Effects of Sustained Natural Apophyseal Glides Combined With Kinesiotaping in Patients With Chronic Mechanical Neck Pain: A Randomised Controlled Trial
- Conditions
- Neck Pain
- Interventions
- Procedure: Sustained Natural Apophyseal GlidesProcedure: Conventional TreatmentProcedure: Kinesiotaping
- Registration Number
- NCT06437483
- Lead Sponsor
- Foundation University Islamabad
- Brief Summary
This study is a randomized controlled trial and its purpose is to determine the combined effects of sustained natural apophyseal glides and kinesiotaping on pain, range of motion and neck disability in patients with chronic mechanical neck pain.
- Detailed Description
This study aims to determine the combined effects of sustained natural apophyseal glides and kinesiotaping in chronic mechanical neck pain patients of age range 18-40. Outcome variables are pain, range of motion and functional disability of neck which will be determined by using the following respective data collection tools:
1. Numeric pain rating scale
2. Inclinometer
3. Neck Disability Index
Participants of interest will be approached and explained about the research. They will be randomly allocated in to two groups. Informed written consent will be taken. The intervention protocol will be comprised of six sessions over a 2-week period (3 sessions per week on alternate days). Outcome measures will be assessed at baseline and after 2 weeks. Data will be analyzed and interpreted using SPSS.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 42
- Mechanical Neck Pain
- Age range: 18-40 years
- Both males and females
- Having pain from at least last 3 months (chronic)
- Pain score greater than 3 on NPRS
- Pain and limitation on neck moverment
Exclusion criteria :
- Recent surgery of spine, Temporomandibular joint or shoulder in the previous 12 months.
- Open wound around neck.
- History of traumatic injuries or fractures in the cervical spine.
- History of neurological and cardiac pathologies.
- History of some serious pathologies (e.g., malignancy, inflammatory disorder etc.).
- History of cervical or shoulder neurological movement disorder.
- Cervical spondylolisthesis, cervical radiculopathy, and spinal stenosis.
- Vascular syndromes such as basilar insufficiency.
- Diagnosed psychiatric disorders such as anxiety and depression.
- Interventions including medications, exercise or physical therapy in the last 3 months.
- Any other condition that contraindicates kinesiotaping such as skin sensitivity.
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group B Conventional Treatment Participants in group B will receive Sustained Natural Apophyseal Glides along with the conventional treatment. Group A Conventional Treatment Participants in this group will receive Sustained Natural Apophyseal Glides followed by Kinesiotaping in addition to the conventional treatment. This arm of the study will assess the synergistic effects of SNAGs and kinesiotape. Group A Kinesiotaping Participants in this group will receive Sustained Natural Apophyseal Glides followed by Kinesiotaping in addition to the conventional treatment. This arm of the study will assess the synergistic effects of SNAGs and kinesiotape. Group A Sustained Natural Apophyseal Glides Participants in this group will receive Sustained Natural Apophyseal Glides followed by Kinesiotaping in addition to the conventional treatment. This arm of the study will assess the synergistic effects of SNAGs and kinesiotape. Group B Sustained Natural Apophyseal Glides Participants in group B will receive Sustained Natural Apophyseal Glides along with the conventional treatment.
- Primary Outcome Measures
Name Time Method Cervical Range of Motion 2 weeks The range of motion for flexion, extension, and side bending will be documented using a Inclinometer, positioned on the vertex of the head. For rotation, it will be placed on the forehead. Inclinometer demonstrates good Intraclass Correlation Coeffecient (ICC) value of 0.770-0.982.
Functional Disability of Neck 2 weeks It will be documented by using Neck Disability Index (NDI) which consists of 10 questions addressing various aspects of neck functions to assess the impact of neck pain on a person's daily life. A total score ranges between 0 and 50 with higher scores indicating a high level of disability. Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All sections are then totaled.The scores on NDI are typically classified as: 0-4 (no disability), 5-14 (mild disability), 15-24 (moderate disability), 25-34 (severe disability), above 34 (complete disability).
Pain intensity 2 weeks It will be documented by using Numeric Pain Rating Scale (NPRS) which is a self- rated scale of 0-10 points where the participants rate their pain verbally or in writing."0" shows no pain whereas "10" represents worst pain. According to guidelines, NPRS scale categorizes pain into no pain (0), mild pain (1-3), moderate pain (4-7) and severe pain (8-10).
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Foundation University College of Physical Therapy
🇵🇰Rawalpindi, Punjab, Pakistan