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| Name | Class |
|---|---|
| PIPRAMS, Greater Noida, Uttar Pradseh, India | UNKNOWN |
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The goal of this clinical trial was to find out whether a self-applied neck mobilization technique (called self-SNAGs) or neck strengthening exercises (dynamic isometric exercises) works better to reduce pain and improve daily function in computer professionals aged 25-45 years who had long-lasting mechanical neck pain.
The main questions it aimed to answer were:
Researchers compared self-SNAG exercises with dynamic isometric neck exercises to see which approach led to greater pain relief and better function over six weeks.
Participants were asked to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-SNAGs Group | Experimental | Participants assigned to the self-SNAG arm engaged in structured Mulligan self-mobilization sessions conducted on a five-day weekly schedule for six weeks, with ongoing oversight and instructional feedback to promote correct application and consistent participation. |
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| DIE Group | Active Comparator | Participants assigned to the DIE arm performed structured dynamic isometric cervical exercises using elastic resistance bands. Sessions were conducted on a five-day weekly schedule for six weeks, with ongoing oversight and instructional feedback to promote correct application and consistent participation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-applied Sustained Natural Apophyseal Glides | Other | Participants in the Self-SNAG Group performed self-administered cervical SNAG mobilizations using a towel following initial physiotherapist instruction to ensure correct technique. Movements included cervical extension, bilateral rotation, and bilateral lateral flexion. The towel edge was placed beneath the targeted vertebral level to apply a sustained glide while participants actively moved through the available range, with brief end-range overpressure before returning to neutral. Each movement was repeated 6-10 times per session. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity | Pain intensity was assessed using a reliable and valid Visual Analog Scale, marked with 0 and 10 at either end, indicating no pain and unbearable pain, respectively. | 6 weeks |
| Functional Disability | Participants' functional disability was measured using the reliable and validated Neck Disability Index (NDI), with total scores ranging from 0 (no disability) to 50 (severe disability). | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ahmad H. Alghadir, PhD | King Saud University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prakash Institute of Physiotherapy Rehabililation and Allied Medical Sciences | Greater Noida | Utter Pradesh | 201315 | India |
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This study was comparing the effects of self-applied sustained natural apophyseal glides and dynamic isometric cervical exercises on pain intensity and functional disability among computer professionals with chronic mechanical neck pain.
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| Dynamic Isometric Exercise | Other | Participants in the DIE Group performed dynamic isometric exercises using elastic resistance bands, including resisted flexion, extension, and lateral flexion. The band was secured around the head and anchored to a stable surface while participants maintained upright posture and controlled cervical alignment. The head was displaced approximately 10 cm against resistance and slowly returned to the starting position. Each session comprised 2-3 sets of 10-15 repetitions per movement, with instruction to prevent compensatory motions. |
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| Conventional Adjuncts | Other | All participants of both groups received a standard ergonomic education and postural advice program, which included guidance on neutral spine alignment, workstation optimization, and the incorporation of regular movement breaks during computer work to minimize cervical strain. |
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