Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

This study investigate the short term effect of Maitland in comparison to Mulligan mobilization with sub-acute and chronic non specific neck pain to improve neck pain, pain pressure threshold, rang of motion, joint position sense, disability, and to evaluate the interaction with psychological factors.

Study design: experimental study

44 patients with sub-acute or chronic neck pain will be randomized into Maitland group: 22 patients receive central postro anterior or unilateral postero anterior. Mulligan group: 22 patients receive sustain natural apophyseal glides. The treatment will be 2 times /week for three weeks. Measurement will be taken pre intervention and after three weeks for neck pain, pain pressure threshold, range of motion, joint position sense, and disability using a numeric pain rating scale, pain pressure threshold test, cervical range of motion device, and neck disability index, depression, anxiety, fear avoidance believe and pain catestrophizing respectively.

Inclusion Criteria:

• • Patients aged between 20 to 50 years.

  • Neck pain more than one week without radicular symptoms.
  • Pain on posterior neck from superior nuchal line to first thoracic vertebra.

Exclusion Criteria:

• • Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg).

  • Cervical radiculopathy.
  • Fibromyalgia pain syndrome.
  • Previous neck surgery.
  • Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache.
  • Patient received physical therapy treatment in the previous three months.
  • Psychiatric disorders.
  • Vestibular system deficits.