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To determine the impact of SNAGs and Scapular mobilizations on pain, cervical and shoulder Range of motion and functional outcomes in individuals with Scapulocostal Syndrome.
The rationale for employing SNAGS (Sustained Natural Apophyseal Glides) in treating scapulocostal syndrome is multifaceted. By targeting specific joint surfaces and soft tissue structures, SNAGS aim to address joint dysfunction, alleviate pain, and improve mobility in the scapulothoracic region. These sustained gliding movements not only modulate pain signals but also promote relaxation and reduce muscle tension, thereby enhancing the effectiveness of therapeutic exercises aimed at strengthening the surrounding musculature. Additionally, SNAGS facilitate proper muscle activation patterns, optimizing muscle function and coordination. Their adaptability allows for a patient-centered approach, ensuring tailored treatment that considers individual symptoms, mobility deficits, and treatment goals, ultimately promoting better functional outcomes in individuals with scapulocostal syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cervical and Thoracic SNAGs | Experimental | Cervical and Thoracic SNAGs with 6 reps and 1 set along with cervical and shoulder muscle stretching and scapular mobilizations |
|
| traditional physical therapy and scapular mobilizations | Active Comparator | cervical and shoulder muscle stretching and scapular mobilizations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical and Thoracic SNAGs | Other | cervical SNAGs (C3-C7) and thoracic SNAGs (T1-T12) with 6 repetitions of 1 set three times per week for 4 weeks along with scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor) |
| Measure | Description | Time Frame |
|---|---|---|
| Neck disability index | changes from baseline The Neck Disability Index (NDI) serves as a valuable tool for evaluating neck pain issues, drawing on the framework of the Oswestry index for back pain and the Pain Disability Index. Its effectiveness lies in its focus on the impact of neck pain on daily activities, reflecting the specific concerns and experiences of individual patients. Comprising 10 sections, each containing 5 questions related to affected activities, the index allows patients to select the response that best represents their situation, with scores ranging from 0 to 5. | 4th week |
| Measure | Description | Time Frame |
|---|---|---|
| NPRS | changes from baseline Pain through NPRS at the end of every week for 4 weeks | every week |
| Cervical and Shoulder ROM | changes from baseline at the end of every week till last week |
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Inclusion Criteria:
Age- 18 to 40 years.
Exclusion Criteria:
Musculoskeletal pathologies affecting the cervical spine or lower extremities (e.g., herniated disc, cervical radiculopathy, cervical stenosis, shoulder labral tear).
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Asmar Fatima, MS-OMPT | Contact | 03336195644 | asmar.fatima@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Asmar Fatima, MS-PT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DSK physio and Rehab Center | Recruiting | Rawalpindi | Punjab Province | 44000 | Pakistan |
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| traditional physical therapy and scapular mobilizations | Other | scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor) |
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| every week |