This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.
45 Subjects diagnosed and referred from orthopedist with chronic NSNP.
All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
Duration of symptoms is more than 3 months to be chronic.
Subjects of both genders will be involved in the study.
History of cervical surgery.
Whiplash injuries.
Inflammatory arthropathy.
Myelopathy.
Parallel
Mckenzie exercises
Other interventionFifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions: 1. Repeated movements in the direction of the dysfunction. 2. Repeated movements with patient overpressure. 3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
Maitland mobilization for cervical spine
Other interventionFifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
The conventional treatment group
Other interventionFifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of: 1. Source of superficial heat using hot packs for 15 minutes. 2. Postural correction exercises. 3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation). 4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles). 5. Chin tuck exercises. 6. Scapular stabilization exercises.
Cervical proprioception
Cervical proprioception will be assessed using CROM device.
Cervical range of motion
Cervical ROM will be assessed using CROM device.
Neck function
Arabic version of neck disability index will be used to assess neck function
Pain intensity
Numerical Rating Scale will be used to assess pain intensity
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