Neck Exercises Research Articles

On-site multi-component intervention to improve productivity and reduce the economic and personal burden of neck pain in Swiss office-workers (NEXpro): protocol for a cluster-randomized controlled trial

BackgroundNon-specific neck pain and headache are major economic and individual burden in office-workers. The aim of this study is to investigate the effect of a multi-component intervention combining workstation ergonomics, health promotion information group workshops, neck exercises, and an app to enhance intervention adherence to assess possible reductions in the economic and individual burden of prevalent and incident neck pain and headache in office workers.Methods/designThis study is a stepped wedge cluster-randomized controlled trial. Eligible participants will be any office-worker aged 18–65 years from two Swiss organisations in the Cantons of Zurich and Aargau, working more than 25 h a week in predominantly sedentary office work and without serious health conditions of the neck. One hundred twenty voluntary participants will be assigned to 15 clusters which, at randomly selected time steps, switch from the control to the intervention group. The intervention will last 12 weeks and comprises workstation ergonomics, health promotion information group workshops, neck exercises and an adherence app. The primary outcome will be health-related productivity losses (presenteeism, absenteeism) using the Work Productivity and Activity Impairment Questionnaire. Secondary outcomes are neck disability and pain (measured by the Neck Disability Index, and muscle strength and endurance measures), headache (measured by the short-form headache impact test), psychosocial outcomes (e.g. job-stress index, Fear-Avoidance Beliefs Questionnaire), workplace outcomes (e.g. workstation ergonomics), adherence to intervention, and additional measures (e.g. care-seeking). Measurements will take place at baseline, 4 months, 8 months, and 12 months after commencement. Data will be analysed on an intention to treat basis and per protocol. Primary and secondary outcomes will be examined using linear mixed-effects models.DiscussionTo the authors’ knowledge, this study is the first that investigates the impact of a multi-component intervention combining current evidence of effective interventions with an adherence app to assess the potential benefits on productivity, prevalent and incident neck pain, and headache. The outcomes will impact the individual, their workplace, as well as private and public policy by offering evidence for treatment and prevention of neck pain and headache in office-workers.Trial registrationClinicalTrials.gov, NCT04169646. Registered 15 November 2019 - Retrospectively registered.

Acupuncture is as Effective as Exercise for Improvement of Chronic Neck Pain: A Randomized Clinical Trial

Background: Exercise therapy is a standard method used for alleviation of chronic neck pain (CNP). However, few studies have compared the efficacy of acupuncture to exercise therapy on functional improvement and pain reduction. Acupuncture will cause more pain relief and functional improvement compared to exercise therapy in the patients with CNP. Methods: A randomized clinical trial was conducted in Rasool-e-Akram Hospital from September 2017 to October 2018. A total of 68 patients with CNP were randomized to receive either exercise therapy or acupuncture. Clinical outcome was documented at baseline, after 6 and 12 weeks based on the Neck Disability Index (NDI) and the Neck Pain and Disability Scale (NPDS). Results: In patients treated with acupuncture, mean NPDS and NDI values were 56.309 and 20.35, respectively. In patients undergoing physical therapy these values were 52.912 and 21.50, respectively. No significant difference in pain and function was observed between the two groups at the final follow-up (P > 0.05). Likewise, neck pain and function improved significantly in both groups at the follow-up points (P < 0.001). Conclusions: In the patients with CNP and radicular neck pain, acupuncture and exercise therapy were equally effective on pain reduction and functional improvement.

The effect of neck proprioception neuromuscular facilitation exercises program on dynamic balance and performance of female basketball players

Background and purpose: Basketball is a dynamic sport that keeping balance is an important factor to improve performance. Therefore, the purpose of this study was to investigate the effect of PNF neck exercises program on dynamic balance and sports performance (penalty throw) of female basketball players.

