IMMEDIATE EFFECTS OF SPINAL MANIPULATION COMPARED TO MULLIGAN SUSTAINED NATURAL APOPHYSEAL GLIDE MOBILIZATION TECHNIQUE IN CERVICAL PAIN

OBJECTIVE To analyze immediate treatment effects of spinal manipulation compared tomulligan sustained natural apophyseal glide mobilization technique in cervical pain. STUDY DESIGN Quasi Experimental Study STUDY SETTINGS & PARTICIPANTS A sample of 150 participants were included in this study and equally divided in two groups. Subjects were randomly assigned to receive either SNAG mobilization (n = 75), or a manipulation (n =75). The SNAG technique was applied at the cervical spinal levels with active flexion in sitting. Manipulation was done by an experienced manual therapist. INTERVENTIONS VAS and Neck disability index (NDI). RESULTS The use of manual therapies decreased the pain intensity in the mulligan and the manipulation group; this difference was statistically significant (p-value<0.05). CONCLUSION It was observed that both the techniques have shown positive results but in comparison, mulligan technique is more effective than manipulation.