Effect of sustained natural apophyseal glides versus integrated neuromuscular inhibition technique on non specific neck pain

Authors

  • Hajar M. Edris Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mohammed E. Abdulalim Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
  • Ahmed Salim Mohamed Salim Profesor del Departamento de Fisioterapia Pediátrica y Cirugía, Facultad de Fisioterapia, Universidad Al Salam, Khafr El-Zayat, Egipto
  • Khaled Alaa Eldin Fetouh Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.
  • Nagwa Sayed Abdelwahed Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Maha Samir Younis Ahmed Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Doaa Mohammed El Ghazally El Zawhry Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mennatallah M. Abdellatif Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

DOI:

https://doi.org/10.47197/retos.v79.119235

Keywords:

Neck Pain, Ischemic Compression, Sustained natural apophyseal glides

Abstract

Background: Non Specific Neck pain (NSNP) can be defined as mechanical pain that arises between the occiput as well as the third thoracic vertebra with no specific explanation.

Purpose: To differentiate between the effects of sustained natural apophyseal glides (SNAGs) against integrated neuromuscular inhibition technique (INIT) in patients suffering from Non-Specific Neck Pain (NSNP).

Methods: Sixty individuals were divided into three equivalent groups at random. Conventional Physiotherapy treatment was given to all groups A, B and C, whereas Group B was given SNAGs and Group C was given also the INIT approach. The assessments were conducted with the use of VAS, pressure algometer, CROM, neck disability index.

Results: Statistical analyses (MANOVA, ANOVA, and post-hoc tests) indicated that the differences were statistically significant (P = 0.001) in Pain, Rt Rotation, Lt Rotation and PPT and (P = 0.0001) IN Flexion, Extension, Rt Lateral Flexion, Lt Lateral Flexion, and NDI, indicating that Group C and Group B were more effective than Group A in improving outcomes. The results for Groups B and C were not significantly different. Group C showed the most significant improvement, then followed by Group B, and finally Group A.

Conclusion: Adding SNAGs or INMI to conventional program is beneficial in management NSNP.

Author Biographies

  • Hajar M. Edris, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mohammed E. Abdulalim, Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

    Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

  • Khaled Alaa Eldin Fetouh, Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

    Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

  • Nagwa Sayed Abdelwahed, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Maha Samir Younis Ahmed, Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Doaa Mohammed El Ghazally El Zawhry, Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of  Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mennatallah M. Abdellatif, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

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Published

01-06-2026

Issue

Vol. 79 (2026)

Section

Original Research Article

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Copyright (c) 2026 Hajar M. Edris, Mohammed E. Abdulalim, Heba Allah Samy, Khaled Alaa Eldin Fetouh, Nagwa Sayed Abdelwahed, Maha Samir Younis Ahmed, Doaa Mohammed El Ghazally El Zawhry, Mennatallah M. Abdellatif

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How to Cite

Edris, H. M., Abdulalim, M. E., Salim, A. S. M., Fetouh, K. A. E., Abdelwahed, N. S., Ahmed, M. S. Y., El Zawhry, D. M. E. G., & Abdellatif, M. M. (2026). Effect of sustained natural apophyseal glides versus integrated neuromuscular inhibition technique on non specific neck pain. Retos, 79, 852-861. https://doi.org/10.47197/retos.v79.119235