Original Research Article
Year: 2019 | Month: June | Volume: 9 | Issue: 6 | Pages: 111-116
Effect of Spinal Mobilization with Arm Movement and Sustained Natural Apophyseal Glides in Cervical Hypomobility
Sushmita Indrasen Singh1, Amrutkuvar Rayjade2
1MPTh Student, Department of Musculoskeletal Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Faculty of Physiotherapy, Karad, Maharashtra
2Associate Professor, Department of Musculoskeletal Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Faculty of Physiotherapy, Karad, Maharashtra
Corresponding Author: Amrutkuvar Rayjade
ABSTRACT
Background: Cervical hypomobility characterized by reduction in range of motion, passive intervertebral movements and neck pain is an identified cause of disability in the world. This study has been done to find out and compare the effects of Sustained Natural Apophyseal Glides (SNAGs) and Spinal Mobilization with arm movements (SMWAM) on cervical hypomobility.
Methods: Ethical clearance was obtained from Institutional Ethical Committee, KIMSDU, Karad. An experimental study was conducted with 68 subjects which were divided into two groups using consecutive sampling with random allocation was done. Group A was treated with Hot Moist Pack (HMP), Sustained Natural Apophyseal Glides (SNAGs) and exercises and Group B was treated with HMP, Spinal Mobilization With Arm Movement and exercises. The outcome measures used were Visual Analogue Scale (VAS), Range of Motion(ROM) and Neck Disability Index(NDI).
Results: Pre-interventional analysis done for VAS showed no significant difference with p values 0.0704, for ROM of flexion p=0.3661, extension p=0.8601, side flexion (right p=0.1530, left p=0.03004), rotation (right p=0.7361, left p=0.7870), and for NDI p=0.9861. Post-interventional analysis done for VAS showed no significant difference, p=0.2195, for ROM no significant difference in flexion, p=0.5636, significant difference in extension, p=0.0421, very significant difference in side flexion (right p=0.0007, left =3.141), significant difference in rotation (right p=0.0179, left p=0.0068) and for NDI significant difference was seen (p=0.0347)
Conclusion: The study concludes that there is significant effect of SMWAM and SNAGs in cervical hypomobility.
Key words: hypomobility, SNAGs, SMWAM, disability, pain, ROM, HMP.