COMPARISON OF THE EFFECTS OF MULLIGAN MOBILIZATION TECHNIQUE COMBINED WITH CERVICAL STABILIZATION EXERCISES WITH THE EFFECTS OF CERVICAL STABILIZATION EXERCISES ALONE IN CHRONIC NECK PAIN: RANDOMIZED CONTROLLED STUDY.

Objective: The aim of the study was to compare the effects of Mulligan mobilization techniques applied in addition to cervical stabilization exercises on pain intensity, range of motion (ROM), cervical muscle endurance, pressure pain threshold (PPT), and quality of life compared to cervical stabiliz...

Descripción completa

Detalles Bibliográficos
Publicado en:Karya Journal of Health Science Vol. 4; no. 3; pp. 227 - 235
Autores principales: Kocaman, Hikmet, Yıldız, Nazım Tolgahan, Canlı, Mehmet, Alkan, Halil
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Karya Journal of Health Science 2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175119784&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 175119784
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        27179540
        MNA4
      jtl: Karya Journal of Health Science
      issn: 27179540
      maglogo: N
    pubinfo:
      dt: 2023
      vid: 4
      iid: 3
      pid: 59174
      pub: Karya Journal of Health Science
    artinfo:
      ui:
        175119784
        175119784
        175119784
        10.52831/kjhs.1374767
        175119784
      ppf: 227
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: COMPARISON OF THE EFFECTS OF MULLIGAN MOBILIZATION TECHNIQUE COMBINED WITH CERVICAL STABILIZATION EXERCISES WITH THE EFFECTS OF CERVICAL STABILIZATION EXERCISES ALONE IN CHRONIC NECK PAIN: RANDOMIZED CONTROLLED STUDY.
      aug:
        au:
          Kocaman, Hikmet
          Yıldız, Nazım Tolgahan
          Canlı, Mehmet
          Alkan, Halil
        affil: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, Karaman, Türkiye
      sug:
        subj:
          Cervical Vertebrae Pathology
          Neck Pain Rehabilitation
          Chronic Pain Rehabilitation
          Joint Mobilization Methods
          Manual Therapy Methods
          Treatment Outcomes Evaluation
          Pain Measurement Evaluation
          Range of Motion Evaluation
          Physical Endurance Evaluation
          Muscle Strength Evaluation
          Pain Threshold Evaluation
          Quality of Life Evaluation
          Human
          Random Assignment
          Randomized Controlled Trials
          Comparative Studies
          Male
          Female
          Adult
          Middle Age
          Aged
          Data Analysis Software
          Descriptive Statistics
          Unpaired T-Tests
          Chi Square Test
          Repeated Measures
          Analysis of Variance
          Post Hoc Analysis
          Effect Size
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab:
        Objective: The aim of the study was to compare the effects of Mulligan mobilization techniques applied in addition to cervical stabilization exercises on pain intensity, range of motion (ROM), cervical muscle endurance, pressure pain threshold (PPT), and quality of life compared to cervical stabilization exercises alone in individuals with chronic neck pain (CNP). Method: Forty individuals with CNP were included in the study and randomly divided into two groups: the cervical stabilization group (SG, n=20) and the cervical stabilization-Mulligan mobilization group (SMG, n=20). The SG group only received cervical stabilization exercises for four weeks, while the SMG received Mulligan mobilization techniques for four weeks in addition to cervical stabilization exercises. Before and after the treatment programs, the subjects were evaluated in terms of pain intensity (visual analogue scale), ROM (goniometric measurement), cervical muscle endurance (endurance tests), PPT (algometric measurement), and quality of life (Short Form-36, SF-36). Results: Significant improvements were found in all parameters in both groups after the treatment programs (p<0.05). In addition, there were more improvements in ROM, PPT, and SF-36 scores in SMG compared to SG (p<0.05). Conclusion: The application of cervical stabilization exercises in CNP may improve pain intensity, ROM, cervical muscle endurance, PPT, and quality of life. However, it can be said that Mulligan mobilization techniques applied in addition to cervical stabilization exercises are more effective in improving ROM, PPT, and quality of life compared to cervical stabilization exercises alone in individuals with CNP.
        Amaç: Çalışmanın amacı kronik boyun ağrısı (KBA) olan bireylerde servikal stabilizasyon egzersizlerine ek olarak uygulanan Mulligan mobilizasyon tekniklerinin, tek başına uygulanan servikal stabilizasyon egzersizlerine kıyasla ağrı şiddeti, eklem hareket açıklığı (EHA), servikal kas enduransı, basınç ağrı eşiği (BAE) ve yaşam kalitesi üzerindeki etkilerini karşılaştırmaktı. Yöntem: Kırk KBA'lı bireyin dahil edildiği çalışmada bireyler rastgele servikal stabilizasyon grubu (SG, n=20) ve servikal stabilizasyon-Mulligan mobilizasyon grubu (SMG, n=20) olmak üzere iki gruba ayrıldı. SG'ye sadece dört haftalık servikal stabilizasyon egzersizleri uygulanırken, SMG'ye servikal stabilizasyon egzersizlerine ek olarak dört hafta boyunca Mulligan mobilizasyon teknikleri uygulandı. Tedavi programları öncesinde ve sonrasında bireyler ağrı şiddeti (görsel analog skala), EHA (gonyometrik ölçüm), servikal kas enduransı (endurans testleri), BAE (algometrik ölçüm) ve yaşam kalitesi (Kısa Form-36, KF-36) bakımından değerlendirildi. Bulgular: Tedavi programları sonrasında her iki grupta da bütün parametrelerde anlamlı iyileşmeler bulundu (p<0.05). Ayrıca, SMG'de SG'ye kıyasla; EHA, BAE ve KF-36 skorlarında daha fazla iyileşme görüldü (p<0.05). Sonuç: KBA'da servikal stabilizasyon egzersizlerinin uygulanmasıyla, ağrı şiddeti, EHA, servikal kas enduransı, BAE ve yaşam kalitesinde iyileşmeler elde edilebilir. Bununla birlikte, KBA'lı bireylerde servikal stabilizasyon egzersizlerine ek olarak uygulanan Mulligan mobilizasyon tekniğinin tek başına uygulanan servikal stabilizasyon egzersizlerine kıyasla EHA, BAE ve yaşam kalitesini iyileştirmede daha etkili olduğu söylenebilir.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N