Effects of Mobilization and Exercise on Neck Muscular Spasm and Pain
Muhammad Tariq Rafiq, Physiotherapy Department, Nawaz Sharif Social Security Teaching Hospital, Lahore, Pakistan.
Zahoor Elahi, Allied Health Sciences Department, the University Institute of Physical Therapy, the University of Lahore, Lahore, Pakistan.
Shafqat Perveen, Nursing Department, Nawaz Sharif Social Security Teaching Hospital, Lahore, Pakistan.
Nazia Jabeen, Physiotherapy Department, Nawaz Sharif Social Security Teaching Hospital, Lahore, Pakistan.
Objectives: The aims of this study were to investigate the effects of mobilization, exercise, and combining effects of mobilization and exercise on the neck muscles spasm and pain. Methods: The study employed an intervention approach to data obtained from 200 randomly selected patients using a pre-defined inclusion and exclusion criteria. Selected patients were randomly divided into three groups. In Group-A patients were treated with mobilization, in Group-B patients were treated with exercise and in Group-C patients were treated with combined therapy of mobilization and exercise. Statistical Package for the Social Sciences (SPSS) 16 was used to manage and analyze the data. Results: In Group A, B and C, patient’s improvement of mean muscular spasm and pain was 39.25±8.58, 11.34±3.43 and 44.09±13.35 respectively. In terms of p-value mean muscular spasm and pain was statistically different in treatment groups and in Group-C patient’s improvement of muscular spasm and pain was the greatest. So it can be said that treatment-C is more effective in reducing muscular spasm and pain. i.e. (p-value=0.000). Conclusion: Combination therapy (Mobilization + Exercise) is the best treatment option for treating patients with neck pain. Although only mobilization is also effective for patients with neck pain, but this benefit is seen mostly in short term reduction in pain and improved range of motion.
Albright, J. (2001). Philadelphia Panel, Evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain: Physical Therapy, 81 (10): 1701-17.
Andersen, J. H., & Gaardboe, O. (1993). Musculoskeletal disorders of the neck and upper limb among sewing machine operators: a clinical investigation. American journal of industrial medicine, 24 (6): 68.
Bovim, G., Schrader, H., & Sand, T. (1994). Neck pain in the general population. Spine, 19 (12): 1307.
Brodin, H. (1984). Cervical pain and mobilization. International Journal of Rehabilitation Research, 7 (2): 190.
Chih, H. C., Hao, T. S., Ling, W. Y., Wen, Y. L., & Hsin, Y. K. C. (2015). Long-term effects of therapeutic exercise on nonspecific chronic neck pain: A literature review. Journal of Physical Therapy Science, 27 (4), 1271–1276.
Cote, P., Cassidy, J. D., & Carroll, L. (1998). The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults. Spine, 23 (15): 1689.
Croft, P. R. (2001). Risk factors for neck pain: A longitudinal study in the general population. Pain, 93 (3): 317-25.
Daenen, L., Varkey, E., Kellmann, M., Nijs, J. (2015). Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clinical Journal of Pain, 31 (2): 108-114.
Ferrari, R., & Russell, A. S. (2003). Neck pain. Best Practice & Research Clinical Rheumatology, 17 (1): 57-70.
Gross, A. (2010) Manipulation or mobilization for neck pain: A Cochrane review. Manual Therapy, doi: 10.1016 / j.math, 2010.02.007 (e-published ahead of print).
Hoving, J. L. (2002). Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. Annals of internal medicine, 136 (10): 713-22.
Klemetti, M., Santavirta, N., Sarvimaki, A., & Bjorvell, H. (1997). Tension neck and evaluation of a physical training course among office workers in a bank corporation. Journal of advanced nursing, 26 (5): 962-7.
Leclerc, A. (1999). One year predictive factors for various aspects of neck disorders. Spine, 24 (14): 1455.
Makela, M., Heliovaara, M., Sievers, K.., Impivaara, O., Knekt, P., & Aromaa, A. (1991). Prevalence, determinants, and consequences of chronic neck pain in Finland. American Journal of Epidemiology, 134 (11): 1356-67.
McKinney, L. (1989). Early mobilization and outcome in acute sprains of the neck. British Medical Journal, 299 (6706): 1006-8.
McKinney, L., Dornan, J., & Ryan, M. (1989). The role of physiotherapy in the management of acute neck sprains following road-traffic accidents. Archives of emergency medicine, 6 (1): 27-33.
Miller, J., Gross, A., D’Sylva, J., Burnie, S. J., Goldsmith, C. H., Graham, N., Haines, T., Bronfort, G., & Hoving, J. L. (2010). Manual therapy and exercise for neck pain: A systematic review. Manual Therapy, 15 (4): 334-54.
Nordemar, R. (1981). Treatment of acute cervical pain, a comparative group study. Pain, 10 (1): 93-101.
Picavet, H., & Schouten, J. (2003). Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain, 102 (1-2): 167-78.
Revel, M. Minguet, M. Gregoy, P. Vaillant. J. & Manuel, J. L. (1994). Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: A randomized controlled study. Archives of physical medicine and rehabilitation, 75 (8): 895.
Shankar, G. G., Patitapaban, M., Monalisa, P., & Chittaranjan, M. (2014). Effectiveness of mobilization therapy and exercises in mechanical neck pain. Physiotherapy theory and practice, 31 (2): 99-106.