[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100592637":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":39,"responsibleParty":60,"collaborators":25,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":25,"eligibilityCriteria":68,"healthyVolunteers":64,"sex":69,"minAge":70,"maxAge":71,"enrollmentInfo":72,"targetDuration":25,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":85,"overallStatus":42,"whyStopped":25,"lastUpdateSubmitDate":90,"lastUpdatePostDateStruct":91,"startDateStruct":94,"completionDateStruct":96,"leadSponsor":98,"locationsCount":99},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Cognitive Behavior Therapy","EXPERIMENTAL","Cognitive Behavioral Therapy will be delivered in 20-minute sessions using visual aids like videos, images, and pamphlets to explain cervical spine structure, biomechanics, pain pathways, and ergonomic practices. Techniques for managing flare-ups and maintaining good posture will be taught, ensuring active engagement and focus. A manual summarizing key points will be provided, and students will be encouraged to ask questions. Sessions will occur twice weekly for four weeks.",[13],"Other: Cognitive behavior therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Cervical Stabilization Exercises","ACTIVE_COMPARATOR","Cervical Stabilization Exercises (CSE) will include bracing techniques in neurodevelopmental stages (supine, prone, quadrupedal, bipedal) with 10-second holds for 10 repetitions. Extremity ROM exercises will be done while maintaining spinal stability, progressing from 8 to 12 reps. Cervical isometric exercises will target multiple directions using elastic bands, with 10 reps and 6-10 second holds. Functional training with elastic resistance and exercise balls on unstable surfaces will also be incorporated, with 10 reps and 10-15 second holds. Sessions will occur twice weekly for four weeks.",[19],"Other: Cervical Stabilization Exercises",[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Cognitive behavior therapy","The treatment session will begin with a 10-minute conventional therapy, including a 5-minute hot pack applied to the cervical region and a 5-minute Myofascial Release (MFR) using skin rolling and cross-hand techniques to relax and stretch the fascia layers. This will be followed by a 10-minute application of Sustained Natural Apophyseal Glides (SNAGs), where the physiotherapist will guide the patient's active neck movements with accessory glides to improve joint ROM and reduce pain. Lastly, a 20-minute Cognitive Behavioral Therapy (CBT) session will include visual aids, explanations of cervical spine biomechanics, pain pathways, ergonomics, and posture management. Patients will receive manuals summarizing key points and be encouraged to engage actively. The 40-minute session will be conducted twice weekly for four weeks",[9],null,{"type":6,"name":15,"description":27,"armGroupLabels":28,"otherNames":25},"The treatment session will last 40 minutes, twice a week for 4 weeks. It begins with a 10-minute conventional treatment: a 5-minute hot pack application to the cervical region followed by a 5-minute Myofascial Release (MFR) using the skin rolling technique. Natural wax will be applied for smooth strokes. MFR will engage all fascia layers with superficial strokes, progressing to deeper fascia using cross-hand stretch, depending on the pain tolerance.\n\nNext, SNAGs (Sustained Natural Apophyseal Glides) will be applied for 10 minutes. The patient, seated, will actively move the painful joint through its range of motion while the therapist applies a glide force. This will be repeated 10 times for 3 sets.\n\nThen session includes 20 minutes of Cervical Stabilization Exercises (CSE) with bracing in neurodevelopment stages (supine, prone, quadrupedal, bipedal), holding each position for 10 seconds. Isometric exercises and functional training with elastic bands and exercise balls follow.",[15],[30],{"name":31,"affiliation":5,"role":32},"Hira Shaukat, TDPT","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":25,"email":38},"Imran Amjad, pHD","CONTACT","03324390125","imran.amjad@riphah.edu.pk",[40],{"facility":41,"status":42,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Syeda Khatoon e Jannat Trust Hospital,","RECRUITING","Faisalabad","Punjab Province","38000","Pakistan","PK",{"type":49,"coordinates":50},"Point",[51,52],73.08969,31.41554,{"lat":52,"lon":51},[55,58],{"name":31,"role":36,"phone":56,"phoneExt":25,"email":57},"03360405480","hira.shaukat@riphah.edu.pk",{"name":59,"role":32,"phone":25,"phoneExt":25,"email":25},"Muhammad Abdullah Ghazi, MS-OMPT",{"type":61,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100592637","effects-of-snags--cbt-on-pain-craniovertebral-angle--disability-in-non-specific-neck-pain-100592637",false,"NCT06996015","Effects of SNAGs & CBT on Pain, Craniovertebral Angle & Disability in Non Specific Neck Pain","Effects of SNAGs and Cognitive Behavior Therapy on Pain, Craniovertebral Angle and Disability in Patients With Non-Specific Neck Pain","Inclusion Criteria:\n\n* Age group: 18-28 Years(20)\n* Gender Group: Both male and female participants(20)\n* Individuals with a Craniovertebral angle \\\u003C53(20)\n* Individuals having grade 2 neck pain according to KNGF Guidelines.(21)\n* Individuals having localized pain or stiffness in spine or both combined between C3 and C7 without upper-limb radiculopathy(22)\n* Individual who had not received any treatment for neck pain for the last 3 months will be included in the study.\n* Patients willing to sign written consent form.\n\nExclusion Criteria:\n\n* Those who had undergone spinal surgery(23)\n* Neck pain caused by various pathologies (rheumatoid arthritis, ankylosing spondylitis, fracture, tumor, etc.)(23)\n* Nerve root compression, (23)\n* A positive vertebrobasilar artery test, (23)\n* Severe radiculopathy,(23)\n* Osteoporosis, or osteopenia(23)\n* Long-term use of corticosteroids or anticoagulants (23)","ALL","18 Years","28 Years",{"count":73,"type":74},32,"ESTIMATED","INTERVENTIONAL",[77],"NA","Non-specific neck pain is a prevalent condition causing discomfort, reduced craniovertebral angle, and disability. This randomized controlled trial will evaluate the combined effects of Sustained Natural Apophyseal Glides (SNAGs) and Cognitive Behavioral Therapy (CBT) on pain, posture, and function. Group A will receive SNAGs and CBT, while Group B will undergo SNAGs with cervical stabilization exercises, twice weekly for four weeks. Outcomes will include pain, craniovertebral angle, and disability, analyzed using SPSS.",[80,9,81,82,83,84],"Neck Pain","Cervicalgia","Posture","Posterior Neck Pain","Neck Pain and Forward Head Posture",[86,87,88,89],"snags","Non-Specific Neck Pain","Craniovertebral Angle","disability","2025-07-03",{"date":92,"type":93},"2025-07-04","ACTUAL",{"date":95,"type":93},"2025-06-10",{"date":97,"type":74},"2025-12-10",{"name":5,"class":6},1]