wrestlers. Different studies occur on snags and mobilizations on various athletes but there is a literature gap between comparison of Snags and cervical manipulation in neck disabilities.
This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Punjab
-
Lahore, Punjab, Pakistan, 54000
- Pakistan Sports Board
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 to 35 years male only
- Acute non-specific neck pain
Exclusion Criteria:
- Patients with history of discogenic cause in neck.
- History of Postoperative patients
- Individuals who was not willing and individuals with systemic disorders
- Any musculoskeletal(MSK) injury that effect their performance like fracture and bruises etc.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: SNAGs Group
Group A sustained natural apophyseal glides will be provided to wrestlers in the sitting position.
SNAG technique applied on the dorsal side of the neck.
The treatment will be given for 6 weeks, 2 sessions per week.
|
Wrestlers will be treated with high velocity, low amplitude thrust.
The treatment will be given for 6 weeks, 2 sessions per week.
|
|
Active Comparator: Manipulation Group
group bWrestlers will be treated with high velocity, low amplitude thrust.
The treatment will be given for 6 weeks, 2 sessions per week.
|
Wrestlers will be treated with high velocity, low amplitude thrust.
The treatment will be given for 6 weeks, 2 sessions per week.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numeric pain Rating scale(NPRS)
Time Frame: 6 Weeks
|
Pain is rated on single 11 point scale in which 0 indicates no pain and 10 indicates possible worst pain.
All individuals will be asked to point out the number mention on the scale.
The exact values will be recorded and used for analysis.
|
6 Weeks
|
|
NECK DISABILITY INDEX (NDI)
Time Frame: 6 Weeks
|
NDI score varies from 0 to 50.Zero is the most desirable state of health.Value 50 is the least desirable state of health.NDI score varies from 0 to 50. Zero is the most desirable state of health.Value 50 is the least desirable state of health. Each of the 10 item is scored 0 to 5. The maximum score therefore 50.All the subjects will be asked to circle or tick the one choice from the given sections which most closely describe their problem. The overall item average score will be recorded. |
6 Weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sabiha Arshad, M.phil, Riphah International University
Publications and helpful links
General Publications
- Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4.
- Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.
- Durall CJ. Therapeutic exercise for athletes with nonspecific neck pain: a current concepts review. Sports Health. 2012 Jul;4(4):293-301.
- Verhagen AP. Physiotherapy management of neck pain. J Physiother. 2021 Jan;67(1):5-11. doi: 10.1016/j.jphys.2020.12.005. Epub 2020 Dec 24.
- Moutzouri M, Billis E, Strimpakos N, Kottika P, Oldham JA. The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system. BMC Musculoskelet Disord. 2008 Oct 1;9:131. doi: 10.1186/1471-2474-9-131.
- Clark R, Doyle M, Sybrowsky C, Rosenquist R. Epidural steroid injections for the treatment of cervical radiculopathy in elite wrestlers: case series and literature review. Iowa Orthop J. 2012;32:207-14. Review.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/RCR & AHS/22/0403
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Neck Pain
-
Hochschule OsnabruckNot yet recruitingNeck Pain | Chronic Neck Pain | Neck Disability | Neck Pain Musculoskeletal | Neck Disease
-
Istanbul University - CerrahpasaRecruitingNonspecific Neck Pain | Neck Pain MusculoskeletalTurkey (Türkiye)
-
Universitat Internacional de CatalunyaNot yet recruitingChronic Neck Pain | Non-specific Neck PainSpain
-
The Hong Kong Polytechnic UniversityNot yet recruitingChronic Neck Pain | Neck Pain Treatment | Neck Pain ChronicHong Kong
-
Benha UniversityCompletedNeck Pain | Mechanical Neck Pain | Pain Threshold | Cervical Pain, Posterior | Neck Pain Musculoskeletal | Extracorporeal Shock Wave TherapyEgypt
-
University of LahoreCompletedNeck Pain | Mechanical Neck Pain | Mobilization | Neck Pain Musculoskeletal | Proprioceptive Neuromuscular FacilitationPakistan
-
Hacettepe UniversityRecruitingNeck Pain | Cervical Pain | Neck Pain, Posterior | Neck Muscle Issue | Cervical Pain, PosteriorTurkey
-
Fatih TekinPamukkale UniversityCompletedChronic Neck Pain | Persistent Neck Pain | Neuroscience ApproachTurkey
-
Hacettepe UniversityNot yet recruitingChronic Neck PainTurkey (Türkiye)
-
Poznan University of Physical EducationRecruitingChronic Neck PainPoland
Clinical Trials on SNAGs
-
Riphah International UniversityCompletedLumbar Disc Herniation | Lumbar RadiculopathyPakistan
-
Hacettepe UniversityCompleted
-
Istinye UniversityCompleted
-
Cairo UniversityRecruiting
-
Riphah International UniversityCompletedCervicogenic HeadachePakistan
-
Riphah International UniversityCompleted
-
Riphah International UniversityRecruitingLower Cross SyndromePakistan
-
Third Affiliated Hospital, Sun Yat-Sen UniversityUnknown
-
Pamukkale UniversityUnknown