The aim of this study was to investigate the effects of the Mulligan mobilization technique (MMT) on pain intensity, joint position sense (JPS), kinesiophobia, and disability level in individuals with nonspecific neck pain. A total of 34 female individuals with nonspecific neck pain were included in the study. Pain intensity, JPS, kinesiophobia, and disability levels of all participants were evaluated before and after the 3-week intervention. Participants were randomly divided into two groups. In the first group, the participants received MMT by the physiotherapist twice a week for 3 weeks, and self-mobilization techniques as a home exercise program. The second group was trained only self-mobilization techniques.
A total of 34 female individuals with nonspecific neck pain that persisted for at least 3 months were included in the study. Individuals who had a surgical indication for the cervical region and/or had undergone surgery, who had received physiotherapy or other treatment in the last year due to neck pain, who had a history of trauma to the cervical and thoracic region, and who additionally had a musculoskeletal system disease were excluded. All participants were evaluated for pain intensity, JPS, kinesiophobia, and disability levels before and after the 3-week intervention. Participants were randomly divided into two groups using the coin toss method. In the first group, the participants received MMT by the physiotherapist twice a week for 3 weeks, and self-mobilization techniques as a home exercise program. The second group was trained only self-mobilization technique.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
34
The SNAGS technique was applied to 3 sets of 10 repetitions with 15-30 seconds rest between sets while the participants were in a sitting position. A physiotherapist applied passive motion to facet joints at each spinal level. The participant was questioned in which direction he/she felt pain during cervical ROM and the application was carried out in the painful/limited directions.
For the self-mobilization technique, each participant was asked to extend a pain-free while pushing upwards from the transverse processes of the treated vertebra with the thumbs of both hands. In addition, the middle or index finger of the right hand was asked to pull the treated vertebra to the right side, while at the same time, left rotation was asked at the pain limit. Self-mobilization was applied every day, twice a day, five times.
Tarik Ozmen
Karabük, Turkey (Türkiye)
Disability
The Neck Disability Index (NDI) was used to determine the severity of disability.It consists of 10 items related to subjective symptoms and activities of daily living. Each item is scored from 0 to 5 points. The total score of the NDI ranges from 0 to 50 points. A higher total score indicates a higher level of disability.
Time frame: Three weeks
Neck Pain Severity
Neck Pain intensity was evaluated with Visual Analogue Scale.Pain intensity was evaluated with Visual Analogue Scale (VAS). Participants were asked to mark the intensity of pain they felt on a 100 mm long horizontal line marked "0" at one end and "10" at the other. "0" indicates no pain, and "10" indicates very severe pain.
Time frame: Three weeks
Joint Position Sense
Cervical JPS was measured by using CROM
Time frame: Three weeks
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