Comparing the Efficacy of First Rib Maitland Mobilisation and Muscle Energy Technique on Pain, Disability and Head Position Sense in Patients with Chronic Mechanical Neck Pain
Mr. Shail Sachdeva,
New Delhi, India.
Introduction: Mechanical neck pain is the most common musculoskeletal disorders. Muscle Energy Technique (MET) and Maitland mobilisation may provide a useful intervention for treating such disorder.
Aim: To compare the effect of MET with Maitland mobilisation on pain, functional disability and head position sense in people with chronic mechanical neck pain.
Materials and Methods: An experimental comparative study including 40 patients with mechanical neck pain of age group 25-40 years were undertaken from March 2018 to June 2018. Patients were randomly allocated to either the MET group or mobilisation group with 20 patients in each group. The former group received MET (group A) which is a form of active stretching techniques used as manipulative treatments and the latter (group B) received Maitland mobilisation manual therapy intervention, a type of passive movement of a skeletal joint. Both groups received conventional therapy in the form of proprioceptive training and hot fomentation. Treatment was given three times per week for four weeks. A Mc Gill pain questionnaire was used to measure the intensity of pain, functional disability was assessed using the Neck Disability Index (NDI) and head position sense was assessed by using cervical joint position error device using laser tracker immediately before treatment at 2nd week and again on the last day of 4th week intervention, ANOVA and studentâ€™s t-test was used to compare the intergroup analysis for all variables at baseline, 2nd and 4th week of intervention.
Results: Both groups improved significantly at the end of 4th week but group A showed highly significant difference for pain, disability and head position sense in comparison to group B (p<0.005).
Conclusion: MET has shown better improvement than Maitland mobilisation on pain, functional disability and head position sense in patients with chronic mechanical neck pain.