Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients

Not Applicable

Completed

Brief Summary: Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited.

The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.

Detailed Description: This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.

Recruitment & Eligibility

Inclusion Criteria

Volunteer patients with non-specific neck pain lasting at least 3 months,
Volunteer patients without radicular pressure,
Volunteer patients with loss of strength,
Volunteer patients diagnosed with non-specific neck pain by a specialist physician.

Exclusion Criteria

Volunteer patients with central nervous system disease,
Volunteer patients with distal-peripheral nerve injuries,
Volunteer patients with inflammatory joint disease,
Volunteer patients with cervical spine fracture or surgery, upper extremity surgery,
Volunteer patients with vertebrobasilar artery stenosis,
Volunteer patients with osteoporosis,
Volunteer patients with cervical dislocation,
Volunteer patients with cervical spine tumor and infection,
Volunteer patients with congenital anomalies involving the spine,
Volunteer patients with patients with diabetes.

Arm && Interventions

Group	Intervention	Description
experiment group	application of SNAGs technique	Number of participant is 16. In addition to the conventional therapy, SNAGs technique was applied.

Primary Outcome Measures

Name	Time	Method
Range of motion assessments	Two weeks for each participants	Active and passive range of motion
Pain assessments	Two weeks for each participants	McGill Pain Scale; minimum pain score: 0, maximum pain score: 78, The higher the pain score the greater the pain.

Secondary Outcome Measures

Name	Time	Method
Quality of life assessments	Two weeks for each participants	The Nottingham Health Profile
Sleep quality assessments	Two weeks for each participants	Pittsburgh Sleep Quality Index (PSQI)

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