Effects of Cervicothoracic Self-Mobilization Along with Conservative Treatment in Subacute Neck Pain: Randomized Controlled Trial

Abstract

Background: Subacute neck pain is a common musculoskeletal condition that can significantly affect daily functioning and quality of life. Traditional treatment often provides temporary relief, leading to a growing interest in alternative approaches such as cervicothoracic self-mobilization. This technique is believed to alleviate pain, improve mobility, and restore function through patient-directed movements. Objective: To compare the effects of cervicothoracic self-mobilization along with conservative treatment on pain intensity, cervical range of motion, and neck disability in individuals with subacute neck pain. Methodology: A randomized controlled trial was conducted with 66 participants diagnosed with subacute neck pain, and data were collected from Bajwa Hospital, Lahore. Participants with an age range of 20 to 45 years, both genders, those who had a history of sub-acute pain lasting at least three weeks, and reported a pain intensity of ≥3 on the Numerical Pain Rating Scale. Patients were excluded if they had a history of cervical fracture, tumor, or other inflammatory diseases. Individuals presenting with radiculopathy or neuropathy were also excluded. Additionally, patients diagnosed with vestibular dysfunction were excluded, as were pregnant or lactating females. Participants were randomly assigned to either a control group that received standard physical therapy or an experimental group that underwent cervicothoracic self-mobilization along with conservative treatment. Pre- and post-treatment assessments included the Numeric Pain Rating Scale, Neck Disability Index, and cervical range of motion. The intervention was conducted over six weeks, with the experimental group performing self-mobilization exercises three to five times per week. Results: Significant improvements were observed in the experimental group, with pain intensity decreasing from 7.81 to 4.51 (p<0.001), neck disability reduced from 28.86 to 18.86 (p<0.001), and improvement in cervical flexion and extension (p<0.001). Conclusion: Cervicothoracic self-mobilization, along with conservative treatment, is an effective intervention in the reduction of pain, improving cervical range of motion, and decreasing neck disability in patients with subacute neck pain. This technique offers a practical, low-cost treatment option for improving functional outcomes.