Enhancing Cervical Mobility and Pain Relief: Role of Muscle Energy Technique in the Management of Chronic Mechanical Neck Pain

Abstract

Chronic mechanical neck pain is a prevalent musculoskeletal condition that significantly impacts daily functioning and quality of life. Traditional physical therapy methods provide symptomatic relief but may not fully address underlying biomechanical dysfunctions. This randomized controlled trial aimed to evaluate the immediate effects of Muscle Energy Technique (MET) combined with conventional physical therapy versus conventional therapy alone on pain intensity and cervical range of motion (ROM) in individuals with chronic mechanical neck pain.

Fifty participants aged 18–50 years with non-specific neck pain persisting for over three months were randomized into two groups. The experimental group received one session of MET in addition to conventional therapy (hot packs, isometric exercises, postural correction), while the control group received only conventional therapy. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), and cervical ROM was measured with a goniometer pre- and post-intervention.

Results indicated significant improvements in the MET group in pain reduction (NPRS: 6.4 to 3.2, p = 0.024) and all cervical ROM directions compared to the control group (p < 0.05). The control group showed minor, mostly non-significant improvements.

This study concludes that MET is an effective adjunct to conventional physical therapy for immediate improvement in pain and cervical mobility in chronic mechanical neck pain. Further research is warranted to explore its long-term effects and broader clinical applicability.