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CTRI Number  CTRI/2024/09/073841 [Registered on: 12/09/2024] Trial Registered Prospectively
Last Modified On: 25/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Two physiotherapy techniques central PA Glide with Post Isometric Relaxation and Sustained Natural Apophyseal Glide and Passive Stretching given to measure the effectiveness in neck range of motion, pain, and disability in patient with Non-specific neck pain by a Randomized Controlled Trial study 
Scientific Title of Study   Comparison of Central Posterior-Anterior Glide and Post Isometric Relaxation versus Sustained Natural Apophyseal Glide and Passive Stretching in Non Specific Neck Pain a Randomized Controlled Trail. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Roshni sahu 
Designation  Post Graduate Student 
Affiliation  Sikkim Manipal College Of Physiotherapy 
Address  Sikkim Manipal College of Physiotherapy, Sikkim Manipal university, 5th mile Upper Tadong Gangtok, Sikkim
Central Referral Hospital, Physiotherapy department OPD, Level 5.
East
SIKKIM
737102
India 
Phone  7002302491  
Fax    
Email  roshni_202304006@smims.smu.edu.in  
 
Details of Contact Person
Scientific Query  
Name  Dr Pratik Chettri 
Designation  Associate Professor 
Affiliation  Sikkim Manipal College Of Physiotherapy 
Address  Sikkim Manipal College of Physiotherapy, Sikkim Manipal university, 5th mile, Upper Tadong.
Central Referral Hospital, Physiotherapy department OPD, Level 5.
East
SIKKIM
737102
India 
Phone  9734941648  
Fax    
Email  pratik.c@smims.smu.edu.in  
 
Details of Contact Person
Public Query  
Name  Roshni sahu 
Designation  Post graduate student 
Affiliation  Sikkim Manipal College Of Physiotherapy 
Address  Sikkim Manipal College of Physiotherapy, Sikkim Manipal university, 5th mile Upper Tadong , Gangtok.
Central Referral Hospital, Physiotherapy department OPD, Level 5.
East
SIKKIM
737102
India 
Phone  7002302491  
Fax    
Email  roshni_202304006@smims.smu.edu.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Central Referral Hospital 
Address  5th mile, Upper Tadong , Gangtok, East Sikkim, India -737102 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pratik chettri   Sikkim Manipal Institute of Medical Sciences  Level 5,Physiotherapy department, manipal,5th mile, Upper Tadong , Gangtok, Sikkim -737102
East
SIKKIM 		 9734941648

pratikchettri63@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMITTEE SIKKIM MANIPAL INSTITUTE OF MEDICAL SCIENCES   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Central PA glide and Post Isometric relaxation   Central PA glide It is the rhythmic and oscillatory movement of the joint within the available range of motion. The total time for the PA mobilization intervention was approximately 10 minutes.(step 1) Post isometric Relaxation requires moving a muscle as far as it can go without feeling any pain, then maintain isometric contraction that position. The muscle contraction will be held for 7 seconds followed by relaxation for 3 seconds and then the muscle was gently stretched for 30 seconds. This procedure will be repeated for 3 times in both sides.(Step 2) The Isometric exercise focus on the maintaining the strength of muscle of cervical muscle. (step 3)  
Intervention  Mulligan Sustained Natural Apophyseal Glides (SNAGs) and Passive Stretching   Mulligan SNAG- Mulligan Sustained Natural Apophyseal Glides (SNAGs) technique adds a passive accessory glide, parallel to the joint plane using a vertebral spinous process or transverse process, during which the patient performs the previously painful or restricted active movement. The glides were given for six repetitions for three sets every session. Sustained Natural Apophyseal Glide is a passive accessory glide will be administered and maintained until You complete a full movement arc, which is restricted and painful. Throughout the process is without pain and discomfort. (step1) Passive Stretching is stretching technique for restricted flexibility In NSNP to elongate the muscle fibers in a pain less manner. (Step 2) The Isometric exercise focus on the maintaining the strength of muscle of cervical muscle. (step 3)  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All genders with non specific neck pain.
• Age 18 – 60 years
• Visual Analogue Scale (VAS) more than
3.
• Negative spurling’s test  
 
ExclusionCriteria 
Details  1. Red flags for irritability
2. Any recent history of fracture or injury at neck.
3.Any recent history of fracture or injury
in and around neck and shoulder, or
surgery
4. Unwilling to participate.
5. Patient with neurological condition like
nerve roots irritation due to herniated
disc, osteophyte or spinal stenosis.
6. Pregnancy. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. NDI (Neck Disability Index)
 		 Measurements are taken on pre-intervention at
base line & after first week, second week (post intervention) 
 
Secondary Outcome  
Outcome  TimePoints 
1. VAS (Visual Analogue Scale)
2. BUBBLE INCLINOMETER 		 Measurements are taken on pre-intervention at
base line & after first week, second week (post intervention) 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="62" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/10/2024 
Date of Study Completion (India) 01/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  		  In this study we are recruiting patients of Non specific neck pain where we will recruit sixty two participants through randomization Group A will receive Central PA Glide with Post isometric relaxation  and neck isometric  exercise and Group B will receive SNAGs with Passive Stretching and neck Isometric exercise for five days per week for two weeks. Outcomes measured are Neck Disability Index for measuring disability, Visual Analogue Scale for pain intensity) , Bubble Inclinometer for measuring the range of motion , will be measured on pre intervention and post intervention after First week, and second week. Study will be done on Central Referral Hospital Physiotherapy Department, Upper Tadong, 5th Mile, Gangtok 
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