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

Background: Neck pain is very common. It can negatively affect the patient's life, and may result in disability. Purpose: This study was conducted to compare between the effect of two Mulligan techniques either of them was more effective (Mulligan self-mobilization or Mulligan SNAGs) on pain, cervical position sense and function on chronic mechanical neck pain. Subjects: 87 patients of both sexes, their age ranges between(20-35)and BMI{u2264} 25, suffering from chronic mechanical neck pain, were randomly assigned into 3 groups: Group (1)29 subjects received Mulligan self-mobilization plus conventional treatment. Group (2)29 subjects received Mulligan SNAGs and conventional treatment. Group (3)29 subjects received conventional treatment only(Infra-red And TENS). Methods: for all patients pain was measured by visual analogue scale(VAS), Position sense was measured by Joint reposition error(JPE) and cervical function by Functional Neck disability index(NDI). Measurements were taken pre and post the intervention period 3 sessions/ week, day after day,which last for one month. Results: MANOVA test revealed that there was significant improvement in values of the post treatment in all groups compared with pretreatment of JPE (pre: P=0.725, post:P{u02C2}0.001), VAS (pre=0.984, post:P{u02C2}0.001) and NDI(pre=0.903, post:P{u02C2}0.001). Conclusion: both Mulligan self-mobilization and Mulligan SNAGs techniques have similar effect onVAS, JPE and NDI more than conventional in treating chronic mechanical neck pain patients

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