A NECK STRENGTH TRAINING PROTOCOL IN HIGH SCHOOL FOOTBALL PLAYERS FOR CONCUSSION RISK REDUCTION

Background:Increased neck strength may be a protective factor for reducing concussions in youth athletes. However, little research exists regarding validated neck strength training methods among this demographic.Purpose:To determine whether a 7-week neck strength training period is sufficient to achieve significant gains in neck strength and size amongst high school football players. Additionally, to assess if increased neck strength influences concussion outcomes.Methods:This study enrolled 54 male high school football players, ages 14-17, in a 7-week strength training protocol in which neck exercises were incorporated into preseason strength and conditioning workouts (figure 1). Pre- and post-neck strength was assessed in four directions: forward flexion (FF), extension (EXT), right lateral flexion (RLF) and left lateral flexion (LLF). Strength was measured as maximal isometric head pressure applied into a pre-inflated sphygmomanometer cuff (figure 2). Concussion totals from the subsequent 2018 season were compared with totals from the 2017 and 2016 seasons per data obtained from the team’s athletic trainer.Results:Fifty athletes in total were analyzed; 4/54 athletes did not complete final testing due to scheduling conflicts. A two sample t-test of neck circumferences revealed a statistically significant increase of 0.37 cm from pre- to post-neck strength training (p=0.0025, figure 3). Single sample strength t-test analysis (corrected for cuff pre-inflation) demonstrated a statistically significant post-test strength increase of 19.8% (FF), 11.0% (EX), 18.8% (RLF), and 18.0% (LLF) (p<0.001, figure 3). The team suffered 4 concussions in the 2018 season, 2 of which were sustained by athletes who did not participate in preseason neck training, compared to 12 concussions in 2017 and 7 concussions in 2016 (figure 3).ConclusionThis study demonstrates that increases in neck size and strength can be achieved amongst high school athletes using easily implemented training methods during a 7-week preseason training period. The additional observation of reduced concussion outcomes is not conclusive, though these initial results are promising. Additional research is needed to investigate the potential of neck strengthening in modifying concussion risk. Funding provided by the Stanford Medical Scholars Fellowship Program Figure 1.Neck ExercisesFigure 2.Strength TestingFigure 3.Results

Effects of Dynamic Exercise Program Using Thera-Band on Craniovertebral Angle in Adults with Forward Head Posture

Background: The alignment of the neck and shoulder is important in people with forward head posture. However, previous studies have mainly conducted fragmentary studies on the neck and shoulders, and studies on the combined movement of the neck and shoulders are incomplete. Objective: To investigate the effects of 6 week dynamic exercise program using Thera-band on craniovertebral angle (CVA) in adults with forward head posture. Design: Quasi-experimental study. Methods: The study was conducted on 24 adults with forward head posture and experimented with neck and shoulder exercises and divided them into groups of neck exercises, shoulder exercises, and neck and shoulder exercises to measure CVA values before and after the experiment. The neck exercise program included flexion and extension muscles of the neck and shoulder exercises included dynamic exercise of the upper extremities such as the trapezius muscles and serratus anterior muscle. The CVA results were measured using PA200. Results: Following the interventions, neck exercise group showed significant improvement in CVA (P .05). However, both groups showed some positive results. Significant differences were seen in the comparisons between the three groups (P<.05), and the results of the posthoc test showed significant differences in neck exercise group and shoulder exercise, neck exercise and combine exercise group. Conclusion: This study suggested that the Thera-band neck exercise is beneficial for foward head posture patients and is expected to be used in clinical trials.

COMPARISON BETWEEN MCKENZIE EXTENSION AND NECK ISOMETRIC EXERCISES IN THE MANAGEMENT OF NONSPECIFIC NECK PAIN: A RANDOMIZED CONTROLLED TRIAL

OBJECTIVE: To compare the effects of neck exercises (McKenzie extension and isometric exercises) in the management of non-specific neck pain and range of motion in patients with neck pain.METHODS: This randomized controlled trial was conducted in physiotherapy departments of Dr. Akbar Niazi Teaching Hospital, Islamabad. Forty consecutive patients with acute to sub-acute cases of neck pain (<3 month) were enrolled. Based on lottery method two groups (n=20 in each group) were differentiated, Group-I (control) received isometric neck exercises and Group-II (treatment) received McKenzie extension exercises for 4-weeks along with hot packs therapy. Neck pain was measured using numeric pain rating scale (NPRS). All patients were tested on baseline, at 2nd and 4th week.RESULTS: Mean age of the sample was 33.85±4.80 and 33.50±5.20 years in group-I and group-II respectively. Male to female ratio was 4:1 in both groups. Mean body mass index was 24.54±1.50kg/m2. NPRS at baseline was 5.80±0.41 in group-I while 6.10±0.64 in group-II (p-value=0.001). NPRS decreased to 3.75±0.72 in group-I and 3.00±0.73 in group-II after 4-weeks (p-value=0.001). Neck flexion (degrees) at baseline was 31±2.05 in group-I and 35.75±1.83 in group-II (p-value=0.001) while after 4weeks increased to 35.50±4.26 in group-I and 40±4.29 in group-II (p-value=0.002). Neck extension (degrees) at baseline was 44±2.05 in group-I and 40.75±1.83 in group-II (p-value=0.001) while after 4-weeks increased to 48.5±4.01 in group-I and 45±4.29 in group-II (p-value=0.011).CONCLUSION: McKenzie exercises are more significant and show more improvement in reduction of pain and associated symptoms of neck and increased movements quicker than isometric exercises.

