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EFFECTS OF SUSTAINED NATURAL APOPHYSEAL GLIDES VERSUS CERVICAL MANIPULATION ON PAIN AND DISABILITY IN NON-SPECIFIC NECK PAIN AMONG WRESTLERS

. Shumana Zakaullah, Sabiha Arshad & Muniba Afzal Dar


Abstract

Background: Due to the high prevalence of neck pain and disability among elite wrestlers, both SNAGs and cervical manipulation are frequently employed manual therapy techniques on these athletes.

 

Objective: To compare the effects of SNAGs versus cervical manipulation on pain and disability in non-specific neck pain among wrestlers.

 

Methodology: This study was a randomized clinical trial. Participants were allocated randomly into two main groups A and B. Group A was the SNAG group. Group B was the cervical manipulation. All participants were selected according to the inclusion and exclusion criteria. Data was collected from players in Gujranwala wrestling clubs and Pakistan sports board. NDI and NPRS both questionnaires were used to find the disability and deformity in neck and intensity of pain respectively. Informed consent was taken from all participants. The study was conducted over a period of six months. Data was collected before the treatment and after six weeks at the completion of treatment. There were two sessions per week. Group A participants received snags while group B received cervical manipulation to compare the effects of both techniques. SPSS version 25 was used for data analysis.

 

Results: Parametric tests were used after the Shapiro-Wilk test confirming that the data was normal. Results showed that using both techniques resulted in a considerable decrease in neck pain and disability. Additionally, the p-value of <0.005 indicated a statistically significant difference and the mean difference showed sustained natural apophyseal glides were more effective.

Conclusion: It was concluded that neck pain and disability were significantly reduced in participants receiving either SNAGs or cervical manipulation, although SNAGs were reported to be more effective overall than cervical manipulation.

Keywords: Cervical manipulation, Disability, Neck injury, Pain, Snags.

 

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