{"id":665,"date":"2019-03-11T14:23:43","date_gmt":"2019-03-11T14:23:43","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=665"},"modified":"2019-03-11T14:28:15","modified_gmt":"2019-03-11T14:28:15","slug":"ijpr-2019-104","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2019-104","title":{"rendered":"IJPR.2019.104"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.7.2\/IJPR.2019.104.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol7_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 2 (March 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a03022-3027<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2019.104<\/h3>\n<h3 style=\"text-align: justify;\">EFFECTIVENESS OF SNAG MOBILIZATION ON COMPUTER PROFESSIONALS WITH MECHANICAL NECK PAIN AND MOBILITY DEFICIT<\/h3>\n<p style=\"text-align: justify;\"><strong>Akshay Pal *<sup>1<\/sup>, Anand Misra <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\">*1 Teaching Associate in Department of Physiotherapy, SAIMS, Indore, India.<br \/>\n2 Professor in Department of Physiotherapy. IIMS, Indore, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence:<\/strong> Dr.Akshay Pal, Teaching Associate in Department of Physiotherapy, SAIMS, Indore, India. E-Mail: akshay.pal56@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> There is limited evidence available which support that SNAG Mobilization (manual therapy) can be used as an intervention in the management of mechanical Neck Pain.<\/p>\n<p style=\"text-align: justify;\"><strong>Study Design:<\/strong> experimental study design &amp; 20 to 50 years of age, both male and female.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong> Patients diagnosed with computer professionals with mechanical Neck Pain and mobility deficit underwent a standard evaluation including the Neck disability Index (NDI), and active Neck range of motion (ANROM). 100 patients were randomly divided in two groups, to be treated with either Conventional therapy or Manual therapy approach. Outcomes of treatment were captured on the 1<sup>st <\/sup>day and after 6<sup>th<\/sup> week of the treatment session.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> The data was analysed using sample \u2018t\u2019 test In this study after administration of exercises, the Neck Disability index of computer professionals of both the groups, A and B were improved. But, Better Disability index experienced by computer professionals of group B than computer professionals of group A. Overall, the pain status was found to be different after administration of exercises in groups.<\/p>\n<p style=\"text-align: justify;\">At post intervention, the mean difference in Neck Disability index among computer professionals between group A and group B were statistically highly significant (p&lt;0.001).<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>In this study the result showed that the computer professionals intervened with sustained natural apophyseal glide mobilization(SNAG\u2019S)with conservative treatment is better and more improved in angles of neck flexion and extension, lateral rotation, bending at right and left sides and neck disability index, than computer professionals treated with conservative treatment alone.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS:<\/strong> SNAG Mobilization, Mechanical Neck Pain, Mobility deficit, Neck disability index.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Vonk F, Arianne P. Verhagen, Jos W, Twisk, Alb\u00e8re JA, Marlies WC, Luiten, Bart W. Koes. Effectiveness of a behavior graded activity program versus conventional exercise for chronic neck pain patients. European Journal of Pain 2009; 13(5):533\u201354.<\/li>\n<li style=\"text-align: justify;\">Vernon H. The neck disability index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther 2008; 31:491-502. Vicenzino B, Paungmali A, Teys P. Mulligan\u2019s mobilization-with-movement, positional faults and pain relief: Current concepts from a critical review of literature. Manual Therapy 2007; 12: 98\u2013108.<\/li>\n<li style=\"text-align: justify;\">Global year against musculoskeletal pain, 2009 International Association for study of pain.<\/li>\n<li style=\"text-align: justify;\">Bovim G, Schrader H, Sand T. Neck pain in general population. Spine.(Phila Pa 1976). 1994 Jun 15;19(12):1307-9.<\/li>\n<li style=\"text-align: justify;\">Petri Salo, Assessing physical capacity, disability and health related quality of life in neck pain. Studies in sports, physical education and health. (University of Jyvaskyla 2010).<\/li>\n<li style=\"text-align: justify;\">Inge E.Lam, Madeleon L.Peters, Johan W.S.Vlaeyan, Maarten V.Kleef, Jacob Patijn, Quality of life in chronic neck pain is more associated with beliefs about pain, than with pain intensity, European Journal of Pain, 2005;9:15-24.<\/li>\n<li style=\"text-align: justify;\">Desk Jobs and Neck Problems by Ashley Miller, Demand Media.<\/li>\n<li style=\"text-align: justify;\">Shilpi Chhabra, et al: The effectiveness of self SNAG\u2019s over conventional physiotherapy management in chronic neck pain among computer professionals. Indian journal of physiotherapy and occupational therapy. 2009;2(3).<\/li>\n<li style=\"text-align: justify;\">Vernon H. The neck disability index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther 2008; 31:491-502.<\/li>\n<li style=\"text-align: justify;\">Vicenzino B, Paungmali A, Teys P. Mulligan\u2019s mobilization-with-movement, positional faults and pain relief: Current concepts from a critical review of literature. Manual Therapy 2007; 12: 98\u2013108.