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Comparative Effects of SNAG Vis GONG's Mobilization in Text Neck Syndrome Patients (SNAG-GONG)

17. juli 2026 oppdatert av: Dr Noreen Kiran; PT, University of Faisalabad

Comparative Effects of SNAG Versus GONG's Mobilization in Text Neck Syndrome Among Final Year Medical Students of The University of Faisalabad

Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage cervical dysfunction.

This quasi-experimental pretest-posttest comparative study aimed to compare the effectiveness of SNAG and GONG's Mobilization on pain intensity, craniovertebral angle, and neck disability in individuals with text neck syndrome. Participants divided into 2 groups (Treatment group A and B) were undergo baseline and post-intervention assessments followed a 12-week treatment program

Studieoversikt

Detaljert beskrivelse

Text neck syndrome has emerged as a growing health concern due to increased use of smartphones, laptops, and other digital devices. Prolonged forward head posture places excessive mechanical stress on cervical structures, leading to neck pain, muscle imbalance, postural abnormalities, and functional limitations.

Manual therapy interventions such as Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization have demonstrated beneficial effects in managing cervical spine dysfunction. However, evidence comparing these two techniques specifically in individuals with text neck syndrome remains limited.

A quasi-experimental pretest-posttest comparative study conducted. 48 participants were recruited aged 18-25 years from The University of Faisalabad. Participants diagnosed with text neck syndrome allocated into two treatment groups according to the study protocol. The participants divided into 2 groups (A and B) Both groups received moist heat therapy for 10 minutes before intervention. Group A received SNAG mobilization, while Group B received GONG's Mobilization. Treatment sessions were conducted three times per week on alternate days for 12 weeks.

Outcomes and outcome measuring tools were pain intensity by using the Numeric Pain Rating Scale (NPRS), Craniovertebral angle by Goniometer, and neck disability by Neck Disability Index (NDI).

Studietype

Intervensjonell

Registrering (Faktiske)

48

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Punjab Province
      • Faisalabad, Punjab Province, Pakistan, 38000
        • The University of Faisalabad (TUF)

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • Both Male and Female who engage in prolonged computer and phone usage for more than 4 hours per day for over a year
  • Neck pain (3 to 8 on NPRS)
  • Altered cranio-vertebral angle<49 degree

Exclusion Criteria:

  • Recent cervical spine fracture/injury
  • Congenital malformation
  • Recent history of head and neck surgery
  • Congenital torticollis

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Baseline PLUS GONG's mobilization
Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by GONG's Mobilization. GONG's Mobilization was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period.
A moist hot pack was applied to the cervical region for 10 minutes before the manual therapy intervention in both study groups
GONG's Mobilization was administered to the cervical spine using 10-15 repetitions per session for approximately 20 minutes, three sessions per week on alternate days for 12 weeks
Aktiv komparator: Baseline plus SNAG
Participants in this arm received baseline treatment consisting of a moist hot pack applied to the cervical region for 10 minutes, followed by Sustained Natural Apophyseal Glides (SNAG). SNAG was administered for 10-15 repetitions per session over approximately 20 minutes, three sessions per week on alternate days for 12 weeks. Outcome measures, including pain intensity (Numeric Pain Rating Scale), craniovertebral angle, and Neck Disability Index, were assessed before and after the intervention period
A moist hot pack was applied to the cervical region for 10 minutes before the manual therapy intervention in both study groups
SNAG mobilization was applied to the cervical spine with 10-15 repetitions per session for approximately 20 minutes, 3 sessions per week on alternate days for 12 weeks

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Craniovertebral Angle
Tidsramme: Baseline and Week 12 (end of the intervention)
Craniovertebral angle was measured using a universal goniometer to assess forward head posture
Baseline and Week 12 (end of the intervention)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Pain intensity
Tidsramme: Baseline and Week 12 (end of intervention)
Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported scale ranging from 0 (no pain) to 10 (worst imaginable pain)
Baseline and Week 12 (end of intervention)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Noreen Kiran, PhD, University of Faisalabad

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

25. oktober 2025

Primær fullføring (Faktiske)

10. april 2026

Studiet fullført (Faktiske)

15. juni 2026

Datoer for studieregistrering

Først innsendt

17. juli 2026

Først innsendt som oppfylte QC-kriteriene

17. juli 2026

Først lagt ut (Faktiske)

22. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

22. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. juli 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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