Manual Therapy vs Stretching vs Routine Physical Therapy in Nonspecific Chronic Neck Pain

Effects of Manual Therapy Versus Stretching Versus Routine Physical Therapy on Pain, ROM, and Functional Disability in Restaurant Chef Workers With Nonspecific Chronic Neck Pain: A Randomised Controlled Trial

The aim of this study is to analyze the effect of Mulligan technique vs stretching techniques and vs routine physical therapy on pain ,range of motion(ROM) and functional disability among restaurant chefs with non-specific chronic pain.

Neck pain (NP) is one of the basic musculoskeletal issues. Neck pain can be due to stress about the musculoskeletal framework because of postural problems and may be related with different causes, such as: - Intervertebral disc herniation, -nerve compression -fracture.

Nonspecific neck pain is a pain located in the lateral and posterior neck that does not show pathognomonic signs and symptoms. When the duration of symptoms is greater than 12 weeks of evolution, it acquires the value of chronicity, being denominated non-specific chronic neck pain (NCNP). It is a common disorder, which generates a great impact and socio-economic cost .

In this study we evaluate the comparison of manual physical therapy vs routine physical therapy vs stretching physical therapy effects among restaurants chefs having non-specific chronic pain.

Inclusion Criteria:

• Neck pain for atleast 3 months having no :

  • Neurological Problem
  • Rheumatological Problem
  • Patient had taken any analgesic medication for neck pain for last 3 months.
  • Non specific neck pain
  • Age 18-60 years

Exclusion Criteria:

• Neck pain due to,

  • Tumors
  • Ankylosings Spondylitis
  • Fracture
  • Dislocation
  • Presence of cord compression
  • Vertebrobasilar artery insufficiency
  • Osteoprosis OR Osteopenia
  • Long term use of anticoagulant or corticosteroid drugs
  • Pain due to any congenital deformity, inflammation or any infection
  • Carcinoma