Clinical Research Directory

Effects of Cervical SNAGs With and Without Thoracic Manipulation on Neck Pain and Disability in Smartphone Users

Non-specific neck pain is a pain and discomfort in the cervical spinal area that arises without trauma, clearly identifiable pathological cause such as fracture infection, nerve root compression, inflammatory disease or serious structural abnormality. Frequent smartphone use in a pathological way forces the user to adopt a compromised posture, gradually resulting in changes to both the postural and musculoskeletal systems. The incidence of non-specific neck pain (NSNP) makes up approximately 25% of all outpatients in general clinics and 12-70% of the general population. According to symptom duration, Chronic non-specific neck pain is usually classified as pain lasting or recurring for \> 3 months. Techniques such as SNAG mobilization and thoracic manipulation may also improve posture and cervical biomechanics by restoring normal spinal mobility. The objective of this study will be to compare the effects of Cervical, Sustain Natural Apophyseal Glide with and Without Thoracic Spine Manipulation on Pain, Range of Motion and Neck Disability in Smartphone Users with Non-Specific Neck Pain. Study design will be randomized clinical trial. Evaluation will be done by using NPRS, NDI and smartphone inclinometer. Non-probability convenient sampling will be used and the subjects will be allocated to two groups by random allocation. Group A will receive cervical SNAG and thoracic manipulation along with conventional physiotherapy and Group B will receive cervical SNAGS alone with conventional physiotherapy. Both groups will receive 12 sessions for the period of 4 weeks. Measurements of all the outcome variables will be taken at baseline, 2nd and 4th week. Results will be analyzed by using SPSS 24

Comparative Effects Of Exercises Targeting Upper Trapezius In Patients With Non Specific Neck Pain

Group A includes Myokinetic stretching, it is a form of myofascial release technique in which the taut band is released by incorporating active or passive stretching with movement until the intended release from the tight band is accomplished. Group B includes Integrated neuromuscular inhibition technique, It combines three interventions: Muscle Energy Technique, Strain Counter-Strain, and Ischemic Compression.

The Effectiveness of Breathing Training in Subacute Neck Pain

The aim of this clinical study is to investigate the effectiveness of breathing training added to a standard physical therapy and exercise program in individuals with non-specific subacute neck pain. Specifically, the study will evaluate the effect of breathing training on functional loss due to neck pain and on respiratory function. The main questions it aims to answer are: * Does breathing training reduce functional loss due to neck pain in participants? * Does breathing training improve respiratory function in participants?

Comparative Effects of Bowen Therapy and Myofascial Release Technique on Upper Trapezius Tightness in Patients With Non-specific Neck Pain

The randomized clinical trial was involved 32 participants with upper trapezius tightness in patients with non-specific neck pain. A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. Simple random sampling technique was used. Sample size was 32 calculated by statistical software (Open Epi Tool). Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively.

Contrology Training in Patients With Non-Specific Neck Pain

This randomized controlled trial will evaluate the effects of a 12-week Contrology training program in patients with non-specific neck pain. Participants will be randomly allocated into two groups. The experimental group will receive Contrology training, while the control group will receive conventional physiotherapy. Outcomes will include pain intensity, cervical range of motion, neck-related disability, and craniovertebral angle. Assessments will be performed at baseline, 4 weeks, 8 weeks, and 12 weeks. The study aims to determine whether Contrology training is more effective than conventional physiotherapy in improving pain, posture, mobility, and functional disability in adults with non-specific neck pain.

Global Postural Reeducation Exercises Versus Deep Neck Flexor Activation on Non Specific Neck Pain With Forward Head Posture

this study will be conducted to compare between global postural reeducation (GPR) and deep neck flexors (DNF) activation in patients with chronic nonspecific neck pain (NSNP) on pain, disability, forward head posture and deep neck flexors endurance

Effectiveness of LASER Therapy and PNF Technique in Neck Pain

This study aimed to investigate and compare the effects of low-intensity laser therapy, a photobiomodulation treatment, and proprioceptive neuromuscular facilitation on pain and disability in individuals with non-specific neck pain. This randomized controlled trial used the Numerical Pain Scale (primary outcome) and the Bournemouth Neck Pain Questionnaire to assess pain, a manual algometer to assess pain threshold, and the Neck Disability Index to assess disability. Three groups were included in this randomized controlled trial: Group 1: Photobiomodulation therapy (low-intensity laser therapy) + conventional physiotherapy; Group 2: Proprioceptive neuromuscular facilitation with stretching and strengthening + conventional physiotherapy; Group 3: Conventional physiotherapy only. We hypothesized that low-intensity laser therapy and proprioceptive neuromuscular facilitation would have distinct effects on pain and disability in chronic non-specific neck pain.

Effects of Tele-rehabilitation Versus Supervised Rehabilitation Among Computer Users With Non-specific Neck Pain

The current study is a single-blinded, two-arm parallel-group randomized controlled trial involving 62 participants with non-specific neck pain among computer users. The trial aims to compare the effects of tele-rehabilitation and supervised rehabilitation on neck pain, disability, and exercise adherence. Both groups will receive the same structured exercise program along with postural correction instructions. The tele-rehabilitation group will perform exercises remotely with digital guidance, reminders, and follow-ups, while the supervised group will receive in-clinic physiotherapy sessions under professional supervision. Interventions will be carried out three times per week for a duration of six weeks, with each session lasting approximately 40 minutes. Outcome measures will include neck pain (VAS), neck disability (NDI), and exercise adherence (ATEMPT tool).Assessments will be conducted at baseline and at the end of treatment at 8th week.The study will be conducted at the Physical Therapy Department of Sehat Medical Complex Lake City, and the University of Lahore Teaching Hospital. The hypothesis is that tele-rehabilitation will be more effective than supervised rehabilitation in reducing neck pain and disability, and may result in better exercise adherence due to its convenience and accessibility.

Chiropractic Care for Neck Pain: Comparing Diversified Technique and Drop Table Method

This study aims to compare the effects of two different chiropractic techniques, Diversified and Drop Table, on pain levels, cervical joint range of motion, and neck muscle strength in individuals with non-specific neck pain.