Effect of SNAGs and Scapular Mobilizations in Patients With Scapulocostal Syndrome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Cervical and Thoracic SNAGs, traditional physical therapy and scapular mobilizations.
- Who it may be relevant to
- Registry conditions: Scapulocostal Syndrome. Basic parameters: 18 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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.
Detailed description
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.
Interventions
- Other Cervical and Thoracic SNAGs
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) - Other traditional physical therapy and scapular mobilizations
scapular mobilizations of 10 repetitions of 1 set and stretching of trapezius (upper, middle and lower fibers), levator scapulae and rhomboids (major and minor)
Primary outcome measures
- Neck disability index [Time frame: 4th week]
Secondary outcome measures (2)
- NPRS [Time frame: every week]
- Cervical and Shoulder ROM [Time frame: every week]
Eligibility criteria
Inclusion criteria
- Age- 18 to 40 years.
- Male and female both
- Nonspecific neck pain with a duration of greater than 3 months
- No pain reproduction on isometric muscle testing in shoulder.
- Patients who could not achieve 60 degrees of upward rotation when elevating the arms above the head i.e. presence of scapular dyskinesia
- pain with a referral pattern while receiving manual pressure of at least 3 points on the medial scapular muscles (levator scapulae, rhomboid major, rhomboid minor, and serratus posterior superior) evaluated through Travels and Simon criteria.
- Discomfort, pain, or limitations in neck extension, neck rotation bilaterally, shoulder forward flexion, shoulder abduction attributed to SCS.
- Willing to provide informed consent to participate in the study.
Exclusion criteria
- Musculoskeletal pathologies affecting the cervical spine or lower extremities (e.g., herniated disc, cervical radiculopathy, cervical stenosis, shoulder labral tear).
- history of degenerative shoulder joint disease
- rotator cuff dysfunction
- Thoracic outlet syndrome
- Brachial neuralgia
- shoulder impingement syndrome
- adhesive capsulitis
- Pregnant individuals due to potential discomfort.
- Open wounds, infections, or skin conditions at pain site.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- DSK physio and Rehab Center — Rawalpindi
Identifiers
NCT: NCT06656182 · REC/MS-PT/01941 Rabia Asif