Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial
Background: Mechanical neck pain (MNP) is one of the most prevalent musculoskeletal pathologies in the present time. Physiotherapy management strategies comprising manual therapy and exercise therapy are routinely administered in patients with MNP. Objective: To compare the immediate effect of crani...
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2023-12-01
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| Series: | Hong Kong Physiotherapy Journal |
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| Online Access: | https://www.worldscientific.com/doi/10.1142/S1013702523500154 |
| _version_ | 1797755104603930624 |
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| author | Ashwini Shelke Anupama Prabhu B Ganesh Balthillaya M Senthil D. Kumaran Prabu Raja G |
| author_facet | Ashwini Shelke Anupama Prabhu B Ganesh Balthillaya M Senthil D. Kumaran Prabu Raja G |
| author_sort | Ashwini Shelke |
| collection | DOAJ |
| description | Background: Mechanical neck pain (MNP) is one of the most prevalent musculoskeletal pathologies in the present time. Physiotherapy management strategies comprising manual therapy and exercise therapy are routinely administered in patients with MNP. Objective: To compare the immediate effect of craniocervical flexion (CCF) exercise and Mulligan mobilisation on pain, active cervical range of motion (CROM) and CCF test performance in patients with MNP. Methods: This prospective, randomised, single-blinded study involved 26 patients with MNP (16 females; mean age; [Formula: see text] years) randomised to a single session of active CCF exercise (3 sets of 10 repetitions) or Mulligan mobilisation (3 sets of 6–10 repetitions). Pain intensity was measured on a numerical pain rating scale (NPRS), active CROM was measured using CROM device, and CCF test performance with surface electromyography (EMG) from bilateral sternocleidomastoid (SCM) and anterior scalene (AS) muscles recorded pre- and immediately post-intervention by an assessor blinded to the treatment groups. Mann–Whitney U test was used to analyse between groups and Wilcoxon signed rank test was used to analyse within-group significance for pain and CROM, Cochran–Mantel–Haenszel correlation test was used to analyse the CCF test performance on EMG from the bilateral SCM and AS muscles. Results: Comparison between pre- and post-intervention readings revealed statistically significant within-group ([Formula: see text]) and no between-group significant difference for pain, ROM, and CCF test performance, indicating both interventions were equally effective. Conclusion: Patients with MNP who received active CCF exercise or Mulligan mobilisation exhibited similar reduction in pain intensity and increased CROM and CCF test performance post-intervention. Surprisingly, AS surface EMG amplitudes were increased post-intervention in both groups warranting further exploration of its role in neck pain. |
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| format | Article |
| id | doaj.art-d15523e4e0aa4b7681c023bb732905f1 |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-03-12T17:43:03Z |
| publishDate | 2023-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-d15523e4e0aa4b7681c023bb732905f12023-08-04T02:59:50ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2023-12-01430213714710.1142/S1013702523500154Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trialAshwini Shelke0Anupama Prabhu B1Ganesh Balthillaya M2Senthil D. Kumaran3Prabu Raja G4Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, IndiaDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, IndiaDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, IndiaDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, IndiaDepartment of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, IndiaBackground: Mechanical neck pain (MNP) is one of the most prevalent musculoskeletal pathologies in the present time. Physiotherapy management strategies comprising manual therapy and exercise therapy are routinely administered in patients with MNP. Objective: To compare the immediate effect of craniocervical flexion (CCF) exercise and Mulligan mobilisation on pain, active cervical range of motion (CROM) and CCF test performance in patients with MNP. Methods: This prospective, randomised, single-blinded study involved 26 patients with MNP (16 females; mean age; [Formula: see text] years) randomised to a single session of active CCF exercise (3 sets of 10 repetitions) or Mulligan mobilisation (3 sets of 6–10 repetitions). Pain intensity was measured on a numerical pain rating scale (NPRS), active CROM was measured using CROM device, and CCF test performance with surface electromyography (EMG) from bilateral sternocleidomastoid (SCM) and anterior scalene (AS) muscles recorded pre- and immediately post-intervention by an assessor blinded to the treatment groups. Mann–Whitney U test was used to analyse between groups and Wilcoxon signed rank test was used to analyse within-group significance for pain and CROM, Cochran–Mantel–Haenszel correlation test was used to analyse the CCF test performance on EMG from the bilateral SCM and AS muscles. Results: Comparison between pre- and post-intervention readings revealed statistically significant within-group ([Formula: see text]) and no between-group significant difference for pain, ROM, and CCF test performance, indicating both interventions were equally effective. Conclusion: Patients with MNP who received active CCF exercise or Mulligan mobilisation exhibited similar reduction in pain intensity and increased CROM and CCF test performance post-intervention. Surprisingly, AS surface EMG amplitudes were increased post-intervention in both groups warranting further exploration of its role in neck pain.https://www.worldscientific.com/doi/10.1142/S1013702523500154Manual therapymobilisationmotor controlneck muscles |
| spellingShingle | Ashwini Shelke Anupama Prabhu B Ganesh Balthillaya M Senthil D. Kumaran Prabu Raja G Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial Hong Kong Physiotherapy Journal Manual therapy mobilisation motor control neck muscles |
| title | Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial |
| title_full | Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial |
| title_fullStr | Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial |
| title_full_unstemmed | Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial |
| title_short | Immediate effect of craniocervical flexion exercise and Mulligan mobilisation in patients with mechanical neck pain — A randomised clinical trial |
| title_sort | immediate effect of craniocervical flexion exercise and mulligan mobilisation in patients with mechanical neck pain a randomised clinical trial |
| topic | Manual therapy mobilisation motor control neck muscles |
| url | https://www.worldscientific.com/doi/10.1142/S1013702523500154 |
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