Chronic neck pain and depression: the mediating role of sleep quality and exercise

ABSTRACT Previous researches have found that chronic neck pain was closely related to depression. However, the relation between chronic neck pain, sleep quality, exercise and depression remains unclear. This study aims to evaluate the association between these factors, based on the assumption that sleep quality and exercise are potential mediators in the relationship between chronic neck pain and depression. This cross-sectional study enrolled 231 patients with chronic neck pain who were referred to outpatient clinics in department of neurology between July and December 2016. Data analysis was performed using a structural equation model to evaluate the mediating effects of sleep quality and exercise frequency on the relation between chronic neck pain intensity and depression. A positive correlation between neck pain intensity and depression was unveiled. In addition, sleep quality was identified as a significant positive mediator between neck pain intensity and depression, and exercise can help relieve depression. Poor sleep quality leads to an increase of the symptoms of depression for people with high neck pain intensity which can be effectively relieved via additional exercise.

Efficacy of Posture Awareness and Neck Exercise Program on Reducing Cervical Pain Among Elderly Patients at Assiut University Hospital, Egypt

Cervical pain is a common condition in the elderly population. It affects the physical health status in persons over 65 years and interferes with their daily activities. Study Aim: Evaluate the efficacy of posture awareness and neck exercise program on reducing cervical pain among elderly patients. Subject & method: Quasi-experimental research design was used. The study was conducted in outpatient clinic of Rheumatology and Rehabilitation Department at Assiut University Hospital. The total sample size was 189 elderly. Two tools were used. The 1st tool: An interview sheet including personal characteristics, medical history and elderly knowledge, the 2nd tool: The Northwick Park Neck Pain scale and jury were done by 3 expertise in erotological nursing. Results: The present study showed that the majority of studied patients aged (60 - < 65) years, with mean age 62.48± 3.43 and there was a highly significant difference between pre and post-program of both isometric neck exercises and good neck posture (p=0.0001). Conclusion: It was concluded that isometric neck exercises and good neck posture are effective in the management of neck pain in elderly population. Recommendation: Implementation of isometric exercise and good neck posture among elderly population should be expanded as a community based intervention.

Effectiveness of Yoga on Quality of Life of Breast Cancer Patients Undergoing Chemotherapy: A Randomized Clinical Controlled Study.

Background:Cancer of breast is most common cancer among women in India and vast majority of countries worldwide. While undergoing chemotherapy for carcinoma management, women encounter side effects, which affects their quality of life (QOL). A randomized controlled study with quantitative research approach and time series design was conducted, to study the effectiveness of yoga on QOL of breast cancer patients undergoing chemotherapy.Methodology:One hundred breast cancer patients scheduled for 3-weekly, day-care adjuvant chemotherapy (CEF regimen) were enrolled with consecutive sampling technique, into control (n = 52) and experiment (n = 48) groups, by concealed randomization following written informed consent. Baseline data on QOL were collected before first-cycle chemotherapy using the European Organization for Research and Treatment of Cancer QLQ C30. Patients in the experimental group were taught diaphragmatic breathing techniques, systematic relaxation, and alternate nostril breathing, and Joints and Glands neck and shoulder exercises were instructed to practice twice daily at home. They were supervised in practicing these techniques while they received second, third, fourth, fifth, and sixth cycles of chemotherapy in the day-care facility. Participants in the control group received only routine care. All participants received standard post chemotherapy prescription. Data on QOL were collected from all patients during the second, third, fourth, fifth, and sixth cycles of chemotherapy.Results:The analysis revealed that at the baseline (first chemotherapy cycle), breast cancer patients in control and experimental groups were homogeneous in terms of their sociodemographic and clinical variables and QOL score. Yoga practices were effective in improving the QOL of breast cancer patients in the experimental group in the areas of global health status, physical function, role function, and emotional function and decreasing the symptoms of fatigue, insomnia, loss of appetite, and constipation, during the period of chemotherapy.Conclusion:Yoga practices comprising of relaxation techniques reduce many side effects and improve the QOL of women undergoing chemotherapy for breast cancer.

