Comparison of Spinal Manipulation and Sustained Natural Apophyseal Glide in  Patients with Mechanical Thoracic Back Pain

Noor Ul Ain; Naveed Anwar; Sana Tauqeer; Hammad Shakeel; Tooba Asif; Shaina Sarfraz

doi:10.51253/pafmj.v74i4.6474

Authors

Noor Ul Ain Department of Physiotherapy, Riphah International University, Lahore Pakistan
Naveed Anwar Department of Physiotherapy, Riphah International University, Lahore Pakistan
Sana Tauqeer Department of Physiotherapy, University of Lahore Lahore Pakistan
Hammad Shakeel Department of Physiotherapy, Muhammadi Medical Trust Hospital, Lahore Pakistan
Tooba Asif Department of Physiotherapy, Times Institute Multan Pakistan
Shaina Sarfraz Department of Physiotherapy, Al Sheikh- Jinnah Memorial Teaching Hospital, Sialkot Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.6474

Keywords:

Mechanical pain, Manipulation, Range of motion, Thoracic.

Abstract

Objective: To compare the outcome and comparative efficacy of spinal manipulation and Mulligan sustained natural apophyseal glides in patients with mechanical upper back pain.

Study Design: Quasi-experimental study.

Place and Duration of Study: Riphah International University, Lahore Pakistan, from June to Dec 2020.

Methodology: A sample of 26 patients with upper back pain was included. Subjects were distributed in two Groups: Group-A got spinal manipulation along with central sustained natural apophyseal glides treatment, and Group-B was treated with Mulligan-based central sustained natural apophyseal glides treatment. Faces pain scale, MODI questionnaire, and goniometer were used as data collecting tools. Pre-treatment and post-treatment values after 12 treatment sessions measured.

Results: Pain decreased to a greater extent in the treatment of the Spinal Manipulation-Group with a mean value 1.85±1.28 as compared to 5.08±1.04 to Group-B (The p-value was <0.001). Oswestry disability index score decreased to a greater extent in post-treatment of Spinal Manipulation Group with a mean value of 16.85±3.16 as compared to Group-B, with a mean difference of 39.62±8.63 (The p-value was <0.001).

Conclusion: The study results were statistically significant. Both spinal manipulation and central Mulligan central sustained natural apophyseal glides are well-accepted methods of treatment for subjects with upper back pain.

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