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Abstract
Purpose: The purpose of this study was to compare the effect of cervical Sustained Natural Apophoseal Glides with Myofascial Release on pain intensity, spinal mobility and function in patients with non-specific neck pain. Subjects: Forty five patient with non specific neck pain (21 males and 24 females), age ranged from 20 to 35 years participated in this study. They were assigned into three equal groups, 15 patients: group A received cervical mobilization with movement (MWM) (Accompanied with stretching and strengthening exercises for upper cervical muscles, 12 sessions over four weeks, each other day) .group B received cervical myofascial release (MFR) (Accompanied with the same stretching and strengthening exercises for upper cervical muscles , 12 sessions over four weeks, each other day).group C received cervical stretching and strengthening exercises for upper cervical muscles only for 12 sessions over four weeks ,each other day .Methods: Visual analogue scale was used for assessment of pain intensity, Myrin OB goniometer was used for assessment of active cervical range of motion and neck disability index as an indication of neck functional ability. Measurements were taken before treatment and after 12 week of treatment Results: statistical analysis revealed that there was significant decrease in the pain intensity, neck disability index, and the active range of motion of the neck were significantly improved in group A and B .the control group has the least effect. Conclusion: Cervical mobilization with movement technique and Myofascial release technique for upper cervical muscles were safe and effective modalities, and have the same improvements in pain level, Range of motion and functional ability in patients with non specificneck pain