Effects OF Mulligan’s Mobilization With Movement On First Rib To Reduce Pain And Improve Cervical Rotation In Mechanical Neck Dysfunction: Mulligan’s Mobilization In Mechanical Neck Dysfunction

Irfan  Ahmad; Saima  Riaz; Uzma  Faiz; Muhammad  Sulaman; Muhammad  Zeeshan; Tabassum  Manzoor

doi:10.54393/pbmj.v4i2.99

Authors

Irfan Ahmad Central Park Medical College, Lahore
Saima Riaz Ripha College of Rehabilitation Sciences, Ripha International University, Lahore
Uzma Faiz GHAZI UNIVERSITY, DERA GHAZI KHAN
Muhammad Sulaman Govt High School, Makoraywala, Dera Ghazi Khan
Muhammad Zeeshan THQ HOSPITAL, JAMPUR
Tabassum Manzoor Muzaffar Abad General Hospital, Muzaffar Abad, AJK

DOI:

https://doi.org/10.54393/pbmj.v4i2.99

Keywords:

Neck pain, range of motion, mechanical, cervical rotation

Abstract

Mechanical Neck Pain(MNP) is a term used to describe pain that results from stress or strain on the structures of the vertebral column. Factors such as alteration in the anatomical structures, sprain or strain of the muscles or ligaments, and adaptation to a faulty posture can result in First rib dysfunction has been identiﬁed as a potential cause for faulty dynamic, static, traumatic or congenital factors, may contribute to the development of elevated ﬁrst rib dysfunction. Objective: Was to determine the effects of Mulligan’s mobilization with movement on first rib to reduce pain and improve cervical rotation in mechanical neck dysfunction. Material and methods: This study Quasi-experimental trial was done at PT CARE MM Alam road Lahore. The study was completed within the time duration of six months (July-Dec 2019) after the approval of synopsis. A total of 26 cases (13 in each group) were divided into 2 groups. Group A and Group B were treated with conventional exercise program and with Mulligan’s mobilization with movement on first rib and conventional exercise program only respectively. Bubble inclinometer and NPRS tools were used to measure cervical rotation and Pain respectively. Data analysis was done by SPSS 21.Results: The mean change in NPRS was statistically higher in group-B (5.46 ± 0.78) as compared to group-A (2.62 ± 0.87), p-value < 0.001. The mean change in cervical rotation (ROM) was statistically higher in group-B (17.46 ± 5.19) as compared to group-A (31.23 ± 4), p-value < 0.001. Conclusion: It is concluded that Mulligan’s mobilization with movement on first rib and conventional exercise program had statistically significant change in reduction of pain and had higher improvement in cervical rotation (ROM) right and left. Hence, by combining conventional treatment and Mulligan’s mobilization , maximum clinical benefits to reduce pain and improve cervical rotation can be attained in mechanical neck dysfunction

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