INTRODUCTIONCervical Spondylosis (CS) is a common term that denotes degenerative changes that develop with aging, or secondarily as a result of trauma or other pathological condition.1 These degenerative changes in cervical spine may remain asymptomatic or can present as pure axial neck pain, cervical radiculopathy, cervical myelopathy, or cervical myeloradiculopathy.Radiological evidence of asymptomatic CS is seen frequently, with an incidence of 50% over the age of 40 and 85% over the age of 60, neck pain and radiculopathy are relatively common, with about two thirds of the UK population having neck pain at some point in their lives.
2A study done on Indian population reported 78% of radiological changes of CS at C5-C6 and C6-C7 levels in asymptomatic individuals.
3The earliest event is probably a biochemical change in the substance of the disc, resulting in decreased water content. This causes an alteration in the biomechanics of the spine due to loss of the shock absorber-like action of the discs. As a result, secondary changes occur in the other component tissues (facet joints and ligaments) comprising the other elements of articulation between the ABSTRACT Background: Cervical spondylosis is a general term that refers to the degenerative changes that develop either spontaneously with age, or secondarily as the result of trauma or other pathological condition. The symptoms of cervical spondylosis include pain which might be radiating or localized in the neck, limitation of neck movements, postural abnormalities. The aim of this preliminary study was to investigate effectiveness of Gong's Mobilization in the relief of pain, improvement in range of motion and functions in individuals with cervical spondylosis. Methods: Thirty subjects (19 male and 11 female) randomly allocated in two groups (Group A and B) using the coin method. Group A received Gong's mobilization along with hydro collator packs and isometric exercises, group B received Sustained Natural Apophyseal Glides (SNAGs) along with hydro collator packs and isometric exercises. The treatment period lasted 4 weeks in total. Pain on visual analogue scale, Range Of Motion (ROM) by universal goniometer and functional disability on neck disability index was assessed on day one pre and post intervention at the end of two weeks and end of 4 th week. Results: The findings of this study suggest that both the interventions are effective in reducing pain, improving ROM and decreasing the level of disability but particularly the Gong's mobilization is more effective (P <0.01) in correcting posture, reducing pain, improving ROM and decreasing the level of disability. Conclusions: Gong's mobilization can be utilized in the treatment of cervical spondylosis.