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Abstract
Mechanical Neck pain is a very common musculoskeletal disorder in which zygapophyseal joint is a common source of disorder. To explore and compare effects of cervical high velocity low amplitude (HVLA) manipulation versus sustained natural apophyseal glides (SNAGs) on pain, intervertebral mobility and cervical range of motion. Forty patients with chronic mechanical neck pain participated in this study, their age ranged from 21 to 40 years with a mean (26.33 ± 5.45) years. Patients were randomly assigned into two groups group I (cervical manipulation) and group II (SNAGs). Variables were evaluated pre and immediately after treatment, including pain intensity (by visual analogue scale), Fluoroscope was used to assess intervertebral mobility in lateral bending to the affected side (IVMLBAS), Intervertebral mobility in lateral bending to the contralateral side (IVMLBCS), intervertebral mobility in flexion ”IVMF”, intervertebral mobility in extension ”IVME”. CROM device was used to assess range of motion of lateral bending to the affected side (ROMLBAS), range of motion of lateral bending to the contralateral side (ROMLBCS), range of motion in flexion ”ROMF”, and range of motion in extension ROME