Background: Mechanical Neck Pain is very common condition in general population. It still constitutes a major burden on patients in terms of pain, disability, loss of income, and on society in terms of healthcare costs and time of work. A wide variety of treatment protocols for mechanical neck pain are available, however, the most effective management remains an area of debate.Objective: Aim of the study is to compare the effectiveness ofMuscle Energy Technique and Mulligan SNAGS on pain, functional disability and active cervical range of motion for individuals with mechanical neck pain.Methodology: 40subjectsaccording to inclusion and exclusion criteria were randomly divided in to two groups for the study, Muscle Energy Technique plus conventional therapy and Mulligan SNAGS plus conventional therapy.
Results: The results were analyzed by Paired t-test or Wilcoxon signed ranks test (Intra-group Comparison) and unpaired t-test or Mann-Whitney U test (Inter-group Comparison) comparing Muscle Energy Technique andMulligan SNAGS groups for post-treatment effects. Both the groups showed equal effectiveness regarding to VAS, NDI and Cervical ROM.
Conclusion:Muscle energy Technique and Mulligan SNAGS can be used as alternate treatment along with conventional therapy for mechanical neck pain.
Background:The knee complex is the most often injured joints in human body. Performing functional tasks like getting up from the bench, unipedal jumping and rising on the heels may favour patella lateralization and predispose towards developing patellofemoral disorders. It has been hypothesized that an imbalance between the vastus medialis oblique (VMO) and the vastus lateralis (VL) muscles, may be an etiological factor in the development of patellofemoral pain syndrome. The squat is one of the most frequently used Exercises to strengthen VMO for strengthening and conditioning in many sports routines designed to enhance athletic performance.Purpose Of Study: To determine the VMO muscles activity and VMO/VL ratio with 30 degree of squat in different hip position.Methods: 250 normal healthy individual, with age ranging from 18-25 years, who fulfilled the inclusion and exclusion criteria, were recruited in the study. MVIC was recorded for vastus medialis obliqus and vastus lateralis form both knees with 30 degree squat position. Three position of hip (Neutral hip position, 45º medial rotation of hip and 30º lateral rotation of hip) were performed in both lower limb and activity of all these muscles was recorded via EMG.Results: Data analysis was done by repeated measure ANOVA with tukey corrections for pair-wise comparison of muscle activity with all positions of hip for each muscle. The results showed a muscle activity for VMO minimal activity is found in lateral rotation of hip and maximum activity is found in medial rotation of hip. And for VL minimal activity is found in neutral rotation of hip and maximum activity is found in medial rotation of hip. So the ratio of VMO/VL is found minimum in lateral rotation and maximum in medial rotation. (p>0.05).
Conclusion:It can be concluded from this study that in semisquat position medial rotation of hip gives better activation for Vastus medialis obliqus muscle and increase ratio of VMO/VL. So, it can be used in knee rehabilitation program.
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