Immediate Effects of Mobilization With Movement Technique on Cervical Muscle Stiffness, Pain, and Range of Motion in Individuals With Mechanical Neck Pain: A Double-Blind Randomized Controlled Trial.
Physiotherapy theory and practice, cilt.41, sa.9, ss.1783-1794, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41 Sayı: 9
- Basım Tarihi: 2025
- Doi Numarası: 10.1080/09593985.2025.2473471
- Dergi Adı: Physiotherapy theory and practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, ASSIA, BIOSIS, CINAHL, MEDLINE
- Sayfa Sayıları: ss.1783-1794
- Anahtar Kelimeler: manual therapy, muscle stiffness, Neck pain, range of motion
- İstanbul Kent Üniversitesi Adresli: Hayır
Özet
Background: Mulligan sustained natural apophyseal glide (SNAG) is a mobilization technique that aims to reduce pain and improve function by correcting positional errors in the facet joint. Purpose: To investigate the immediate effects of the Mulligan SNAG application on muscle stiffness, pain, pressure pain threshold (PPT) and range of motion (RoM) in patients with chronic mechanical neck pain. Methods: A randomized, double-blind trial was conducted. Forty individuals with chronic mechanical neck pain (mean age = 39.35 ± 6.68 years) were randomized into two groups: Mobilization with movement group (MWMG), and sham group (SG). Muscle stiffness was measured with MyotonPro, pain intensity with Numerical Pain Rating Scale, cervical RoM with a digital inclinometer, and PPT with an algometer. Measurements were performed pre-and 5 minutes post-intervention in a single session. Results: Muscle stiffness significantly changed in the MWMG for the left trapezius and right cervical extensors (p =.003, effect size (ES) = 0.42; p =.031, ES = 0.49, respectively), whereas no significant changes were observed in the SG (p =.097, ES = 0.12; p =.270, ES = 0.22, respectively). The MWMG showed improvements in pain (p =.001, ES = 0.70) and RoM (right: p =.0001, ES = 0.89; left: p =.0001, ES = 0.99). The SG also showed improvements in pain (p =.0001, ES = 0.76) and RoM (right: p =.0001, ES = 0.49; left: p =.0001, ES = 0.35). PPT improvements were observed in the MWMG for right and left trapezius (p =.0001, ES = 1.21; p =.040, ES = 0.43, respectively), whereas no significant changes occurred in the SG (p =.713, ES = 0.03; p =.839, ES = 0.01, respectively). Conclusion: The mobilization with movement technique leads to significant immediate improvements in muscle stiffness and pain-related parameters in individuals with chronic neck pain.