Effect of Sustained Natural Apophyseal Glides and Myofascial Release on Chronic Nonspecific Neck Pain: Randomized Controlled Trial
Main Article Content
Keywords
CNSNP, Manual therapy, SNAGs, MFR, combined effect
Abstract
Objectives: Considering the comparative effects of different therapeutic modalities on Chronic nonspecific neck pain (CNSNP), the combined and tangled treatment may significantly impact treatment programs. The study aimed to investigate the impacts of Mulligan’s sustained natural apophyseal glides (SNAGs) in combination with Myofascial release on pain, pain pressure sensitivity, functional disability, and range of motion (ROM) in CNSNP cases.
Methods: 54 cases diagnosed with CNSNP were assigned randomly to this clinical trial. Cases aged 20 to 45 years were allocated to either Group A, who obtained SNAGs, group B, who experienced MFR, or Group C, who got the combined intervention (SNAGs combined with MFR). This investigation evaluated the combined effects of SNAGs and MFR in CNSNP on pain intensity through the visual analog scale (VAS), Pain sensitivity through the pressure pain threshold (PPT), functional disability through the Neck Disability Index (NDI), and range of motion through a cervical range of motion instrument (CROM).
Results: There was a substantial decline in VAS, NDI, and a marked increase of PPT and neck ROM at post-treatment compared with pre-treatment in the three groups. According to the effects of the combined strategy, there was a statistical disparity in results concerning Pain pressure sensitivity, functional disability, and cervical ROM.
Conclusion: The findings of this study stressed the idea that the combined effect between SNAGs and myofascial releases was more effective and promising than the unimodal methodology.
References
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5. Audette, I., Dumas, J. P., Côté, J. N., & De Serres, S. J. (2010). Validity and between-day reliability of the cervical range of motion (CROM) device. Journal of Orthopaedic and Sports Physical Therapy. https://doi.org/10.2519/jospt.2010.3180
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11. Bowler, N., Browning, P., & Lascurain-Aguirrebeña, I. (2017). The effects of cervical sustained natural apophyseal glides on neck range of movement and sympathetic nervous system activity. International Journal of Osteopathic Medicine. https://doi.org/10.1016/j.ijosm.2017.02.003
12. Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: The UK evidence report. Chiropractic and Osteopathy. https://doi.org/10.1186/1746-1340-18-3
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18. Fredin, Ken, & Lorås, H. (2017). Manual therapy, exercise therapy or combined treatment in the management of adult neck pain – A systematic review and meta-analysis. Musculoskeletal Science and Practice. https://doi.org/10.1016/j.msksp.2017.07.005
19. Genebra, C. V. D. S., Maciel, N. M., Bento, T. P. F., Simeão, S. F. A. P., & Vitta, A. De. (2017). Prevalence and factors associated with neck pain: a population-based study. Brazilian Journal of Physical Therapy, 21(4), 274–280. https://doi.org/10.1016/J.BJPT.2017.05.005
20. Gómez, F., Escribá, P., Oliva-Pascual-Vaca, J., Méndez-Sánchez, R., & Silvia Puente-González, A. (2020). Clinical Medicine Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial. https://doi.org/10.3390/jcm9082580
21. Gugliotti, M., Tau, J., Gallo, K., Sagliocca, N., Horan, M., Sussman, N., & Wisnewski, R. (2020). Between-week reliability of the cervical range of motion (CROM) device for upper cervical rotation. Journal of Manual and Manipulative Therapy. https://doi.org/10.1080/10669817.2020.1805691
22. Hidalgo, B., Hall, T., Cagnie, B., & Pitance, L. (2016). The efficacy of manual therapy and exercise for treating nonspecific neck pain: An update of systematic reviews. Manual Therapy. https://doi.org/10.1016/j.math.2016.05.283
23. Hidalgo, B, Hall, T., Bossert, J., … A. D.-J. of back and, & 2017, undefined. (n.d.). The efficacy of manual therapy and exercise for treatingnonspecific neck pain: A systematic review. Content.Iospress.Com. Retrieved from https://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr169615
24. Hidalgo, Benjamin, Hall, T., Bossert, J., Dugeny, A., Cagnie, B., & Pitance, L. (2017). The efficacy of manual therapy and exercise for treating nonspecific neck pain: A systematic review. Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-169615
25. Hing, W., Hall, T., & Mulligan, B. (2019). The Mulligan Concept of Manual Therapy (textbook of techniques). Journal of Chemical Information and Modeling.
26. Hoy, D. G., Protani, M., De, R., & Buchbinder, R. (2010). The epidemiology of neck pain. Best Practice and Research: Clinical Rheumatology. https://doi.org/10.1016/j.berh.2011.01.019
27. Hussein, H. M., Morsi, A. A., & Abdelraoof, N. A. (2021). The immediate effect of sustained natural apophyseal glide on postural stability and pain in individuals presenting with flexion-dominant chronic low back pain: A randomized single-blinded placebo-controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 34(6). https://doi.org/10.3233/BMR-200217
28. Jang, H., Kim, H., of, C. S.-J. of the korean society, & 2011, undefined. (2011). The effects of combined exercise program for patients with chronic neck pain. Koreascience.or.Kr, 6(1), 81–92. Retrieved from https://www.koreascience.or.kr/article/JAKO201117463443688.page
29. Konstantinos, Z. (2018). The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain. Journal of Novel Physiotherapy and Rehabilitation, 022–035. https://doi.org/10.29328/JOURNAL.JNPR.1001018
30. López-De-Uralde-Villanueva, I., Notario-Pérez, R., Del Corral, T., Ramos-Díaz, B., Acuyo-Osorio, M., & La Touche, R. (2017). Functional limitations and associated psychological factors in military personnel with chronic nonspecific neck pain with higher levels of kinesiophobia. Work, 58(3), 287–297. https://doi.org/10.3233/WOR-172634
31. Macdelilld, J. C., Walton, D. M., Avery, S., Blanchard, A., Etruw, E., Mcalpine, C., & Goldsmith, C. H. (2009). Measurement properties of the neck disability index: A systematic review. In Journal of Orthopaedic and Sports Physical Therapy. https://doi.org/10.2519/jospt.2009.2930
32. Modarresi, S., Lukacs, M., Pain, M. G.-… J. of, & 2022, undefined. (n.d.). A Systematic Review and Synthesis of Psychometric Properties of the Numeric Pain Rating Scale and the Visual Analog Scale for Use in People With Neck Pain. Journals.Lww.Com. Retrieved from https://journals.lww.com/clinicalpain/Fulltext/2022/02000/A_Systematic_Review_and_Synthesis_of_Psychometric.8.aspx
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Apr 25, 2023
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Amal A. Morsi, Maher A. Al-kabalawy, Yasser M. Aneis, Mohamed S. Hamza, & Hanaa K. Atta. (2023). Effect of Sustained Natural Apophyseal Glides and Myofascial Release on Chronic Nonspecific Neck Pain: Randomized Controlled Trial. Journal of Population Therapeutics and Clinical Pharmacology, 30(8), 390–404. https://doi.org/10.47750/jptcp.2023.30.08.042
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