الفهرس 
Title : Effect Of Integrated Neuromuscular Inhibition Technique Versus Instrument Assisted Soft Tissue Mobilization On chronic Mechanical Neck Pain
AbstractOnly 14 pages are availabe for public view
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Abstract
Mechanical neck pain is a widespread disorder that affects 30 to 50 percent of the population. Mechanical neck pain is frequently related to musculoskeletal conditions. Neck pain may develop active trigger points. Purpose: The purpose of the study was to compare the effect of integrated neuromuscular inhibition technique with instrument assisted soft tissue mobilization in patients with chronic mechanical neck pain. Methods: 60 participants were randomly enrolled into three equal groups. group A (n = 20) received a conventional physical therapy program, group B (n = 20) received a conventional physical therapy program plus integrated neuromuscular inhibition technique and group C (n = 20) received a conventional physical therapy program plus instrument assisted soft tissue mobilization. The measurements were conducted before and after four weeks of intervention with frequency of three times/weeks using the Visual Analogue Scale, Pressure Algometer cervical range of Motion and Neck Disability Index. Results: Each group demonstrated a significant pain intensity level score reduction, pain pressure threshold, range of motion and neck disability index score with P- value less than 0.05. There was no statistically significant difference among the three groups in pain intensity level score and neck disability index score after four weeks of intervention (p =0.99). There was statistically significant difference among the three groups in cervical range of motion after four weeks of intervention; in cervical range of motion group B showed more improvement in group A and group C (P<0.05). There was statistically significant difference among the three groups in pain pressure threshold after four weeks of intervention; in pain pressure threshold group B showed more improvement in group A and group C (P<0.0001), (P= 0.03) respectively. Conclusion: integrated neuromuscular inhibition technique showed more improvement than instrument assisted soft tissue mobilization in improvements of pressure pain threshold and cervical ROM in patients with chronic mechanical neck pain.