Effectiveness of Gong’s mobilization in cervical spondylosis: a prospective comparative study
Keywords:Cervical spondylosis, Gong’s mobilization, SNAGs
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 4th 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.
Voorhies RM. Cervical spodylosis: recognition, differential diagnosis, and management. Ochsner J. 2001;3:78-84.
Hirpara KM, Butler JS, Dolan RT, O’Byrne JM, Poynton AR. Nonoperative modalities to treat symptomatic cervical spondylosis. Adv Orthop. 2012;2012:294857.
Jain UK, Agarwal AK, Sharma VP, Rastogi S, Kishan H, Goel MK. Cervical spondylosis: a clinical study with comparative radiology in Indian population. Indian J Orthop. 1986;20(1):23-7.
Creighton DS, Viti J, Krauss J. Use of translatoric mobilization in patient with cervical spondylotic degeneration: a case report. J Manual Ther. 2005;13;10-26.
Egwu MO. Relative therapeutic efficacy of some vertebral mobilization technique in the management of unilateral cervical spondylosis: a comparative study. J Phys Ther Sci. 2008;20:103-8.
Desai N, Khatri SM, Rao K. Are self-snags effective for chronic neck pain? Roman J Physiother. 2012;18:9-15.
Reid SA, Rivett DA, Katekar MG, Callister R. Sustained natural apophyseal glides, (SNAGs) are an effective treatment for cervicogenic dizziness. Manual Ther. 2008;13(4):357-66.
Gong W, Hawang G, Lee Y. The effect of Gong’s mobilization on cervical lordosis, forward head posture, and cervical ROM in abnormal posture of the cervical spine of college students. J Phys Ther Sci. 2011;23:531-4.
Boonstra, Anne M, Schiphorst Preuper, Henrica R, Reneman, Michiel F, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008;31(2):165-9.
Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion--comparison of three methods. Phys Ther. 1991;71(2);98-104.
Macdermid J, Walton D, Avery S, Blanchard A, Etruw E, Mcalpine C, et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Physiother. 2009;39:400-15.
Hegdus EJ, Goode A, Butler RJ, Slaven E. Neurophysiological effects of spinal joint mobilization. J Manual Manipul Ther. 2011;19:143-5.
Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of literature. Eur Spine J. 2006;15:834-48.
Anderson HI. Epidemiology of chronic pain in Swedish rural area. Qual Life Res. 1994;3(1):19-26.
Moulson A, Watson T. A preliminary investigation into the relationship between cervical snags and sympathetic nervous system activity in the upper limbs of an asymptomatic population. Manual Ther. 2006;11(3):214-24.
Kulkarni Sukhada. Comparative effectiveness of three manual therapy techniques in chronic cervical spondylosis with unilateral radiculopathy-a randomized clinical trial. In: Kulkarni Sukhada, eds. PhD Thesis. Belgaum, Karnataka, India: KLE University; 2010.
Gross AR, Hoving JL, Haines TA, Goldsmith CH, Kay T, Aker P, et al. A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine. 2004;29(14):1541-8.
Bronfort G, Evan R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine. 2001;26(7):788-99.
Skargren EI, Oberg BE. Predictive factors for 1-year outcome of low back and neck pain in patients treated in primary care: comparison between the treatment strategies chiropractic and physiotherapy. Pain. 1998;77:201-7.