The Effectiveness of the Mulligan Concept Sustained Natural Apophyseal Glide Method in Patients with Non-specific Neck Pain: A Randomized Controlled Single-Blinded Trial


KORKEM YORULMAZ D., Çelik M., Şahan T. Y., AYTAR A., Elbaşi N. D., BİRBİR B.

Archives of Health Science and Research, cilt.12, ss.1-8, 2025 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12
  • Basım Tarihi: 2025
  • Doi Numarası: 10.5152/archealthscires.2025.25202
  • Dergi Adı: Archives of Health Science and Research
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.1-8
  • Anahtar Kelimeler: Manual therapy, neck pain, quality of life, range of motion, sleep quality
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The study aimed to investigate the effectiveness of the Mulligan concept cervical sustained natural apophyseal glide (SNAG) mobilization method in people with non-specific neck pain (NSNP). Methods: The study was conducted with 32 patients aged 18-50 years. The patients were divided randomly into the study (n=16) and control (n=16) groups. A total of 15 treatment sessions were applied to both groups. Joint range of motion (ROM) was evaluated with a universal goniometer, pain assessments with the short-form McGill questionnaire, functionality with the Neck Disability Index, quality of life with the Nottingham Health Profile scale, and sleep levels with the Pittsburgh Sleep Quality Index. Results: Significant differences were detected in the measurement of ROM, pain, and neck disability severity before and after treatment in both the study and control groups (P < .05). Although no significant differences were detected in sleep quality and quality of life scores in the study group before and after treatment (P > .05), significant differences were detected in the control group (P < .05). After treatment, no differences were detected between the 2 groups in terms of ROM, pain, the severity of neck disability, sleep quality, and quality of life (P > .05). Conclusion: The SNAG method was found to be effective in improving cervical ROM, reducing pain, and disability. This study highlights the clinical relevance of the SNAG method as a safe and effective manual therapy technique for improving cervical mobility and reducing pain in individuals with NSNP.