Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients

Investigation of the Effectiveness of Mulligan Concept Sustained Natural Apophysial Glides (SNAGs) Technique in Non-Specific Neck Pain Patients: A Randomized Controlled Single Blinded Trial

Mechanical neck pain is defined for the absence of cervical spinal pathologies.With the SNAGs mobile mobilization method, it reveals effective results in cases of limitation and pain in the cervical joints.Although there are studies with the Mulligan concept in the literature, studies examining the effects of the SNAGs technique on non-specific neck pain are limited.

The aim of this study is to investigate the effectiveness of the Mulligan Concept SNAGs mobilization method applied in addition to the conventional physiotherapy program in individuals with nonspecific neck pain.

This study was conducted to investigate the effectiveness of Mulligan concept cervical sustained natural apophysial glides (SNAGs) mobilization method in addition to the conventional treatment program in patients with nonspecific neck pain. The study included 40 patients (18-50 years of age) with non-specific neck pain, radicular compression and loss of strength for at least 3 months, diagnosed by a specialist physician; patients with central nervous system disease, distal-peripheral nerve injuries Patients with inflammatory joint disease, cervical spine fracture or surgery, patients with upper extremity surgery, cervical spine tumor and infection, cervical spine congenital anomaly and diabetes were not included in the study. 15 sessions were applied for 3 weeks, 5 days a week for 10 weeks, 10 minutes ultrasound, 20 minutes transcutaneous electrical nerve stimulation (TENS) and hotpack application and Mulligan mobilization in addition to physiotherapy programs. The patient was rested for 5 seconds between sets. The physiotherapy program was applied to the control group and the application session was completed. Normal range of motion exercises were performed in both groups and given as home exercise.

Inclusion Criteria:

• Volunteer patients with non-specific neck pain lasting at least 3 months,
• Volunteer patients without radicular pressure,
• Volunteer patients with loss of strength,
• Volunteer patients diagnosed with non-specific neck pain by a specialist physician.

Exclusion Criteria:

• Volunteer patients with central nervous system disease,
• Volunteer patients with distal-peripheral nerve injuries,
• Volunteer patients with inflammatory joint disease,
• Volunteer patients with cervical spine fracture or surgery, upper extremity surgery,
• Volunteer patients with vertebrobasilar artery stenosis,
• Volunteer patients with osteoporosis,
• Volunteer patients with cervical dislocation,
• Volunteer patients with cervical spine tumor and infection,
• Volunteer patients with congenital anomalies involving the spine,
• Volunteer patients with patients with diabetes.