Department of Physical Therapy, King Abdulaziz Hospital, Jeddah, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2021 Jan;42(1):82-90. doi: 10.15537/smj.2021.1.25589.
To compare the effectiveness of Maitland versus Mulligan mobilization techniques on pain, functional disability, and psychological status in patients with neck pain.
Forty-four patients with nonspecific neck pain were randomly assigned to the Maitland group (n=22 patients received Maitland therapy [central or unilateral postero-anterior pressure] for 2 sessions/week for 3 weeks) and Mulligan group (n=22 patients received Mulligan sustained natural apophyseal glides for 2 sessions/week for 3 weeks). This study was conducted at the Rehabilitation Clinic, King Abdulaziz Hospital, Jeddah, Kingdom of Saudi Arabia between December 2016 to May 2017. The outcome measures were the numeric pain rating scale score, neck disability index score, beck depression inventory score, State-trait anxiety inventory score, fear avoidance beliefs questionnaire, and pain catastrophic scale results. The independent t-test, Shapiro-Wilk test, and paired t-test were used in data analysis.
There were significant improvements in mean values of the numeric pain rating scale, neck disability index, beck depression inventory, state-trait anxiety inventory scores, and pain catastrophic scale results after the interventions in both groups (p less than 0.05, all except fear avoidance beliefs results in mulligan group p greater than 0.05), and there were no significant differences in mean values between the groups (p greater than 0.05). Conclusion. In patients with nonspecific neck pain, Maitland and Mulligan mobilization techniques have positive effects on neck pain, functional disability, and selected psychological features with no significant difference between them.
比较麦特兰德与穆里根松动术治疗颈痛患者的疗效，评估疼痛、功能障碍和心理状态的改善情况。
44 例非特异性颈痛患者随机分为麦特兰德组（22 例，每周 2 次接受麦特兰德治疗[中央或单侧后前压力]，持续 3 周）和穆里根组（22 例，每周 2 次接受穆里根持续自然关节突滑动治疗，持续 3 周）。该研究于 2016 年 12 月至 2017 年 5 月在沙特阿拉伯吉达阿卜杜勒阿齐兹国王医院康复科进行。结局指标包括数字疼痛评分量表评分、颈痛残疾指数评分、贝克抑郁量表评分、状态-特质焦虑量表评分、恐惧回避信念问卷和疼痛灾难化量表评分。数据分析采用独立样本 t 检验、Shapiro-Wilk 检验和配对 t 检验。
两组患者的数字疼痛评分量表、颈痛残疾指数、贝克抑郁量表、状态-特质焦虑量表评分和疼痛灾难化量表评分均有显著改善（均 p＜0.05，除穆里根组的恐惧回避信念问卷评分外 p＞0.05），组间差异无统计学意义（p＞0.05）。结论：对于非特异性颈痛患者，麦特兰德和穆里根松动术均可有效改善颈痛、功能障碍和部分心理特征，且两种方法的疗效无显著差异。
