Effect of Integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization on chronic mechanical neck pain

Abstract

Background: Mechanical Neck Pain is considered one of the commonly known musculoskeletal conditions with active trigger points. It incorporates a great effect on economic productivity and becomes a major health problem. Purpose: to compare the effect of integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization in patients with chronic mechanical neck pain. Methods: 60 participants were randomly enrolled into three equal groups. Group A received a conventional physical therapy program, Group B received a conventional physical therapy program plus integrated neuromuscular inhibition technique, and Group C received a conventional physical therapy program plus instrument assisted soft tissue mobilization. The measurements were conducted using the Visual Analogue Scale, Cervical Range of Motion, Neck Disability Index and Pressure Algometer. Results: MANOVA test demonstrated a significant pain reduction in the three groups. Cervical ROM revealed that there was more improvement in group C. Neck disability index, there were no significant differences in improvement of three groups. Pain pressure threshold, there was more improvement in group C. Conclusion: Integrated Neuromuscular Inhibition Technique showed superiority than Instrument Assisted Soft Tissue Mobilization in improvements of pain intensity level, cervical ROM, neck disability level and pressure pain threshold in patients with chronic mechanical neck pain.

Sleep Quality, and Fatigue As Predictive Factors For Mechanical Neck Pain

“…216 (93.91%) subjects had neck disability and 14 (6.09%) subjects were free. Participant characteristics are presented in table (1). The mean ± SD NDI of the study group was 24.29 ± 15.58.…”

“…People with neck pain who don't have identified pathological cause for their symptoms, are usually diagnosed as having mechanical neck pain, which is well known muscular condition (1) Neck pain is one of the most serious work-related health issues, and it is linked to a variety of factors, including physical and psychological stress (2), Approximately half of all people will have a clinically significant neck pain episode over their lifetime, also it considered as the fourth most common cause of disability, after back pain, depression, and joint pain according to the Global Burden of Disease 2010 Study (3).…”