Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Objective: To investigate the adding effects of Mulligan sustained natural apophyseal glides (SNAGs) versus thoracic manipulation (TM) to conventional physical therapy (CPT) on pain, neck range of motion (ROM) and functional activities in subjects with mechanical neck pain (MNP). Design: Pretest- posttest Randomized controlled study. Setting: Department of physical therapy, Ain Shams university hospital.Participants: Sixty patients with MNP were assigned randomly into 3 equal groups with no significant differences among groups regarding age, weight, height, body mass index (BMI) and gender. Intervention: Mulligan SNAGs and CPT (group I), TM plus CPT (group II), and CPT only (group III). All participants received 3 sessions per week for four weeks. Outcome Measures: Pain intensity, pressure pain threshold (PPT), Neck ROM, and disability were measured at baseline, after 4 weeks and then after1 month with no intervention. Results: After 4 weeks of intervention, group I showed superiority to group II and III in all measured outcomes (P<0.05) except for flexion and extension ROM (P>0.05). Group II showed superiority to group III in all measured outcomes (P<0.05) except for flexion ROM and neck disability index (NDI) (P>0.05). After one-month follow-up, group I showed superiority to group II and III in all measured outcomes (P<0.05) except for extension ROM (P>0.05).Group II showed superiority to group III in all measured outcomes (P<0.05)

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