Effect of sustained natural apophyseal glides versus integrated neuromuscular inhibition technique on non specific neck pain

Abstract

Background: Non Specific Neck pain (NSNP) can be defined as mechanical pain that arises between the occiput as well as the third thoracic vertebra with no specific explanation. Purpose: To differentiate between the effects of sustained natural apophyseal glides (SNAGs) against integrated neuromuscular inhibition technique (INIT) in patients suffering from Non-Specific Neck Pain (NSNP). Methods: Sixty individuals were divided into three equivalent groups at random. Conventional Physiotherapy treatment was given to all groups A, B and C, whereas Group B was given SNAGs and Group C was given also the INIT approach. The assessments were conducted with the use of VAS, pressure algometer, CROM, neck disability index. Results: Statistical analyses (MANOVA, ANOVA, and post-hoc tests) indicated that the differences were statistically significant (P = 0.001) in Pain, Rt Rotation, Lt Rotation and PPT and (P = 0.0001) IN Flexion, Extension, Rt Lateral Flexion, Lt Lateral Flexion, and NDI, indicating that Group C and Group B were more effective than Group A in improving outcomes. The results for Groups B and C were not significantly different. Group C showed the most significant improvement, then followed by Group B, and finally Group A. Conclusion: Adding SNAGs or INMI to conventional program is beneficial in management NSNP.