To compare the immediate effect of maitland mobalization and snags on heart rate in upper cervical dysfunction subject

Cervical spine dysfunction is very commonly found due to sedentary lifestyle which may lead to misalignment of upper cervical joint complex. Misalignment of atlas vertebra in the upper cervical joint complex leads to effect on vagal action which consequently does not carry out its function of antagonist to the sympathetic system properly, causing increased heart rate. The neurophysiological system that alter the pain overlaps with blood pressure and as observed in BP- related hypoalgesia. This relationship between pain and cardiovascular such as BP and Heart rate, is well explicated throughout the literature. There is literature who suggest that Maitland and SNAGs mobilization is effective on heartrate but there is dearth of literature who compare between Maitland and Snags mobilization on decreasing heart rate.

Misalignments of atlas vertebra in upper cervical joint complex leads to effect on vagal tone, causes increased heart rate which result interfere with daily activity. The purpose of to rule out best treatment plan for upper cervical dysfunction patients in overall health including vitals.

study include 40 subjects (25.3±4.4 age) divided into two groups to find out the treatment effect on heart rate using mobilization techniques.

Post treatment result of Maitland mobilization shows reduction in heart rate was (3.5 beats/min) and SNAGs was (4.6 beats/min) to be statistically significant. Although both the techniques are effective but SNAGs (4.6 beats/min) is more effective in reducing heart rate among both groups.

The present study concluded that the Maitland mobilization and SNAG reduces the heart rate to be statistically significant. Although both the techniques are effective but SNAGs (4.6 beats/min) is more effective in reducing heart rate.