Comparison of Self-SNAGs and Stretching Exercises for Trapezius Myalgia in Office Workers

Authors

  • Chofifa Alamri Department of Physiotherapy, Faculty of Health Sciences, ‘Aisyiyah University of Yogyakarta, Indonesia
    Indonesia
  • Fitri Yani Department of Physiotherapy, Faculty of Health Sciences, ‘Aisyiyah University of Yogyakarta, Indonesia
    Indonesia
  • Tyas Sari Ratna Ningrum Department of Physiotherapy, Faculty of Health Sciences, ‘Aisyiyah University of Yogyakarta, Indonesia
    Indonesia

DOI:

https://doi.org/10.23917/fisiomu.v7i3.19933

Keywords:

trapezius myalgia, office workers, Self SNAGs, stretching exercises

Abstract

Introduction: Trapezius myalgia is one of the musculoskeletal complaints frequently experienced by office workers due to prolonged static sitting and computer use. This study aimed to determine the effects of Self-Sustained Natural Apophyseal Glides (Self-SNAGs) and stretching exercises, as well as the differences in their effects on trapezius myalgia in office workers. Methods: The study employed an experimental method with a two-group pre-test and post-test design. A total of 38 office workers were selected using purposive sampling and allocated to two groups, each comprising 19 participants. The first group was given Self SNAGs, whilst the second group was given stretching exercises, each performed three times a week for two weeks. Changes in condition were measured using the Neck Disability Index (NDI) and analysed using a paired-sample t-test and an independent-sample t-test with α = 0.05. Results: The results of the study showed that the NDI score in the Self SNAGs group decreased from 14.79 ± 5.138 (pre-test) to 4.32 ± 3.001 (post-test), p<0.001, whilst the stretching exercise group’s score decreased from 15.26 ± 4.954 (pre-test) to 4.05 ± 3.325 (post-test), p < 0.001. A comparison of the post-test scores between the two groups revealed no significant difference, with 4.32 ± 3.001 in the Self SNAGs group and 4.05 ± 3.325 in the stretching exercise group (p = 0.799). Conclusion: Both interventions showed an improvement in NDI scores among the office workers who were the subjects of the study, but there was no significant difference in effect between the two.

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References

Afifah, A. N. N., & Suradi, A. A. M. (2025). A MediaPipe-Based Seated Posture Detection System to Improve Ergonomics and Worker Health. February, 14(1), 168–174.

Ahmad, M., & Wilkins, S. (2025). Purposive sampling in qualitative research: A framework for the entire journey. Quality & Quantity, 59.

Alfianty, D., Zakiyah, R., & Sulistyowati, E. (2023). Work posture and duration as risk factors for neck and shoulder pain among home-based seamstresses in the city of Malang. Journal of Community Medicine, 11.

Amoudi, M., & Ayed, A. (2021). Effectiveness of a stretching exercise programme among nurses with neck pain: A Palestinian perspective. Science Progress, 104(3). https://doi.org/10.1177/00368504211038163

Aurangzeb, A., Tan, C. Q., Feng, A. A. J., & Sirisena, D. (2025). Trapezius myalgia: A review of clinical diagnosis, risk factors, and evidence-based management. In *Journal of Orthopaedic Report*. Elsevier B.V. https://doi.org/10.1016/j.jorep.2025.100739

Christensen, S. W. M., Palsson, T. S., Krebs, H. J., Nielsen, T. G., & Hirata, R. P. (2023). Prolonged slumped sitting causes neck pain and increased axioscapular muscle activity during a computer task in healthy participants – A randomised crossover study. Applied Ergonomics, 110. https://doi.org/10.1016/j.apergo.2023.104020

Gamarra-Moncayo, J., & Prada-Chapoñán, R. (2025). Sample, sample size and sampling: A review of current recommendations. Interacciones, 11. https://doi.org/10.24016/2025.v11.447

Gea, N., Nehe, I., Zalukhu, L., Telaumbanua, M., & Bawamenewi, A. (2025). The impact of artificial intelligence (AI) on education: Opportunities and challenges in the digital age. Journal of Education and Development, 13(1), 637–644.

Harefa, K., Bintang, S. S., & Sumarjon. (2026). Effectiveness of neck stabilisation exercises compared to stretching in improving cervical function in non-specific neck pain. Journal of Nursing and Physiotherapy (JKF), 8(2). https://doi.org/10.35451/rax4kq57

Hashem, M., Almohaini, R. A., Alharbi, T. M., Aljurfi, M. M., Alzmamy, S. A., Alhussainan, F. S., & Aldhafyan, A. E. (2024). Impact of neck and shoulder pain on health-related quality of life in adults in Saudi Arabia. Cureus, 16(4). https://doi.org/10.7759/cureus.59252

Indrawati, L., Kadir, S., & Suardi. (2025). The effectiveness of LMS Netboard-based nutrition education on the knowledge of pregnant women. Jurnal Promotif Preventif, 8(6), 1441–1449. http://journal.unpacti.ac.id/index.php/JPP

