Effect of Integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization on chronic mechanical neck pain

Rania R Mohamed; Hajar M Edris; Wadida H Elsayed; Nabil H Mohamed

doi:10.53730/ijhs.v6nS8.11871

Authors

Rania R Mohamed
raniareda22@cu.edu.eg
Lecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Hajar M Edris Assistant Lecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Sinai University, Ismailia, Egypt
Wadida H Elsayed Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Nabil H Mohamed Professor of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Keywords:

integrated neuromuscular inhibition technique, instrument assisted soft tissue mobilization, chronic mechanical neck pain

Abstract

Background: Mechanical Neck Pain is considered one of the commonly known musculoskeletal conditions with active trigger points. It incorporates a great effect on economic productivity and becomes a major health problem. Purpose: to compare the effect of integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization in patients with chronic mechanical neck pain. Methods: 60 participants were randomly enrolled into three equal groups. Group A received a conventional physical therapy program, Group B received a conventional physical therapy program plus integrated neuromuscular inhibition technique, and Group C received a conventional physical therapy program plus instrument assisted soft tissue mobilization. The measurements were conducted using the Visual Analogue Scale, Cervical Range of Motion, Neck Disability Index and Pressure Algometer. Results: MANOVA test demonstrated a significant pain reduction in the three groups. Cervical ROM revealed that there was more improvement in group C. Neck disability index, there were no significant differences in improvement of three groups. Pain pressure threshold, there was more improvement in group C. Conclusion: Integrated Neuromuscular Inhibition Technique showed superiority than Instrument Assisted Soft Tissue Mobilization in improvements of pain intensity level, cervical ROM, neck disability level and pressure pain threshold in patients with chronic mechanical neck pain.

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