Effects of Maitland's Antero-Posterior Versus Lateral Mobilizations on Cardiovascular Responses

Effects of Maitland's Antero-posterior Versus Lateral Mobilizations on Cardiovascular Responses in Non-Specific Chronic Neck Pain

This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad & Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st & 2nd session, 2nd & 3rd session and 3rd & 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.
• Age 25 to 55 years
• Pain in neck with no known cause for > 3 months
• Resting systolic blood pressure between 90 to 139 mmHg
• resting diastolic blood pressure between 60 to 88 mmHg
• resting heart rate between 60 to 100 beats/min
• no prior exposure to antero-posterior and lateral mobilizations

Exclusion Criteria:

• Participants falling in this category would be excluded from the study.
• age <25 and >55
• current smokers
• history of fainting spells, diabetes mellitus, spinal surgery and whiplash injury( in last 6 months)
• taking medications for blood thinning, diabetes mellitus
• having neurologic or cardiovascular disease, radiating pain, cervicogenic headaches
• movement coordination impairment
• athletes
• unable to read and write