COMPARATIVE STUDY OF MULLIGAN (SNAGS) AND MAITLAND MOBILIZATION IN NECK PAIN
Abstract
Objectives: Comparative Study of Mulligan (SNAGs) and Maitland’s Mobilization in Neck Pain. Design: Randomized Control Trial. Methodology: A total of 50 patients were included as per pre define inclusion and exclusion criteria and randomly assigned into two groups each having 25 patients. Group A was given conventional therapy (Active, Isometrics exercises, moist hot packs) plus SNAG while Group B was given conventional therapy (Active, Isometrics exercises, moist hot packs) plus Maitland’s mobilization for 4 weeks, 3 sessions per week one session per day. The patient’s outcome measures were assessed by visual analog scale, NDI (Neck disability Index) and Goniometry for Cervical Range of Motion. Pre and post treatment values were recorded for comparison of results. Results: Results revealed that means and S.D of both group were clinically significant but statically the Group of patients treated with conventional therapy plus SNAGS managed pain (pre=4.25±1.6, post=2.35±0.3), NDI (pre= 15.81±2.5, post= 8.18±1.7) and range of motion (flexion pre=48.9±8.9, post=53.9±4.9, extension pre=55±4.1, post=63.9±3.1, Rt side flexion pre=38.5±2.1, post=43.1±2.0 and lt. side flexion pre=38.5±2.1, post=43.6±1.8, Rt side rotation pre= 61.7±6.3, post=65.7±5.5) lt. side rotation pre=60.5±3.01, post=67.6±3.5) is not better than group of patient treated with conventional therapy plus Maitland’s mobilization in terms of pain (pre=4.27±1.5, post=1.73±0.19), NDI (pre=17.1±3.31, post=8.10±1.10) and range of motion (flexion pre=48.5±4.7, post=56.7±6.5,extension pre=57.1±4.8, post=67.9±3.9, Rt side flexion pre=35.6±2.9 post=43.1±2.2, lt Side flexion pre=38.1±2.1, post=42.5±2.0, Rt side rotation pre=58.5±5.5 post=67.1.±5.4, lt Side rotation pre=59.6±5.6, post=67.7±4.3. Conclusion: The result of study suggests that both SNAG and Maitland’s improves the symptoms of Neck pain. Better improvement was shown by Maitland’s group than SNAGs group. Based on these results Maitland mobilization with conventional therapy should be the treatment of choice for Neck pain rather than SNAGs with conventional therapy.
Article visualizations:
Keywords
Full Text:
PDFReferences
Pierre Côté, J. David Cassidy, and Linda Carroll, 2003. The epidemiology of neck pain: what we have learned from our population based studies. J Can Chiropr Assoc. 47(4): 284–290.
T.T. Chiu, E.Y. Law, and T.H. Chiu, 2005, “Performance of the craniocervical flexion test in subjects with and without chronic neck pain,” Journal of Orthopaedic and Sports Physical therapy, vol. 35, no. 9, pp. 567–571,.
Oznur Buyukturan, Buket Buyukturan, Senem Sas, Caner Karart, Ismail Ceylan 2018, The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study, Hindawi Pain Research and Management 1-7, doi.org/10.1155/2018/2856375.
L.M. March, A.J. Brnabic, J.C. Skinner et al. 1998. “Musculoskeletal disability among elderly people in the community,” Medical Journal of Australia, vol. 168, no. 9, pp. 439–442,
Rajesh Gautam, Jagdeep Kaur Dhamija, Amit Puri, 2014. Comparison Of Maitland And Mulligan Mobilization In Improving Neck Pain, Rom And Disability, Int J Physiotherapy Res Vol 2(3):482-87.
Peter Rothfels, BEd, M.D., Asam, Craig Martin, M.D., Kukuh Noertjojo, M.D. 2010. What’s new in the literature: Nonspecific neck pain BCMJ, Vol. 52, No. 3, page(s) 123 Work Safe BC.
L. Exelby, Mulligan Concept 2002: its application in the management of spinal conditions, Manual therapy, vol. 7, no. 2, pp. 64–70.