EFFECTS OF NECK STABILIZATION AND ISOMETRIC NECK EXERCISES ON NON-SPECIFIC CHRONIC NECK PAIN: A PILOT STUDY

Objectives: To evaluate the efficacy of neck stabilization and isometric neck exercises on pain-related disability, sleep disturbance, psychological status and cardiopulmonary parameters in patients with non-specific chronic neck pain (NSCNP). Methodology: This study was done within a period of May-October, 2019. 14 patients with NSCNP were involved in this research. The patients were enrolled into the research from two post secondary health facilities in Lagos state and distributed into groups A, B and C with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were evaluated for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. Results: This research showed that neck stabilization combined with isometric exercise improved pain-related disability (p=0.04), anxiety (p=0.04) and depression (p=0.04) after 4 weeks intervention. Some pulmonary parameters, FVC (p=0.05, p=0.02), FEV1 (p=0.02, p=0.01) improved significantly post intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p=0.02, p=0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post intervention. Conclusion: This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with NSCNP. Keywords: Exercise, chronic neck pain, pilot, study

목운동방법이 앞머리자세의 목각도와 주위근육의 근활성도에 미치는 영향

목운동방법이 앞머리자세의 목각도와 주위근육의 근활성도에 미치는 영향

The effects of deep neck muscle-specific training versus general exercises on deep neck muscle thickness, pain and disability in patients with chronic non-specific neck pain: protocol for a randomized clinical trial (RCT)

BackgroundAltered thickness, cross-sectional area and activity of deep neck muscles have frequently been reported in patients with chronic non-specific neck pain (CNNP). It is claimed that these muscles do not recover spontaneously. These muscles provide a considerable amount of cervical stability. Therefore, various therapeutic exercises have been recommended to recover from resulting complications. However, most exercise protocols do not target deep neck muscles directly. Thus, this might be a reason for long-lasting complications. Accordingly, the purpose of the present study is to discuss a randomized controlled trial (RCT) protocol in which we aim to investigate and compare the effects of neck-specific exercise programmes versus general exercise programmes in patients with CNNP.MethodsA 2*2 factorial RCT with before-after design. Sixty-four participants with CNNP will be recruited into the study. They will be randomly divided into two groups, including specific neck exercise and general exercise. Each exercise programme will be carried out three times a week and will last for 8 weeks. Primarily, dorsal and ventral neck muscle thickness, pain and disability and secondarily, muscle strength, quality of life, sleep quality, fear avoidance and neck range of motion will be assessed at the baseline and immediately at the end of the exercise protocol.DiscussionThe results of this study will inform clinicians on which type of exercise is more beneficial for patients with CNNP.Trial registrationIRCT2017091620787N2, Sep 16 2017.

Illusion-enhanced Virtual Reality Exercise for Neck Pain: A Replicated Single Case Series.

Body illusions have shown promise in treating some chronic pain conditions. We hypothesized that neck exercises performed in virtual reality (VR) with visual feedback of rotation amplified would reduce persistent neck pain. In a multiple-baseline replicated single case series, 8 blinded individuals with persistent neck pain completed a 4-phase intervention (initial n=12, 4 dropouts): (1) "baseline"; (2) "VR" during which participants performed rotation exercises in VR with no manipulation of visual feedback; (3) "VR enhanced" during which identical exercises were performed but visual feedback overstated the range of motion being performed; (4) "follow-up." Primary outcomes were twice-daily measures of pain-free range of motion and pain intensity. During the baseline and follow-up phases, measures were taken but no intervention took place. No differences in primary outcomes were found between VR and baseline, VR enhanced and VR, or VR enhanced and follow-up. Our hypothesis, that neck exercises performed in VR with visual feedback of rotation amplified, would reduce persistent neck pain was not supported. Possible explanations and future directions are discussed.

