Comparison between Immediate Effect of Postero-Anterior and Antero-Posterior Cervical Mobilization on Chronic Mechanical Neck Pain

Abstract Background: Chronic mechanical neck pain is a common problem that can cause economic and social problems for an individual, although there were different types of joint mobi-lization that have an effect on pain but it still debates which type is more effective than others. Aim of Study: This study was conducted to compare the immediate effect of different techniques of cervical mobiliza-tion (anterior posterior-posterior anterior) on pain intensity in chronic mechanical neck pain. Subjects and Methods: Forty five chronic mechanical neck pain patients were recruited and assigned into 3 groups 2 study and one control group, Group A, B and C with their mean age SD (27.6±6.77), (27.07±6.42) and (28.8±6.99) years with BMI (27.32±2.37), (26.43±2.08) and (26.38±2.14) KG/m2 were recruited and assigned into three groups (two study and one control groups). The study groups (A) and (B) received the mobilization technique (posterior anterior-anterior posterior respectively) and the control group (C) received only ultra-sound assessment was conducted by VAS for pain intensity. Results: There was significant difference in each group (A), (B), and (C) pre and post treatment on pain intensity (p=0.0001). While comparison between the two-study group and the control group, in post treatment effect on pain there was non-significant difference between group (A and B) (p=0.285) and significant difference between groups (A and C), and (B and C) (p=0.0001). Conclusion: There was an immediate effect of posterior anterior-anterior posterior mobilization on pain intensity in patients with chronic mechanical neck pain, but in compare between the two different technique the posterior anterior mobilization had the more immediate effect on decreasing pain.