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A comparative study: Efficacy SNAGs mobilization on neck pain, neck proprioception and functional limitation in patients with non-specific chronic neck pain
International Conference on Fibromyalgia and Chronic Pain
Background: The international association for the study of pain (IASP) in its classification of chronic pain defines as pain perceived
anywhere in the posterior region of cervical spine from the superior nuchal line to the first thoracic spinous process. Another type of
classification proposed by IASP is based on duration of neck pain according to which chronic neck pain has duration of 3 months or
more. Spinal mobilization is commonly used in the treatment of chronic neck pain. Various methods are used to treat patient with
neck pain. In chronic neck pain patients have impaired neck proprioception. There is limited study found in spinal manipulative
therapies on neck proprioception.
Method: Total 121 subjects of neck pain in Charotar region, Gujarat, India were screened by taking inclusion and exclusion criteria
in consideration. The study was then performed on 28 subjects who meet the inclusion criteria. All the subjects who were ready to
participate and fit for the study were informed about the procedure and purpose of the study and written consent was taken from
each subject prior to the study. The pre-treatment baseline assessment was done on 0th day by the investigator other than primary
investigator. The 2 groups are Mulligan (SNAGS) and control group. All the groups given different exercise and treatment given for 3
WEEKS (5 session / week) and they are statistically analysed by paired t-test.
Result: overall result of the study shows statically significant change (p<0.05) in pain, neck proprioception and function for all the
groups after 3weeks of treatment. At end of treatment mulligan (SNAGs) shows improvement according to MCID value of all three
outcome measures.
Conclusion: In this study the patients were treated with SNAGs and conventional therapy in 2 groups, respectively. All two exercises
are statistically significant in reducing the patient symptoms. But SNAGs mobilization is clinically and statically significant in reducing
the patient symptoms when it compared with conventional therapy.
Biography
Keyur Maneshbhai Patel is working as an Assistance Professor at Vinayaka Institute of Physiotherapy and has completed Master of Physiotherapy in Musculoskeletal Sciences in 2015.