Effect of Facet Joint Mobilization and Muscle Energy Technique on Pain, Cervical Range of Motion and Functional Outcome in Subjects with Mechanical Neck Pain

Background: Mechanical neck pain is defined as pain located in the cervical spine, including the cervicothoracic junction. The main feature is pain, restriction of range of motion and functional limitation. Cervical facet joint mobilization (FJM) reducing pain and normalizes function. Muscle spasm in the cervical region along with a minor positional fault in muscle guarding of the levator scapulae and upper trapezius which are all closely related with limitation of range of motion (ROM), of the persons with mechanical neck pain (MNP). Muscle energy technique (MET) can be used to lengthen muscles. MET can improve the range of motion and there by functional outcome. Main objective of the study to find out the effect of facet joint mobilization and MET along with conventional therapy on pain, cervical ROM and functional outcome in participants with MNP. Methods: The study included 30 participants with MNP. All were randomly divided into 2 groups; experimental group (FJM & MET with conventional therapy) control group (MET with conventional therapy). Both groups treated for 5 sessions/week for 6 weeks. Statistical analysis was done for score of NPRS, ROM and NDI at the baseline and after treatment at the end of 6 weeks. Result: This study shows statistical significance in both the group. Experimental group shows better improvement than control group in which along with conventional therapy MET and FJM was given. Conclusion: FJM with MET were effective in reducing pain, improving cervical ROM and functional outcome in participants with MNP. FJM can apply in clinical setup in addition with MET plus conventional therapy in treating MNP.

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