Muscle Energy Technique Augmented with Sustained Natural Apophyseal Glides; An Effective Way to Improve Mechanical Neck Pain and Range of Motion: A Randomized Control Trial

Sidra Qureshi

Abstract:

Objective: To determine the effect of sustained natural apophyseal glides (SNAGs) along with muscle energy technique (MET) on pain and range of motion in subjects with mechanical neck pain. Study Design: Blindedrandomized controlledtrial.ththPlace and Duration of Study:Kulsum International Hospital Islamabad, from July 16to December 25, 2018. Materials and Methods: The trial included 60 participants with mechanical neck pain who fulfilled inclusion criteria (mechanical neck pain, being vitally stable and physically independent without any serious psychological or systemic issue) and gave written and verbal consent. Subjects were divided randomly by concealed envelope method into two groups: experimental and control with 30 participants each. Experimental group was provided with MET and SNAGs, while control group received SNAGs thrice a week for 8 weeks. Numeric pain rating scale and inclinometer were used as outcome measures. Data was taken at baseline and after 8 weeks of intervention. Analysis was done by SPSS 21. Results: Pain improved from 7.14±0.88 to 2.33±0.73 (P=0.000) in experimental while 7.25±.98 to 3.18±.87 (P=0.009) in control group. Ranges improved in experimental and control group as; flexion from 73.81±2.6 to 84.88±2.3 (P=0.000) and 73.25±2.8 to 77.00±2.5 (P=0.010), extension from 63.14±2.2 to 69.00±1.2 (P=0.000) and 62.07±1.8 to 65.66±1.5 (P=0.000), right side banding from 33.03±3.6 to 39.77±2.5 (P=0.000) and 32.25±3.0 to 36.00±2.5 (P=0.000), left side bending from 33.55±2.4 to 41.55±1.9 (P=0.000) and 32.44±2.1 to 37.48±1.6 (P=0.001), right side rotation from 79.96±2.70 to 88.48±1.5 (P=0.000) and 79.48±2.60 to 83.59±2.6 (P=0.000) and left side rotation from 80.37±2.4 to 88.92±1.9 (P=0.000) and 79.74±2.5 to 82.88±2.2 (P=0.005) respectively.Conclusion: SNAGs combined with MET reduces pain and improves range of motion effectively in subjects with mechanical neck pain as compared to conventional treatmentswith SNAGs alone.

research from:

• Foundation University Institute of Rehabilitation Sciences

Year:

2021

Type of Publication:

Article

Keywords:

muscle energy; Sustained Natural Apophyseal Glides

Journal:

journal of islamic medical college

Volume:

16

Number:

2

Month:

january