A Comparative study on the Effectiveness of Mulligan Technique and Stabilization Exercise on Pain and Neck Disability among Nonspecific Mechanical Neck Pain Patients

Abstract

INTRODUCTION: Non-specific mechanical neck pain is defined as pain with a postural or mechanical basis. It does not include pain associated with fibromyalgia. Non-specific neck pain may include some people with a traumatic basis for their symptoms, but does not include people for whom pain is specifically stated to have followed sudden acceleration–deceleration injuries to the neck (whiplash). OBJECTIVES: 1. To find out the effectiveness of stabilization exercises on pain in patients with non-specific mechanical neck pain. 2. To find out the effectiveness of Mulligan technique on pain in patients with non-specific mechanical neck pain. 3. To compare the effectiveness of stabilization exercises and Mulligan techniques on pain in patients with non-specific mechanical neck pain. 4. To find out the effectiveness of stabilization exercises on neck disability in patients with non-specific mechanical neck pain. 5. To find out the effectiveness of Mulligan technique neck disability in patients with non-specific mechanical neck pain. 6. To compare the effectiveness of stabilization exercises and Mulligan techniques on neck disability in patients with nonspecific mechanical neck pain. METHODOLOGY: Study Setting: The study was conducted in Physiotherapy outpatient department, R.V.S College of Physiotherapy, Sulur, Coimbatore. Selection of subjects: 20 subjects with non specific mechanical neck pain were randomly selected who fulfilled the inclusion and exclusion criteria and divided into 2 groups. Group A - Mulligan Technique, Group B - Stabilization exercises. Variables: Dependent variables: Pain, Neck Disability. Independent variable: Mulligan technique, Stabilization exercises. Study design: The study was pre-test and post-test experimental design. Inclusion criteria: • Patients Clinically diagnosed as a case of nonspecific mechanical neck pain. • The age group between 25 to 30 yrs. • Both sexes are included. • NDI score: mild – moderate (5-24). • The participants should read and sign the informed consent form. • Patients who are willing to participate. • Patients who are co-operative. Exclusion criteria: • Shoulder pathology/trauma. • Medical ―Red flags. • Contraindication to Technique or Pilates. • Structural abnormality affecting neck. RESULTS: 20 non specific mechanical neck pain subjects were selected for the study. The subjects were randomly divided into two groups. Group A was treated with Mulligan Technique, Group B was treated with stabilization exercises. The patient was treated for THREE sessions per week like for 4 weeks. Before starting the treatment, pain and Neck Disability Index were graded by NPRS and NDI respectively. The measurement was repeated at the end of the study duration. CONCLUSION: An experimental study was conducted to investigate the effectiveness of Mulligan Technique and stabilization exercises to treat the pain and Neck Disability Index patients with nonspecific mechanical neck pain. 20 patients with nonspecific mechanical neck pain were included in this study and randomly divided into two groups A and B each group consist of 10 subjects. Group A was treated with Mulligan Technique. Group B was treated with stabilization exercises. Pain before and Neck Disability Index after intervention by NPRS and NDI. The statistical result shows that there is significant difference in both the groups. But when comparing both it was found that there is no significant difference between Mulligan Technique and stabilization exercises to treat the pain and Neck Disability Index patients with nonspecific mechanical neck pain