Compare the Effectiveness of Mulligan (Nags & Snags) and McKenzie (Self-Stretching) On Improving the Pain and Functional Ability in Patient with Chronic Neck Pain

Effectiveness of Mulligan and McKenzie in Patient with Chronic Neck Pain


  • Sania Naz Department of Physiotherapy, Government College University Faisalabad, Layyah, Pakistan
  • Nargis Jamali Department of Physiotherapy, University of Lahore, Lahore, Pakistan
  • Arooj Iftikhar Department of Physiotherapy, University of Lahore, Lahore, Pakistan
  • Hira Nawaz Department of Physiotherapy, Afro-Asian Institute, Lahore, Pakistan
  • Touseef Iqbal Punjab University, Lahore, Pakistan
  • Faisal Ghafoor Department of Physiotherapy, Superior University, Lahore, Pakistan



Mulligan, NAGs, SNAGs, McKenzie, Functional Ability, Chronic Neck Pain


Neck pain is Consider the major problems and the prevalence of this musculoskeletal disorders are very common in people. Objective: To compare the effectiveness of mulligan and McKenzie on improving pain and functional ability in chronic neck patient. Methods: This trial was registered with Iranian trail registry with reference no: IRCT20220414054537N4. It’s a Double-Blind Randomized Clinical Trial that was conducted in DHQ Hospital Shadrah a affiliated teaching hospital attached with Afro-Asia University Lahore from 1 May 2022 to 30 June 2022.The sample size was calculated and total 26 patients were divided into two groups. The ages of the patients were around 20-55 years old. The entire patient having the mechanical neck pain was included in this study. Patients were selected from DHQ hospital in May to June 2022 duration. In group A we applied the mulligan technique of manual therapy treatment that included the Natural apophyseal glides, sustained natural apophyseal glides and Self SNAGs in sitting position of the patient. The second group of 13 patients had applied the Mackenzie exercises in seven motions like 4 movement of neck extension,2 movements in lateral flexion and rotation and one movement in flexion direction. Results: Overall the post Numeric pain rating scale and Neck Disability index was significantly improved in group A which received the NAGs & SNAGs Mobilization technique. Conclusion: Mulligan (NAGs SNAGS) is effective than Mackenzie (self-stretching) treatment technique to improve the functional ability and reducing pain in chronic neck patient.


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DOI: 10.54393/pjhs.v4i08.501
Published: 2023-08-31

How to Cite

Naz, S., Jamali, N. ., Iftikhar, A. ., Nawaz, H. ., Iqbal, T. ., & Ghafoor, F. . (2023). Compare the Effectiveness of Mulligan (Nags & Snags) and McKenzie (Self-Stretching) On Improving the Pain and Functional Ability in Patient with Chronic Neck Pain: Effectiveness of Mulligan and McKenzie in Patient with Chronic Neck Pain. Pakistan Journal of Health Sciences, 4(08), 47–52.



Original Article