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

17 juli 2026 uppdaterad 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

Studieöversikt

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Faktisk)

48

Fas

  • Inte tillämpbar

Kontakter och platser

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Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Craniovertebral Angle
Tidsram: 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)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Pain intensity
Tidsram: 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)

Samarbetspartners och utredare

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Utredare

  • Huvudutredare: Noreen Kiran, PhD, University of Faisalabad

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

25 oktober 2025

Primärt slutförande (Faktisk)

10 april 2026

Avslutad studie (Faktisk)

15 juni 2026

Studieregistreringsdatum

Först inskickad

17 juli 2026

Först inskickad som uppfyllde QC-kriterierna

17 juli 2026

Första postat (Faktisk)

22 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

22 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

17 juli 2026

Senast verifierad

1 juli 2026

Mer information

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