Effectiveness of mobilization therapy and exercises in mechanical neck pain

Ganesh, G. Shankar; Mohanty, Patitapaban; Pattnaik, Monalisa; Mishra, Chittaranjan

doi:10.3109/09593985.2014.963904

Cited by 36 publications

(24 citation statements)

References 49 publications

(31 reference statements)

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“…Joint mobilization techniques have specially increasing ROM [18]. Maitland mobilization improves ROM by producing mechanical effects that involve a permanent or temporary change in the length of connective tissue structures such as joint capsule, ligaments, and muscle [25]. Applying joint mobilization techniques to limited motion joint in the stroke patients were found to be effective in improving the ROM.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

Sabbah

Mously

Elgendy

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

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Background: Approximately half of stroke patients show impaired upper limb and hand function. Task-oriented training focuses on functional tasks, while joint mobilization technique aims to restore the accessory movements of the joints. Objective: To investigate the effect of adding joint mobilization to task-oriented training to help the patients in reaching a satisfactory level of recovery for their hand function. Patients and methods: Thirty chronic stroke patients with paretic hand participated in the study; they were divided equally into study and control groups. The study group received joint mobilization followed by taskoriented training for the affected hand. Meanwhile, the control group received task-oriented training only. Both groups received their treatment in the form of 3 sessions per week for 6 successive weeks. The primary outcome measures were hand function that was assessed by Jebsen-Taylor hand function test (JTT) and active and passive wrist extension range of motion (ROM) that was measured by a standard goniometer. The secondary outcome measure was the grip strength of the hand that was assessed by a JAMAR adjustable hand dynamometer. Results: There was a significant improvement in all the outcome measurements in both groups that were more evident in the study group. Conclusion: Combining joint mobilization with task-oriented training had a highly significant effect in improving the hand function in chronic stroke patients compared to task-oriented training alone.

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Section: Discussionmentioning

confidence: 99%

Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

Sabbah

Mously

Elgendy

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

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“…Limitations of their study settings were the lack of control group, the absence of detailed report of Mulligan techniques that implemented in participants and also the conventional diathermy and exercise program followed by both experimental group, which could blind the individual effect of mobilization. Another study compared Maitland with exercise, SNAG with exercise and exercise alone in a two weeks protocol with ive sessions per week, resulting in no difference in short-term pain, disability and ROM of patients [62]. On the other hand, Abdelgalil et al, found superiority of HVLA in ROM [63], but less pain improvements in comparison with SNAG mobilization.…”

Section: Discussionmentioning

confidence: 99%

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

Zemadanis¹

2018

J Nov Physiother Rehabil

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Background: Mechanical chronic neck pain is very common musculoskeletal dysfunction among people, manifesting one or more pain-induced movements and disability impairments. Clinical guidelines suggest passive cervical mobilization and thoracic manipulation as manual therapy interventions. Mulligan concept has positive effect in patients with lumbar and thoracic spine mechanical chronic pain. Study objective was to investigate possible clinical effects of Mulligan techniques in patients with cervical pain according to pain and disability status.Methods: forty participants diagnosed with mechanical chronic cervical pain, randomly assigned into experimental and control group. NAG, SNAG and self-SNAG joint mobilization in a nine-sessions protocol implemented to the study group, while SHAM-Mulligan techniques applied to control group. Self-reported questionnaires Numeric Pain Rating scale (NPRT) and Neck Disability Index (NDI) were used for the measurement of pain and disability levels respectively. Possible Interactions among Factors (TIME X GROUP) and simple effects in three-time measurements of pre, post and one-month follow-up concerning NDI and NPRS variables, were detected with Mixed-ANOVA test.Results: Baseline scores of pain and disability resulted in no differences between groups. A signifi cant Group and Time factors interaction founded and simple main effects analysis showed that Mulligan concept-group had signifi cant improvement in post-intervention NPRT and NDI scores (p<.001), compared to baseline scores. Follow-up also differed compared to post-treatment score (p<.001). SHAM-Mulligan control group had no signifi cant differences in dependent variables at any level of TIME factor (p>.001). Signifi cant differences were found between groups according to second and third measurement phase (p<.001). Conclusion:Our fi ndings suggest that Mulligan concept techniques improve symptoms of pain and disability in chronic mechanical neck pain patients in short and mid-term effect level.Summary: mobilization techniques of SNAGs, NAGS and self-SNAGs reduces pain and improve function in patients with mechanical neck pain. Taken into consideration the safety and simplicity of application, future studies are encourage to examine the underline mechanism of action.

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“…cycling or walking) and more specific activities, targeting the neckand shoulder muscles (i.e. Nordic walking and shoulder endurance exercises) [8][9][10][11], have demonstrated a reduction in pain [11][12][13][14][15]. Increased blood flow and temperature in the painful areas, release of adrenal hormones and decreased muscle tension have previously been proposed as explanations for the pain reduction following aerobic activities [16], however the mechanisms are still unknown.…”

Section: Introductionmentioning

confidence: 99%

Dose-response of resistance training for neck-and shoulder pain relief: a workplace intervention study

Sæterbakken

Makrygiannis

Stien

et al. 2020

BMC Sports Sci Med Rehabil

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Background: Musculoskeletal disorders are highly prevalent among office workers, with strong evidence suggesting that workplace-based resistance training programs can prevent several upper extremity musculoskeletal disorders. The aim of the present study was to examine the dose-response relationship between resistance training frequency and pain relief among office workers with neck-and shoulder pain. Methods: Thirty participants with mild to moderate neck-and shoulder pain attended a 16-week intervention starting with an eight-week control period followed by an eight-week training period. After the control period, the participants were randomized into either a 10 min (TG10) or 2 × 10 min (TG2) workplace-based, high-intensity neckand shoulder specific resistance training program that was executed 5 days per week and consisting of four exercises. The participants were tested pre and post each period for mean and worst pain using the 0-100 mm visual analog scale (VAS), 0-100 mm health-related quality of life and isometric strength of the neck-and shoulder region. The analysis of variance (ANOVA) and Friedman with Bonferroni post hoc corrections were used to assess differences in between and within groups for the three testing times pre, mid and post intervention. Results: No differences were observed between the groups in any of the variables in the control period (p = 0.27-0.97) or training period (p = 0.37-0.68). When merging the two groups, the mean and worst pain was reduced by 25 and 43% (p = 0.05 and < 0.01, ES = 0.41 and 0.55) in the training period in addition to 10.6% increase in healthrelated quality of life (p = 0.01, ES = 0.52). No difference in strength was observed (p = 0.29-0.85). Conclusion: Daily bouts of specific high-intensity resistance training of the shoulder and neck region at the workplace reduced neck-and shoulder pain and improved quality of life of office workers. However, 10 min bouts were equally effective as 2 × 10 min bouts per day. The authors recommend office workers to perform daily neckand shoulder resistance training to possibly prevent and/or decrease pain in the neck-and shoulder area. Trial registration: ISRCTN69968888, retrospectively registered (24/09/2019).

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Effectiveness of mobilization therapy and exercises in mechanical neck pain

Abstract: Our results showed that manual therapy interventions were no better than supervised exercises in reducing pain, improving ROM and neck disability.

Cited by 36 publications

References 49 publications

Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

Dose-response of resistance training for neck-and shoulder pain relief: a workplace intervention study

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