Efficacy of Mulligan Concept (NAGs) on Pain at available end range in Cervical Spine: A Randomised Controlled Trial

The aim of the study is to evaluate the effects of NAGs on pain at available end range in cervical spine pain and stiffness.

Ethical approval was taken from Guru Nanak Dev University. It is a repeated measure design, with double blind controlled trials. VAS score in available end rage and the range of motion were the dependent measures.

100 patients, attending OPD, suffering from mechanical neck pain, meeting the predefined criteria were included in the sample. The sampling was incidental; subjects were randomly assigned to 3 experimental and 1 control group. All groups received hot packs for 12 minutes along with set of active exercises from day 1 to day 12. In experimental group 1, 2, and 3, NAGs as mobilisation technique was added at different points of study. All patients were assessed before and after the treatment on day 1, 2, 6, 7, 12 and 42 as follow up.

Simple analysis of covariance (ANCOVA) with post-hoc ttest with adjusted means and graphical presentations.

A significant improvement in ROM and decrease in pain at available end ranges was noticed in all experimental groups immediately after NAGs and was maintained on 42^nd Day. Group 1 showed better recovery than group 2 and 3.

The results indicate that the NAGs is a useful manual therapy technique for achieving faster result as measured in terms of ROM and pain at available end ranges.