B.R. Mulligan, Manual therapy NAGS SNAGS MWMS 2003 etc., Plane View Services Ltd., Wellington, New Zealand, 5th edition.
Theralkald A.J. 1992 Effect of manual therapy on connective tissue. Phys Ther. 72(12):893- 902.
Maitland G.D., Bank K. Vertebral manipulation 2002. Butterworth Heinemann, Oxford.
Maitland G.D., Peripheral manipulation1998, Butterworth Heinemann, Oxford.
McNair P.J., Portero P., Chiquet C., Mawston G., Lavaste F. 2007. Acute neck pain: cervical spine range of motion and position sense prior to and after joint mobilization. Manual Therapy 12(4):390-394.
Vernon H., Humphreys K., Hagino C. 2007 Chronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores in randomized clinical trials. J Manipulative Physiol Ther 30:215-227.
Izquierdo Pérez H, et al., 2014, Is one better than another?: A randomized clinical trial of manual therapy for patients with chronic neck pain, Manual Therapy, 1-7, http://dx.doi.org/10.1016/j.math.2013.12.002
Amr Almaz, Amira Hussin Draz, Kadray Honsy Battecha, Mohammed Mosaad, 2014, Effect of Ultrasound Combined with Conventional Therapy on Neck Pain, Function, and Disability in Patients with Cervical Spondylosis: A Randomized Placebo-Controlled Trial, Journal of Musculoskeletal pain,199-205, doi.org/10.3109/10582452.2014.907853.
Hearn A., Rivett D.A., Cervical SNAGs 2002: a biomechanical analysis. Manual Therapy 7(2): 71–79.
Keyur M. Patel, Dr. M. Balaganapathy and Hinal M. Patel, 2016, Effect Of Maitland Mobilization Versus Mulligan (Snags) Mobilization On Head Repositioning Accuracy (Hra), Pain And Functional Chronic Neck Pain, A Randomized Controlled Clinical Trial, International Journal of Current Research Vol. 8, Issue, 05, pp.31144-31149.
Hamid Ali Rashid Hafeez Nasir, Danish Hassan 2015, Effectiveness of Cervical Mobilization and Cervical Traction in Management of Non Specific Neck Pain, Journal of Riphah College of Rehabilitation Sciences, 3(2): 80-85.
Shashank Ghai, Ishan Ghai 2014, Role of various mobilization maneuvers in the management of low back pain, Research & Reviews in Bio Sciences, 8(10) 374-381.
Fahad Tanveer, Adnan Afzal, Muhammad Adeel, Sana Shahid and Maham Masood 2017, Comparison of Sustained Natural Apophyseal Glides and Maitland Manual Therapy in Non-Specific Neck Pain on Numeric Pain Rating, Annals of King Edward Medical University, 23(4): 430-435.
Inderpreet K., Arunmozhi R., Umer A. 2013. Effect of Maitland vs Mulligan mobilisation technique on upper thoracic spine in patients with non-specific neck pain-a comparative study. Int J Physiotherapy Res 1(5): 214-18.
Vicenzino B, Collins D, Benson H, Wright A 1998. An investigation of the inter relationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. J Manipulative Physiol Ther. 21:448–53.
Kumar A., Kumar S., Aggarwal A., et al. 2012. Effectiveness of Maitland Techniques in idiopathic shoulder adhesive capsulitis. International Scholarly Research Network Rehabilitation, vol. 2012, Article ID 710235.
Ylinen J., Takala E.P., Nykänen M., et al. 2003. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA,289: 2509–2516.
DOI: http://dx.doi.org/10.46827/ejpe.v0i0.2065
Refbacks
- There are currently no refbacks.
Copyright (c) 2018 Abdullah Al Shehri, Shabana Khan, Sharick Shamsi, Sami S. Almureef
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright © 2015 - 2023. European Journal of Physical Education and Sport Science (ISSN 2501 - 1235) is a registered trademark of Open Access Publishing Group. All rights reserved.
This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
