Abstract
Background and objectives Thrust manipulation Manipulation and non-thrust manipulation Mobilization have already made a mark in improving pain disability and range of motion in patients with mechanical neck pain. The objective of the present study was to compare the effectiveness of thrust manipulation versus nonthrust manipulation in mechanical neck pain.Methods Thirty patients with mechanical neck pain were randomly assigned into two groups ndash subjects in Group A n15 were treated with Transverse thrust manipulation at C6 level while subjects in Group B n15 were treated with Postero-anterior mobilization at C6 level. Treatment dosage for both groups was two sessions or one week duration. Pain intensity Range of Motion ROM Neck disability were evaluated pre and post each session. Numerical Pain Rating Scale NPRS Goniometer and Neck Disability Index NDI were used as outcome measures.Results Repeated measures of ANOVA showed an increase in flexion and extension in both the groups. Decrease in NDI was also noted with F value of 132.888 for duration p0.000 but between the groups NDI did not show significant difference with F value of 0.011NS p0.918NS. The Chi square value was 55.491 p-value0.001 indicating that duration has an important role in decreasing pain. To compare the effectiveness of techniques in both the groups Mann Whitney U test was used and the U value of 40.5 p0.002 obtained indicate a significant reduction in pain in the manipulation group.Conclusion In both the groups considerable improvements in the outcome measures from baseline to post treatment were observed but the results were not statistically significant in case of ROM and NDI. In terms of pain manipulation group showed significant reduction in pain compared to mobilization group.To conclude Maitland thrust manipulation is more effective than non-thrust manipulation in subjects with mechanical neck pain.nbsp
Published Version
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