Sustained Natural Apophyseal Glides versus Positional Release Therapy in the Treatment of Chronic Mechanical Neck Dysfunction

Emad Eldin Mohamed,Reda Kotb Abd Elrazik

doi:10.13189/saj.2020.080610

Abstract

Background: Mechanical neck dysfunction (MND) is a common disorder prevailing among the individuals of different populations. It is characterized by pain and limited range of motion (ROM) which, in turn, affects the activities of daily living and quality of life. Although manual therapy is commonly used in MND treatment to restore a range of motion and reduce pain, some techniques have low evidence in treating MND. Aim: This study was conducted to compare the effect of sustained natural apophyseal glides (SNAGs) with positional release therapy (PRT) on cervical ROM, pain intensity, and functional disability in patients with chronic mechanical neck dysfunction. Methods: One hundred and twenty patients from both genders, where they were divided randomly into three groups. Group A received conventional physical therapy, group B received conventional therapy in addition to SNAGs, and group C received conventional therapy plus PRT three times per week for eight weeks. The universal goniometer was used to measure cervical ROM, numeric pain rating scale (NPRS) was used to measure pain intensity, and neck disability index was used to measure cervical function disability at two intervals, pretreatment and post-treatment. Results: The results showed significant difference in the cervical ROM, NPRS, and NDI between the three groups (p < 0.001) in favor of the group B. Conclusion: SNAGs with conventional physical therapy have been proven to be effective method in treating patients with chronic mechanical neck dysfunction patients.

Highlights

Mechanical neck dysfunction effective method in treating patients with chronic (MND) is a common disorder prevailing among the mechanical neck dysfunction patients.individuals of different populations
Mechanical neck pain may arise from disorders in the Results: The results showed significant difference in the neck, such as neural tissue, uncovertebral or intervertebral cervical range of motion (ROM), Numeric pain rating scale (NPRS), and NDI between the three groups joints, discs, bones, periosteum, muscles, and ligaments
International Journal of Human Movement and Sports Sciences 8(6): 384-394, 2020 limitation in all cervical ROMs may lead to abnormal biomechanics of body movement, causing the abnormal physical load to various tissues, and develop a vicious cycle of pain and dysfunction; individuals become more susceptible to musculoskeletal injury [4]

Summary

Introduction

Mechanical neck dysfunction effective method in treating patients with chronic (MND) is a common disorder prevailing among the mechanical neck dysfunction patients.individuals of different populations. Introduction sustained natural apophyseal glides (SNAGs) with positional release therapy (PRT) on cervical ROM, pain Chronic mechanical neck dysfunction (CMND) is a intensity, and functional disability in patients with chronic type of dysfunctional syndrome affecting the cervical mechanical neck dysfunction. The universal goniometer was used rang of movements and dysfunction of cervical muscles, to measure cervical ROM, numeric pain rating scale especially when the cervical spine is loaded [2]. It may (NPRS) was used to measure pain intensity, and neck not involve cervical muscles alone, but the neighboring disability index was used to measure cervical function thorax and shoulder girdle. It may (NPRS) was used to measure pain intensity, and neck not involve cervical muscles alone, but the neighboring disability index was used to measure cervical function thorax and shoulder girdle. [3]

Methods

Results

Conclusion