الفهرس 
Title: Efficacy of centrally applied mulligan sustained natural apophyseal glide mobilization on patients with chronic mechanical neck dysfunction
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Abstract
Background: mechanical neck dysfunction (MND) is a common disorder prevailing among individuals of different population. This study conducted to investigate the efficacy of cervical central sustained natural apophyseal glides (SNAGs) on neck pain severity level, ROM and functional disability in patients with chronic mechanical neck dysfunction. Methods: Thirty male and female patients who met the inclusion criteria were randomly assigned into two groups. group A( n=15 ) received central SNAGs in addition to conventional exercise therapy program for the neck in form of (isometric exercises, stretching exercises, and postural exercises ), group B (n =15) were treated by same exercise therapy program only, treatment received three sessions per week for successive 4 weeks . Visual analogue scale (VAS), Myrin OB goniometer for cervical ROM and neck disability index (NDI) were measured at two intervals pre-treatment and post-treatment. Results: MANOVA and post hoc tests revealed that there was statistical significant reduction in pain severity level, and functional disability only ,within both groups (p< 0.001) although there was no statistical significant results between groups( P=0.134). But there was clinical difference and high percent of improvement 2clinically3 in favor to group A concerning pain level, flexion, extension, bilateral side bending ROM and functional disability, however bilateral rotation ROM showed clinical difference in favor to group A