Effectiveness of Cervical Manual Mobilization Techniques versus Stretching Exercises for Pain Relief in the Management of Neck Pain: A Randomized Control Trail


  • Nida Waheed
  • Muhammad Amir
  • Rabia, Noureen
  • Sumaira Nawaz




Neck Pain, Manual Mobilization Technique, Stretching Exercises, Neck Pain Disability Index Questionnaire, Numeric Pain Rating Scale, Range of Motion.


Background: Although a huge literature is available regarding the efficacy of various physiotherapy
techniques for neck pain. This study was to compare effectiveness of stretching exercises versus manual
mobilization techniques in management of neck pain along withhome exercises program.
Methodology: A randomized controlled trial parallel group design study was conducted on the patients
suffering from neck pain. Participants with the history of NP and aged between 19 to 60 years, Neck
pain without radiculopathy, no history of trauma was included in the study. Two outcomes measures
were used. NPRS and neck pain disability questionnaire. Two groups were equally divided had twentyfive
patients each. Group A received treatment cervical stretching with strengthening exercises as hometreatment
program and group B received manual mobilization with strengthening exercises as hometreatment
program. Six sessions were given on alternate basis and assessed pre- and post-treatment
information of all patients.
Result: The results of the study is that NPRS outcomes in two treatment groups, in stretching exercises
before treatment 68% samples found with moderate pain, whereas in manual mobilization techniques
52% samples found with severe pain, after treatment, in stretching exercises 76% samples converted
to mild pain, and in manual mobilization techniques 88% samples converted to mild pain, however
p-value of Mann Whitney U-test suggested that, both treatment performing similar on average in all
Conclusion: The conclusion of the study is that both the treatment therapies are effective in Np and
patient condition is improving as such there were not any significant differences in these treatment
groups. Patient’s quality of life is improving with the both therapies.

Author Biographies

Nida Waheed

MSc.PT in Neuro-Musculoskeletal Rehabilitation, DPT(D),BS(PT) College of physiotherapy, JPMC,
Karachi, Academic Coordinator/ Lecturer , Department of Physical Therapy INDUS University, Pakistan,

Muhammad Amir

Research Coordinator, College of Physiotherapy JPMC Karachi

Rabia, Noureen

MSCPT, College of Physiotherapy,
JPMC, Karachi, consultant Physiotherapist, Ali Medicare Hospital, Toba Tek Singh, Pakistan

Sumaira Nawaz

Musculoskeletal Rehabilitation, College of Physiotherapy, JPMC,Karachi, Physiotherapist, Medical Center
Fauji Fertilizer Company, MirpurMathelo, Pakistan