Effect of Manual Therapy on Non Specific Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      The aim of this study is to investigate the effects of Mulligan concept Reverse Natural
      Apophysial Glide Technique (RNAGS)technique applied to the thoracic region on pain,
      limitation of movement, and functionality in individuals with mechanical neck pain.
    

Detailed description: 
      When we look at the studies investigating the effectiveness of different treatment modalities
      in non-specific neck pain (NSNP), there is no method accepted as the gold standard for the
      treatment of NSNP. One of the preferred treatment options for NSNP is physiotherapy and
      rehabilitation. Physiotherapy and rehabilitation includes electrotherapy modalities,
      therapeutic exercises, joint mobilisation and manipulations, myofascial release. Among these
      treatments, manual therapy, which targets the harmony of structure and function, is one of
      the most preferred treatment methods by physiotherapists. Manual therapy provides improvement
      by orienting the body's biomechanics, circulation and body structure by directly affecting
      the joints, muscles and soft tissues. In the literature, there are studies on both cervical
      mobilisation and thoracic mobilisation for neck pain. Cervical mobilisation and manipulation
      in neck pain are controversial because they carry certain risks. It has been reported that
      mobilisation of the thoracic spine decreases pain in the cervical region and increases
      mobilisation in this region. When the literature was examined, there was no study examining
      the effect of the Mulligan concept natural apophyseal reversal technique applied to the
      thoracic region on NSNP. This study was planned to investigate the effect of natural
      apophyseal reversal on pain and mobility limitation in individuals diagnosed with NSNP.
    

Intervention name(s): Mulligan Reverse Natural Apophysial Glide Technique (RNAGS); Conventional physical therapy and sham manual therapy; Conventional physical therapy
Intervention type(s): Other; Other; Other
Intervention description(s): Mulligan mobilization techniques was applied to the upper thoracic segments with the RNAGS technique. The application was performed with one hand (thumb in extension, other fingers flexed) that was used to perform the pushing maneuver on the transverse processes, while the other arm was used to gently grasp the head of the patient and recline the neck against the body for stabilization.
Conventional TENS was applied to the neck area with 2 channels and 4 electrodes for 20 min (current passage time: 50-100 microseconds, frequency: 0-120 Hz). Ultrasonography was performed for 8 minutes with an intensity of 1.5 w/cm2 and a frequency of 1 MHz. Stretching exercises were applied to the upper part of the trapezius and levator scapula muscles for 15-30 seconds for 10 repetitions by a physiotherapist.; A sham Mulligan RNAGS technique with low pressure compression was applied to thoracic region.
Conventional TENS was applied to the neck area with 2 channels and 4 electrodes for 20 min (current passage time: 50-100 microseconds, frequency: 0-120 Hz). Ultrasonography was performed for 8 minutes with an intensity of 1.5 w/cm2 and a frequency of 1 MHz. Stretching exercises were applied to the upper part of the trapezius and levator scapula muscles for 15-30 seconds for 10 repetitions by a physiotherapist.; Conventional TENS was applied to the neck area with 2 channels and 4 electrodes for 20 min (current passage time: 50-100 microseconds, frequency: 0-120 Hz). Ultrasonography was performed for 8 minutes with an intensity of 1.5 w/cm2 and a frequency of 1 MHz. Stretching exercises were applied to the upper part of the trapezius and levator scapula muscles for 15-30 seconds for 10 repetitions by a physiotherapist
Other intervention name(s): TENS; Hotpack; Utrasound; Stretching exercises; TENS; Hotpack; Utrasound; Stretching exercises; TENS; Hotpack; Utrasound; Stretching exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Other
Keywords: Mechanical Neck Pain; Thoracic Mobilization; Mulligan; Range of Motion