AbstractBackground and purpose:
Neck pain is one of the commonest musculoskeletal problems affecting 70% of the population. It is characterized by periodic remissions and varying degree of functional recovery. Most of the affected individuals recover, but some go into Chronic Neck Pain and Disability.1 Neck pain has multifactorial aetiology. It is evident that IASTM helps in enhancing proliferation of extracellular matrix fibroblast, decrease the cellular matrix adhesions and improve the ion transport. This tool provides mechanical advantage. MFR is a soft tissue mobilizing technique which facilitates mechanical, neural and psychophysiological adaptive potentials through myofascial system. It eliminates the excessive pressure on pain sensitive structure and restores the proper alignment of the tissue. and very little focus is given to strengthening the deep Cervical Flexors. However there is abundant literature on the techniques but there is paucity of literature on the comparison of the effectiveness of the two techniques along with Deep Cervical Flexors Strengthening.
Method: This study was an Experimental study design. The samples were selected with the inclusion criteria of score more than 6 on NPRS and subjects were then randomized into 2 groups. 30 subjects were selected, in the age ranging from 18-50years and were assigned into two groups; Group A Instrument assisted soft tissue mobilization, Group B Myofascial release both along with Deep Cervical Flexors strengthening 15 subjects in each group for 3 weeks with 3 sessions per week. Pain was measured using Numerical pain rating scale as an inclusion criteria and disability and mobility was assessed using Neck Disability Index and Pressure Biofeedback Unit Both scales were taken pre intervention and post intervention at the end of three weeks.
Results: When means were analyzed using Paired ‘t’ test as a parametric and Wilcoxon signed rank test as a non-parametric test have been used to analysis the variables pre-intervention to post-intervention with calculation of percentage of change, there was a statistically significant improvements in means of NPRS, NDI and PBU Scale in terms of pain, disability and mobility, Also, when Independent ‘t’ test as a parametric and Mann Whitney U test as a non-parametric test have been used to compare the means of variables between groups with calculation of percentage of difference between the means. Post intervention scores were compared between the groups there is no significant difference in the effectiveness of the techniques in both IASTM and MFR.
Conclusion: The present study concludes that both IASTM and MFR along with Deep Cervical Flexors Strengthening are effective in reducing pain, disability and mobility at the neck in subjects with Non Specific Neck Pain.