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Clinical Trials/NCT07403279
NCT07403279CompletedNot Applicable

Effects of Sustained Natural Apophyseal Glides With and Without Integrated Neuromuscular Inhibition Technique on Pain, Range of Motion, and Function in Patients With Chronic Mechanical Neck Pain

Riphah International University1 site in 1 country44 target enrollmentStarted: August 18, 2025Last updated:
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Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
44
Locations
1
Primary Endpoint
Numeric Pain Rating Scale
Study OverviewStudy DesignEligibility CriteriaArms & InterventionsOutcomesInvestigatorsSitesRecords & IdentifiersSimilar Trials

Study Overview

Brief Summary

The study was conducted to determine the effects of Sustained Natural Apophysial Glide with and without Integrated Neuromuscular Inhibition Technique on pain, range of motion and function in patients with chronic mechanical neck pain

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 45 Years (Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Age ranged from 18 to 45 years and both genders.
  • •Patient having neck-pain symptoms for more than 3 months duration.
  • •Spurling test, distraction test, upper limb tension test and shoulder abduction test negative upon assessment.
  • •The participants should have MTrPs in any one of these following cervical muscles which include levator scapulae, upper trapezius, splenius capitis and sternocleidomastoid muscles which may be active or latent.
  • •A score greater than twenty percent on NDI.
  • •Jump Sign when pressure is applied.
  • •Positive Simons criteria which contains following these 5 characteristics :(1) Pain on palpation (2) pain that is radiating (3) Tightened cord like structure in muscle fiber that is detectable upon palpation(4) Reduced Flexibility of that muscle (5) 'twitching response' on needling.
  • •Participants who described pain which is felt between spinous process of 1st thoracic vertebrae and superior nuchal line in posterior or posterolateral part of neck

Exclusion Criteria

  • •Recent fracture, trauma (whiplash injury) and surgery in and around the shoulder and neck
  • •Neural disorders due to prolapsed intervertebral disc
  • •Carcinoma, Heart diseases, Metabolic disease in bone and joints
  • •Patients having history of osteoporosis, prolong steroid and analgesics use
  • •Unstable spine and open sores, Localized infection in neck
  • •Vertebrobasilar insufficiency.
  • •Cervical radiculopathy and myelopathy

Arms & Interventions

Sustained Natural Apophyseal Glides

Active Comparator

Intervention: Sustained Natural Apophyseal Glides (Other)

Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique

Experimental

Intervention: Sustained Natural Apophyseal Glides (Other)

Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique

Experimental

Intervention: Integrated Neuromuscular Inhibition Technique (Other)

Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique

Experimental

Intervention: Standardized Physiotherapy Treatment (Other)

Sustained Natural Apophyseal Glides

Active Comparator

Intervention: Standardized Physiotherapy Treatment (Other)

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

Time Frame: From enrollment to end of treatment at 4th weeks

Numeric Pain Rating Scale is utilized to evaluate pain.This is a scale between 0 and 10 where 0 denotes no pain and 10 denotes the worst pain whereas 1-3 denotes mild pain 4-6 denotes moderate pain and 7-10 denotes severe pain.

Secondary Outcomes

  • Range of Motion Cervical Spine (Rotation) Right Side(From enrollment to the end of treatment at 4th week)
  • Range of Motion Cervical Spine (Rotation) Left Side(From enrollment to the end of treatment at 4th week)
  • Neck Disability Index(From enrollment to the end of treatment at 4th weeks)
  • Range of Motion Cervical Spine (Flexion)(From enrollment to the end of treatment at 4th week.)
  • Range of Motion Cervical Spine (Extension)(From enrollment to the end of treatment at 4th week)
  • Range of Motion Cervical Spine (Lateral Flexion) Right Side(From enrollment to the end of treatment at 4th week)
  • Range of Motion Cervical Spine (Lateral Flexion) Left Side(From enrollment to the end of treatment at 4th week)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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