John, B., Røe, C., Brox, J. I., Sveinall, H., Ignatius, J., Wilhelmsen, M., & Skatteboe, S. (2025). Responsiveness and minimal important change of the Neck Disability Index and Numeric Pain Rating Scale for neck patients in the Norwegian Neck and Back Register. European Spine Journal, 34(6), 2219–2226. https://doi.org/10.1007/s00586-025-08836-7

Kaur, N., Singh, P., & Gill, S. G. (2025). Efficacy of sustained natural apophyseal glides in neck pain: A comparative study. International Journal of Advances in Medicine, 12(6), 545–552. https://doi.org/10.18203/2349-3933.ijam20253346

Koch, M., Lunde, L. K., Forsman, M., Andersen, L. L., Jakobsen, M. D., Brandt, M., Enquist, H., Sjogaard, G., Sogaard, K., Fan, X., & Veiersted, K. B. (2025). Could work-related muscle activity explain sex differences in neck pain? A meta-analysis of a pooled dataset. Scandinavian Journal of Work, Environment and Health, 51(4), 323–332. https://doi.org/10.5271/sjweh.4227

Mardiyana, U. H., Endaryanto, A. H., Priasmoro, D. P., & Abdullah, A. (2022). The effect of stretching exercises on pain levels in patients with neck pain at Jombang Regional General Hospital. Muhammadiyah Nursing Journal, 7(1).

Naruse, M., Trappe, S., & Trappe, T. A. (2023). Human skeletal muscle-specific atrophy with ageing: A comprehensive review. Journal of Applied Physiology, 134(4), 900–914. https://doi.org/10.1152/japplphysiol.00768.2022

Naz, S., Jamali, N., Iftikhar, A., Nawaz, H., Iqbal, T., & Ghafoor, F. (2023). A comparison of the effectiveness of the Mulligan method (NAGs & SNAGs) and the McKenzie method (self-stretching) in improving pain and functional ability in patients with chronic neck pain. Pakistan Journal of Health Sciences, 4(8), 47–52. https://doi.org/10.54393/pjhs.v4i08.501

Pangestu, G. A., Yani, F., & Riyanto, A. (2023). The effect of the Mulligan technique on upper trapezius muscle pain in elderly farmers in Nganggring Village, Turi Sub-district, Sleman Regency [’Aisyiyah University of Yogyakarta]. http://digilib.unisayogya.ac.id/id/eprint/6918

Paquin, J. P., Laflamme, Y. T., & Dumas, J. P. (2021). Effects of SNAG mobilisation combined with a self-SNAG home exercise programme for the treatment of cervicogenic headache: A pilot study. Journal of Manual and Manipulative Therapy, 29(4), 244–254. https://doi.org/10.1080/10669817.2020.1864960

Putri, S. A. D. M. M., & Agustiningsih, L. S. (2024). The relationship between length of service and static sitting work positions and upper trapezius pain in employees. Journal of Community Health Research, 7(1). http://ejournal.delihusada.ac.id/index.php/JPKSY

Rahim, A. F., Yulianti, A., & Anhar, A. A. (2020). The effect of the Snags Mulligan technique on the functional neck activity of tailors. 2(1).

Saltychev, M., Pylkäs, K., Karklins, A., & Juhola, J. (2024). Psychometric properties of the Neck Disability Index – a systematic review and meta-analysis. Disability and Rehabilitation, 46(23), 5415–5431.

Shamsi, S., Alyazedi, F. M., Abdelkader, S. M., Khan, S., & Akhtar, A. (2021). Efficacy of sustained natural apophyseal glides in the management of mechanical neck pain: A randomised clinical trial. Indian Journal of Medical Specialities, 12(4), 199–206. https://doi.org/10.4103/injms.injms_30_21

Wen, B., Zhang, G., Zhan, C., Chen, C., & Yi, H. (2025). The 2024 revision of the Declaration of Helsinki: A modern ethical framework for medical research. Postgraduate Medical Journal, 101(1194), 371–382. https://doi.org/10.1093/postmj/qgae181

Zannah, M., Septian, R., Siahaan, T., Jehaman, I., & Bintang, S. S. (2020). The effect of ischaemic compression and stretching on reducing myofascial trigger point pain in the upper trapezius muscle among BPJS claimants at Grandmed Hospital, Lubuk Pakam, in 2020. Journal of Nursing and Physiotherapy, 3(1), 27–35. https://doi.org/10.35451/jkf.v3i1.492

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Submitted

2026-08-21

Accepted

2026-08-30

Published

2026-10-01

How to Cite

Alamri, C., Yani, F., & Ningrum, T. S. R. (2026). Comparison of Self-SNAGs and Stretching Exercises for Trapezius Myalgia in Office Workers. FISIO MU: Physiotherapy Evidences, 7(3), 133–142. https://doi.org/10.23917/fisiomu.v7i3.19933