Acute effect of mulligan mobilization technique and kinesiological banding on pain, joint range of motion,kinesiophobia and functionality in patients with nonspesific chronic neck pain

The aim of our study; To investigate the acute effects of Mulligan mobilization technique (MMT) and Kinesiology taping on pain, range of motion, kinesiophobia and functionality in patients with non-specific Chronic Neck Pain (NCCA). 66 volunteer patients aged between 18-65 years diagnosed with Nonspecific Chronic Neck Pain were divided into 3 groups. Group 1 was given MMT and Kinesiology Taping, Group 2 was given MMT and placebo kinesiology taping, Group 3 was given placebo kinesiology taping. Patients were evaluated before and after the applications. Pain level (in neck flexion and neck extension) was evaluated with numerical pain scoring scale (NPRS), range of motion was evaluated with goniometer, fear of movement was evaluated with Tampa kinesiophobia scale (TKO), and change in sense of functionality was evaluated with global rating scale (GRS). After the treatments, pain levels showed a statistically significant decrease in Group 1 and Group 2 (p<0.05), but no clinically significant change was found in Group 3 (p>0.05). There was no significant difference between Group 1 and Group 2 pain level scores (p>0.05). Active cervical flexion angles before and after the application were significantly different in Group 1 and Group 2 (p<0.05), while active right/left lateral flexion, right/left rotation angles changed significantly only in Group 1 (p<0.05). 0.05). Active cervical flexion angles between the groups were significantly different before and after treatment (p<0.05). While no significant change was observed in kinesiophobia levels in all groups after the application (p>0.05), intergroup analyzes showed statistical significance (0.05> p>0.10). In terms of global rating scores, there was a statistically significant difference in all groups after the application (p<0.05). Group 1 in the change in sense of functionality; It was significantly higher than Group 2 and Group 3 and Group 2 than Group 3 (p<0.05). In this study, Mulligan Mobilization Technique and Kinesiology Taping were shown to be effective in NCCA. As a result of this study, while the MMT-SNAGs technique, when applied alone or together with the Kinesiology Taping-Functional Correction technique, provided a positive acute effect on flexion and extension pain, cervical ROM and change in sense of functionality, it did not provide an acute effect on kinesiophobia and similar effects were observed in the group that received placebo kinesiology taping.