Comparing Between Mulligan Technique and Active Release Technique in Treatment of Chronic Mechanical Neck Pain

Effect of Mulligan Mobilization Technique Versus Active Release Technique on Chronic Non-specific Neck Pain

This study will be conducted to compare between Mulligan mobilization technique and Active release technique in management of non-specific chronic neck pain as regard to neck pain, cervical range of motion and neck function.

Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society . Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach. 36 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises) .Group B: will receive combination of traditional treatment of neck pain and Mulligan mobilization technique.Group C:will receive combination of traditional treatment of neck pain and ART .

Inclusion Criteria:

• Inclusion Criteria

The participants will be included in this study if they meet the following criteria:

1. Have referred from orthopedic surgeon diagnosed with NSCNP that has been localized to the cervical and periscapular areas for at least three months
2. Aged from 18-40 years
3. Having a score more than 10 on the Neck disability index (NDI)
4. BMI from 18.5 to 29.9 kg/m2.

Exclusion Criteria:

The Participants will be excluded from this study if they meet any of the following criteria

1. History of previous neck surgery.
2. Recent or old fractures.
3. Cognitive impairment and inability to understand the scale.
4. Systematic inflammatory disease e.g., rheumatoid arthritis and ankylosing spondylitis, neck pain with radiculopathy or neuropathy.
5. A score of below 10 or above 40 points out of 50 on the NDI.