Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Wrestle

Neck Pain Clinical Trial

Official title:

Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Non Specific Neck Among Wrestlers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05474456
• Other study ID #: REC/RCR & AHS/22/0403
• Status: Completed
• Phase: N/A
• Start date: January 1, 2022
• Est. completion date: August 10, 2022

Study information

• Verified date: December 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.

Description:

The main aim of the study is to compare the effects of sustained natural apophyseal glides versus cervical manipulation on pain and disability in Nonspecific acute neck pain among wrestlers. Acute neck pain and disabilities are most common among wrestlers. Different studies occur on snags and mobilizations on various athletes but there is a literature gap between comparison of Snags and cervical manipulation in neck disabilities.

This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 56
• Est. completion date: August 10, 2022
• Est. primary completion date: August 1, 2022
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• 18 to 35 years male only

• Acute non-specific neck pain

Exclusion Criteria:

• Patients with history of discogenic cause in neck.

• History of Postoperative patients

• Individuals who was not willing and individuals with systemic disorders

• Any musculoskeletal(MSK) injury that effect their performance like fracture and bruises etc.

Related Conditions & MeSH terms

• Disability Physical
• Neck Pain

Intervention

Other:
• SNAGs
Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.
• Manipulation
Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.

Locations

Country	Name	City	State
Pakistan	Pakistan sports Board	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (6)

Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4. — View Citation

Clark R, Doyle M, Sybrowsky C, Rosenquist R. Epidural steroid injections for the treatment of cervical radiculopathy in elite wrestlers: case series and literature review. Iowa Orthop J. 2012;32:207-14. — View Citation

Durall CJ. Therapeutic exercise for athletes with nonspecific neck pain: a current concepts review. Sports Health. 2012 Jul;4(4):293-301. doi: 10.1177/1941738112446138. — View Citation

Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615. — View Citation

Moutzouri M, Billis E, Strimpakos N, Kottika P, Oldham JA. The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system. BMC Musculoskelet Disord. 2008 Oct 1;9:131. doi: 10.1186/1471-2474-9-131. — View Citation

Verhagen AP. Physiotherapy management of neck pain. J Physiother. 2021 Jan;67(1):5-11. doi: 10.1016/j.jphys.2020.12.005. Epub 2020 Dec 24. No abstract available. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric pain Rating scale(NPRS)	Pain is rated on single 11 point scale in which 0 indicates no pain and 10 indicates possible worst pain. All individuals will be asked to point out the number mention on the scale. The exact values will be recorded and used for analysis.	6 Weeks
Primary	NECK DISABILITY INDEX (NDI)	NDI score varies from 0 to 50.Zero is the most desirable state of health.Value 50 is the least desirable state of health.NDI score varies from 0 to 50. Zero is the most desirable state of health.Value 50 is the least desirable state of health.; Each of the 10 item is scored 0 to 5. The maximum score therefore 50.All the subjects will be asked to circle or tick the one choice from the given sections which most closely describe their problem. The overall item average score will be recorded.	6 Weeks