Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Inclusion criteria:

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
• Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2.
• Exclusion Criteria:
• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy
• whiplash injuries or severe headaches
• cervical spine fracture
• vertebro-basilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.