<\/li>\n<li style=\"text-align: justify;\">Mulligan, B. R,, &#8220;SNAGS&#8221;, In, Published Papers IFOMT Congress 1988.<\/li>\n<li style=\"text-align: justify;\">Miller J. The mulligan concept: the next step in the evolution of manual therapy. Published Orthopaedic Division Review May\/June1999.<\/li>\n<li style=\"text-align: justify;\">Exelby L. The Mulligan concept: Its application in the management of spinal conditions. Manual Therapy 2002; 7(2): 64\u201370.<\/li>\n<li style=\"text-align: justify;\">Hearn A, Rivett DA. Cervical SNAGs: a biomechanical analysis. Manual Therapy 2002; 7(2): 71\u20139.<\/li>\n<li style=\"text-align: justify;\">Vernon H, and Mior; the neck disability index; a study of reliability and validity, journal of manipulative physiology and therapy, 1991;14:409-415.<\/li>\n<li style=\"text-align: justify;\">Shilpi Chhabra, et al: The effectiveness of self SNAG\u2019s over conventional physiotherapy management in chronic neck pain among computer professionals. Indian journal of physiotherapy and occupational therapy 2009;2(3).<\/li>\n<li style=\"text-align: justify;\">Susan A Reid,Darren A.Rivett,Michael G.Katekar,Robin Callister: Sustained natural apophyseal glides (SNAG\u2019S) are an effective treatment for cervical pain or cervical dizziness. Journal of manual therapy published on 22 October 2007.<\/li>\n<li style=\"text-align: justify;\">Hurwitz EL, Aker PD, Adams AH, Meeker WC and Shekelle PG. Manipulation and mobilization of the cervical spine: a systematic review of the literature. Spine. 1996; 21:1746-59.<\/li>\n<li style=\"text-align: justify;\">Kay T.M. Gross A, Santaguida P.L et al, exercises for mechanical neck disorders Journal t Cochrane database system rev 2005;7(20):3. CD004250<\/li>\n<li style=\"text-align: justify;\">Mulligan BR.\u00a0Manual Therapy: &#8220;Nags&#8221;, &#8220;Snags&#8221; &#8220;Mwms&#8221;. New Zealand: Wellington; 2004<\/li>\n<li style=\"text-align: justify;\">Mulligan, B. R,, &#8220;SNAGS&#8221;, In, Published Papers IFOMT Congress 1988.<\/li>\n<li style=\"text-align: justify;\">Miller J. The mulligan concept: the next step in the evolution of manual therapy. Published Orthopaedic Division Review May\/June1999.<\/li>\n<li style=\"text-align: justify;\">Joel G Pickar, DC PhD\u00a0and\u00a0Philip S Bolton, DC PhD<sup>\u00a0<\/sup>Spinal Manipulative Therapy and Somatosensory Activation<\/li>\n<li style=\"text-align: justify;\">Phadnis TR\u00a0and\u00a0Bhave SM. Comparative Study of Mulligan Bent Leg Raise\u00a0Hold Relax Proprioceptive Neuromuscular Facilitation on Hamstring Tightness in High School Student.<\/li>\n<li style=\"text-align: justify;\">Individuals Who Fail To \u201cEducate\u201d Themselves About Maintaining A Natural, Correct Posture During Desk Work Are Primary \u201cCandidates\u201d For Chronic Neck Pain by Advanced Health and Physical Medicine<\/li>\n<li style=\"text-align: justify;\">Palmer &amp; Epler. :Fundamentals of Musculoskeletal Assessment Techniques 2nd ed. \u00a9 1998.<\/li>\n<li style=\"text-align: justify;\">Peter white: The core outcomes for neck pain: validation of a new outcome measure. Spine 2004;29(17):1923-1930.<\/li>\n<li style=\"text-align: justify;\">Pohjotainen T, Karppi SL, Aira Ksimen O: Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic non specific neck pain, The journal of the American medical association 2003 May 21;289(19):2509-16.<\/li>\n<li style=\"text-align: justify;\">Kay TM, Gross A, Goldsmith C, et al,: Exercise for mechanical neck disorder Journal of coharance data base Rev 2005 july20;(3).<\/li>\n<li style=\"text-align: justify;\">Gustawa Stendig \u2013 Lindeberg: Therapeutic exercise E. Medicine 2004.<\/li>\n<li style=\"text-align: justify;\">Ylinen J, Tkala : Active neck muscle training in the treatment of the chronic neck pain in women, a randomized controlled trail. The Journal of the American medical association; 2003;289:2509-2516.<\/li>\n<li style=\"text-align: justify;\">Hall T,Chan HT, Christensen L,Odenthal B,Wells C,Robinson K: Efficacy of a C1. C2 self sustained natural apophyseal glides (SNAG) in the management of cervicogenic headache Journal of orthopedic and sports physical therapy Nov 2007;35(3):100-107.<\/li>\n<li style=\"text-align: justify;\">Kay T.M. Gross A, Santaguida P.L et al, exercises for mechanical neck disorders Journal t Cochrane database system rev 2005;7(20):3. CD004250<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Akshay Pal, Anand Misra. EFFECTIVENESS OF SNAG MOBILIZATION ON COMPUTER PROFESSIONALS WITH MECHANICAL NECK PAIN AND MOBILITY DEFICIT. Int J Physiother\u00a0Res 2019;7(2):3022-3027. DOI: 10.16965\/ijpr.2019.104\n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 7; Issue 2 (March 2019) Page No.:\u00a03022-3027 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2019.104 EFFECTIVENESS OF SNAG MOBILIZATION ON COMPUTER PROFESSIONALS WITH MECHANICAL NECK PAIN AND MOBILITY DEFICIT Akshay Pal *1, Anand Misra 2. *1 Teaching Associate in Department of Physiotherapy, SAIMS, Indore, India. 2 Professor in Department of Physiotherapy. IIMS, Indore, India. Address for Correspondence:<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2019-104\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-665","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/665"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=665"}],"version-history":[{"count":4,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/665\/revisions"}],"predecessor-version":[{"id":673,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/665\/revisions\/673"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}