Effectiveness of neural mobilisation along with mckenzie approach (directional preference) for cervical derangement syndrome

Abstract

Purpose: The study was conducted to identify and investigate the therapeutic effectiveness of the neural mobilisation technique, given along with the McKenzie Approach (Directional Preference) for the treatment of Cervical Derangement Syndrome. This study has made the comparison, in order to discover the most effective treatment protocol to alleviate the symptoms of the condition. Objectives: To assess the effect on pain after introducing Neural Mobilization for Cervical Derangement Syndrome, to measure the severity of pain by using Numeric Pain Rating Scale (NPRS), to identify the distribution of pain, to measure the functional disability by using Neck Disability Index (NDI), to explore the socio-demography of the participants, to investigate the effect on reducing discomfort and functional disability after introducing Neural Mobilization. Methodology: The study was an experimental design. 14 samples were selected randomly from Out-patient treatment service of Musculoskeletal Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar. Initially all the subjects were assessed by McKenzie Cervical Spine Assessment Form at the clinical settings and then data were collected by questionnaires, Numeric Pain Rating Scale (NPRS) was used to assess pain intensity and Neck Disability Index (NDI) was used to measure the functional disabilities of the patients. Experimental Group received combination therapy of Neural Mobilisation techniques along with McKenzie Approach (Directional Preference) while Control Group received McKenzie Approach (Directional Preference) only. Results: The study has used statistical analysis by unrelated t test to compare the Experimental and Control Group and analysed by interpreting the probability level of significance of t value. The results were found to be significant for t value at probability level 0.05. Conclusion: The study concludes that the combination technique is significantly capable of producing beneficial effects on pain reduction, minimization of functional disability and cervical spinal mobility in patients with Cervical Derangement Syndrome.

Keywords: Neural Mobilisation, McKenzie Approach, Directional Preference, Cervical Derangement Syndrome.