Improvement in Cervical Range of Motion After Thrust and Grade Iii Maitland Mobilization of Thoracic Spine in Patients with Postural Neck Pain -A randomized controlled trail

Abstract

Background: Neck pain is primary problem now a days with its annual prevalence greater than 30%. It is the fourth leading cause of disability. Approximately two-thirds of people in developed countries experience neck pain at some point in their life spans. Objectives: The aim of this study was to determine and to compare the improvement in cervical range of motion after applying low amplitude high velocity thrust manipulation and grade III Maitland mobilization. Materials and Methods: This Randomized controlled trial conducted, after approval from the ethical committee of King Edward Medical University from December 2017 to May 2018. The data was collected from patients who were presented to physiotherapy department of mayo hospital, Lahore. Total 40 subjects were randomly (computer generated table) assigned to two Groups i.e. A and B with each group containing20 subjects. The treatment was given in 2 weeks and total 6 sessions were given. Assessment of patients was done at 0 day (for baseline), after one week and at the end of the 2nd week. Along with this Inclinometer evaluation of cervical ROM was measured at every assessment. Results: Repeated measurement ANOVA test and independent t test were used for the within group and between groups analysis respectively. Significant improvement in cervical range of motion was found in both groups. Conclusion: The study concluded that there was significant improvement in Cervical Range of motion in our both groups but the Thrust falling superior to Maitland mobilization in improving Cervical Range of motion. Keywords: Cervical Range of Motion, Postural Neck Pain, Maitland Mobilization, Thrust Mobilization