Effect of Nursing Exercise Protocol on Hemodynamics and Functional Capacity among Patients after Cardiac Surgery

Context: Exercise interventions are the cornerstone of cardiac rehabilitation. The exercise program consists of respiratory physiotherapy, neck and shoulder exercises, walking, and cycling. The purpose is preventing respiratory complications, neck and shoulder pain, and increasing the physical functional level.&#x0D; Aim: of this study is to evaluate the effect of applying nursing exercise protocol on hemodynamics and functional capacity among post-cardiac surgery patients.&#x0D; Methods: Quasi-experimental research design utilized in the current study. A purposive sample including 60 male and female patients, classified equally into two equal groups; study group (n= 30) and control group (n= 30), collected through 14 months. This study carried out in the inpatient cardiac surgery department and the outpatient cardiac clinic of Cardiothoracic Surgery Hospital at New Minia City. Four tools utilized in collecting data; named Health Assessment Record; Six Minute Walk Distance Test; Modified Medical Research Council Scale (MMRC) for measuring dyspnea; and Nursing Educational Protocol Checklist.&#x0D; Results: Current study findings displayed an improvement of total distance walked among study group compared to control group, it also showed highly statistically significant differences between both groups related to total distance walked after 12th-week post-discharge documented by p-value (0.000).&#x0D; Conclusion: The current study findings concluded that the nursing educational protocol in the form of deep breathing, incentive spirometer; coughing and early ambulation induces a significant improvement in hemodynamic variables and six minute walk distance recommending that hospitals should implement nursing educational protocol as a routine hospital policy among all cardiac surgical patients in all age groups.

CLINICAL EVALUATION OF EFFECT OF MAKARASAN ON STRUCTURAL CHANGES OF GREEVA KASHERUKA IN CERVICAL SPONDYLOSIS

Today is the era of modernization and fast life. Everybody is busy and living stressful life. Changing life style of person has created many disharmonies in his biological system. Advancement of busy, professional life and social life, improper sitting posture, continuous work in one posture, jerking movements during travelling and sports, all these factors create undue pressure and stress injury to spine and play an important role in producing disease like cervical spondylosis. In this study total 70 patients of Cervical Spondylosis having signs and symptoms of same, selected from OPD of our hospital. Patients were divided into two groups, 35 patients in control group and 35 patients in trial group. Patients in trial group were advised to Practice Makarasan as per yoga module adapted during study and Patients in control group were advised to do Neck Exercise as per neck exercise module adapted during study for 90 days daily. Assessment was done on the basis of pain, tenderness, stiffness and x-ray report of cervical spine before and after study. Makarasan is significantly effective in reduction of signs and symptoms of cervical spondylosis but there were no changes seen in anatomical structures in patients of cervical spondylosis after intervention of Makarasan.

Can your eye glasses lead to future neck pain and disability? Relation of eyeglasses with neck muscle endurance and posture

Background: Use of spectacles is common for people having vision problems. Unifocal and bifocal are usually the commonly used lenses for vision correction. The aim of the present study was to compare the effect of type of lenses in eyeglasses on the neck muscles endurance and neck posture.Methods: A sample of 132 subjects were recruited and divided in three groups according to use of unifocal, bifocal or no glasses. Normal healthy subjects using eyeglasses for a minimum of 2 years and as per selection criteria were assessed for their deep neck flexor endurance (DNF) and craniovertebral angle (CVA).Results: Females had less DNF endurance than males in all groups. DNF endurance was also least reported in subjects using bifocal lenses followed by unifocal and no glasses. These results were similar for both males and females. Bifocal group also had least CVA amongst both sexes.Conclusions: Use of bifocal lenses reduces the DNF endurance and leads to forward head posture over time. These two factors are commonly associated with development of neck pain and disability. Assessment for the type of lens in eyeglasses should be added in diagnosing musculoskeletal problems in neck. Appropriate neck exercises, corrective postures and advise for correct eyeglasses at an early stage could maintain DNF endurance and therefore, prevent faulty neck postures and associated pain. This small check could be a big step towards reducing the financial and psychological burden on the patient and an affordable and less invasive public health solution to neck related problems.

PERBEDAAN EFEKTIVITAS INTERVENSI MICROWAVE DIATHERMY DAN DEEP TISSUE MASSAGE LEBIH EFEKTIF DARIPADA MICROWAVE DIATHERMY DAN MCKENZIE NECK EXERCISE UNTUK KOREKSI POSTUR PADA PENDERITA FORWARD HEAD POSTURE

