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Neck pain is a frequent and disabling complaint in the general population. One of the most common causes of neck pain is mechanical dysfunction of the cervical spine. Although diverse methods have been proposed for increasing cervical range of motion (ROM), joint mobilization has been confirmed as effective in several studies. Typically, joint mobilization methods for increasing cervical ROM include spinal manipulative therapy, the activator and diversified techniques. There are different mobilization techniques for neck pain, and mulligan's technique is one of them. It has two techniques Sustain Natural Apophyseal Glides (snags) and Natural Apophyseal Glides (nags). Gong's mobilization technique helps to heal physical pain as well as distract the mind from stress. In this study, the effectiveness of gong's mobilization and Sustained Natural Apophyseal Glides (snags) will be compared in office workers who have problems with cervical posture and range of motion (ROM) in order to examine the effects of gong's mobilization on cervical pain and cervical ROM. Twenty office workers with problems of cervical posture, pain and ROM is divided into a gong's mobilization group (n=10) and a Snags group (n=10). Gong's mobilization and nags will be administered three times a week for four weeks to each respective group and then changes in cervical posture, pain and cervical ROM will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Ten patients will be treated with Gong's mobilization. |
|
| Group B | Active Comparator | Ten patients will be treated with SNAGs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gong's mobilization | Other | Ten patients will be treated with Gong's mobilization. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| universal Goniometer | range of joint | 4 weeks |
| pain of patient | NPRS The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). | 4 weeks |
| Function | Item scores range from 0 to 5, and the total score is a total of the item scores (possible range 0 (no pain) - 100 (maximal pain) | 4 weeks |
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Inclusion Criteria:
• Both Gender
Exclusion Criteria:
• Surgical treatment of cervical spine (Cervical Diskectomy)
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Salman Bashir, PhD | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah International University | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26157273 | Background | Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26. | |
| 9755013 | Background |
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| SNAG |
| Other |
: Ten patients will be treated with SNAGs |
|
| Borghouts JAJ, Koes BW, Bouter LM. The clinical course and prognostic factors of non-specific neck pain: a systematic review. Pain. 1998 Jul;77(1):1-13. doi: 10.1016/S0304-3959(98)00058-X. |
| 12828389 | Background | Jensen C. Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health. 2003 Jun;29(3):197-205. doi: 10.5271/sjweh.722. |
| 17160393 | Background | Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007 May;16(5):679-86. doi: 10.1007/s00586-006-0269-7. Epub 2006 Dec 8. |