Sustained Natural Apophyseal Glides versus Positional Release Therapy in the Treatment of Chronic Mechanical Neck Dysfunction

Background: Mechanical neck dysfunction (MND) is a common disorder prevailing among the individuals of different populations. It is characterized by pain and limited range of motion (ROM) which, in turn, affects the activities of daily living and quality of life. Although manual therapy is commonly used in MND treatment to restore a range of motion and reduce pain, some techniques have low evidence in treating MND. Aim: This study was conducted to compare the effect of sustained natural apophyseal glides (SNAGs) with positional release therapy (PRT) on cervical ROM, pain intensity, and functional disability in patients with chronic mechanical neck dysfunction. Methods: One hundred and twenty patients from both genders, where they were divided randomly into three groups. Group A received conventional physical therapy, group B received conventional therapy in addition to SNAGs, and group C received conventional therapy plus PRT three times per week for eight weeks. The universal goniometer was used to measure cervical ROM, numeric pain rating scale (NPRS) was used to measure pain intensity, and neck disability index was used to measure cervical function disability at two intervals, pretreatment and post-treatment. Results: The results showed significant difference in the cervical ROM, NPRS, and NDI between the three groups (p < 0.001) in favor of the group B. Conclusion: SNAGs with conventional physical therapy have been proven to be effective method in treating patients with chronic mechanical neck dysfunction patients.