Background: Forward Head Posture (FHP) is a posture deviation consisting of an increase in angular excursion in the upper and lower aspects of the cervical spine. A popular method used by physiotherapists to reduce muscle tightness is massage. The massage used is Deep Tissue Massage (DTM) with deeper pressure and slow motion. As an effort to correct posture, physiotherapists can use the McKenzie Neck Exercise method. The standard for managing physiotherapy at the clinic provides a modality, namely Microwave Diathermy (MWD).Method: Research with experimental pre and post-test two groups design. The study was divided into 2 groups, consisting of group 1 with Microwave Diathermy and Deep Tissue Massage exercises and group 2 with Microwave Diathermy and McKenzie Neck Exercise. The number of samples in this study were 16 samples each group, so that the total sample in the two groups amounted to 32 respondents.Results: Group 1 with a value of p = 0.001 (p &lt;0.05) which means an increase in perspective before and after the intervention of microwave diathermy and deep tissue massage. Group 2 obtained a value of p = 0.001 (p &lt;0.05) which means an increase in the craniovertebra viewpoint which means the cervical joint before and after the intervention of microwave diathermy and McKenzie's neck training. Calculation results of mean differences Increased craniovertebra angle obtained p value = 0.001 (p &lt;0.05) on the difference between before and after intervention. Microwave diathermy and deep tissue massage compared with microwave diathermy and McKenzie neck exercise against craniovertebral angleConclusion: Intervention of Microave Diathermy and Deep Tissue Massage better than Microave Diathermy and McKenzie Neck Cervical Exercises in correcting posture in patient with Forward Head Posture.Keywords: Forward head posture, Microwave Diathermy, Deep Tissue Massage, McKenzie Neck Exercise, posture

Additional Effect of Pain Neuroscience Education to Orofacial and Neck Exercises in Temporomandibular Disorders

Additional Effect of Pain Neuroscience Education to Orofacial and Neck Exercises in Temporomandibular Disorders

ผลของการใช้นวัตกรรมอุปกรณ์บริหารกล้ามเนื้อคอแบบนิ่งอยู่กับที่ในผู้ป่วยสูงอายุที่มีอาการปวดคอเรื้อรัง

Chronic neck pain leads to reduced neck muscle strength and limited range of motion of the cervical spine. Isometric neck muscle exercise is one common method to improve muscle strength and reduce pain. However, the exercise has several disadvantages, especially for older patients, include needs to remember the exercise and to provide self-resistance, resulting in the exercise being less effective and aggravating symptoms.&nbsp; Therefore, the static neck exercise device was developed to enhance the effectiveness of exercise, leading to increased neck muscle strength, reduced pain, decreased neck disability, and patient satisfaction after 4 weeks of exercise with the device. The static neck exercise device can be further developed to increase effectiveness for clinical use.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp

A Study on the Effectiveness of Manual Mulligan Traction Compared to Intermittent Electrical Traction in Patients with Cervical Spondylosis

Cervical traction is a variety of practicing methods depending on the pathology being treated. The established effectiveness in cervical spondylosis of these different methods makes it a useful tool for physiotherapy practitioners. However, its role in cervical spondylosis is uncertain. Comparing manual Mulligan traction and intermittent electrical traction would provide information of great importance to the scientific community on the use of cervical traction in patients with cervical spondylosis. The purpose of the present study is to find out and compare the effectiveness of manual Mulligan traction versus intermittent electrical traction on pain, range of motion (ROM) and functional disability in patients with cervical spondylosis. A total of 30 subjects with cervical spondylosis were selected and screened for inclusion and exclusion criteria. Initially, the pain intensity was evaluated using the Numerical Pain Rating scale (NPRS). The active ROM of cervical extension and cervical Lt/Rt rotation was measured with inch tape and functional disability by using the scale of the neck disability index (NDI). Participants were then allocated into two A&B groups. Group A (N=15) was given manual Mulligan traction with interferential therapy (IFT) and isometric neck exercise, and group B (N=15) was given intermittent electrical traction with IFT and isometric neck exercise. Group A showed significant improvements in NPRS (Z=9.77, P=0.002), NDI (t=2.76, P=0.010), ROM of cervical extension (t=7.26, P=0.026) and cervical left rotation (t=2.31, P=0.029) when compared to group B, but the level of improvement in cervical right rotation was insignificant (t=1.89, P=0.07). Hence it is concluded that manual Mulligan traction and intermittent electrical traction are effective in reducing pain, improving cervical ROM and functional performance in cervical spondylosis. However the subject who received the manual Mulligan traction with IFT and isometric neck exercise showed better improvement in reducing pain, improving cervical ROM and functional performance than subject who received the intermittent electrical traction.