Özet:

Introduction: throat pain is a common spinal complaint and is often used in manual therapy in recent periods. Purpose: Identifying the effects of manual therapy applied to the cervical spine in patients with non-specific neck pain on mobility, pain, pressure pain threshold and disability. Individuals and Method: 95 patients were divided into three groups by simple random method. The group 1 applied traditional physiotherapy approaches to the cervical area (heat application and home program along with transcutaneous electric stimulation), while the group 2 applied cervical mobilization and the group 3 applied plasebo mobilization. In the three-week treatment program, manual and placebo applications were performed two days a week, at the same time and in the same position. Before and after treatment, mobility, pain, pressure pain threshold and disability were assessed with CROM Device, Visual Analog Scale, J-tech Digital Algorithm Device and neck Disability Survey. Results: In Group 2, all parameters had statistically meaningful improvement after treatment, while this improvement was more than the other two groups (p<0,05). Statistically, a decrease in mobility and pain in some parameters was more observed in Group 3 than in Group 1 (p<0,05). In patients with non-specific neck pain, manual therapy applied to the cervical area has a more noticeable and meaningful effect on mobility, pain, pressure pain threshold and disability. ABSTRACT Introduction: Neck pain is one of the common spine problems and manual therapy has been used frequently in its treatment recently. Objectives: To determine the effect of manual therapy applied as joint mobilization to the cervical spine on mobility, pain, pressure pain threshold and disability in patients with non-specific neck pain. Subjects and Methods: Ninety-five study subjects were randomly assigned to three groups by simple random method. Traditional physiotherapy approaches (Transcutaneous Electrical Stimulation, hot pack, and home-based exercise program) were applied to the cervical region for Group 1, while both traditional physiotherapy approaches and cervical mobilization were applied for Group 2 and both traditional physiotherapy approaches and placebo joint mobilization were applied for Group 3. In the three-week treatment program, manual and placebo applications were executed two days in a week, for the same duration and position. Before and at the end of the treatment program, mobility, pain, pressure pain threshold and disability were evaluated with CROM device, Visual Analogue Scale, J-tech digital algometer device and Neck Disability Index. Results: While there was a statistically significant improvement after treatment in Group 2 in all parameters, this improvement was greater than the other two groups (p <0.05). The decrease in some parameters of mobility and pain was found more in Group 3 compared to Group 1, statistically (p <0.05). Conclusion: Manual therapy has a more pronounced and significant effect on mobility, pain, pressure pain threshold, and disability in patients with non-specific neck pain. Keywords: manual therapy, mobility, pressure pain threshold, function.

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