IMMEDIATE MULLIGAN SNAG EFFECT ON CERVICAL ROTATION AND PAIN YOUNG ADULTS WITH SMARTPHONE -RELATED NECK PAIN

Background: Prolonged Smartphone use is commonly associated with neck pain and reduced cervical rotation due to sustained static postures and increased mechanical stress on the cervical spine. Limited cervical mobility may interfere with daily functional activities and overall physical performance. Therefore, the need of the study is to determine the Immediate Mulligan SNAG effects on cervical rotation and pain among adults with Smartphone-related neck pain. Objective: To evaluate the immediate effect of Mulligan Sustained Natural Apophyseal Glide on cervical rotation range of motion and neck pain among adults with Smartphone-related neck pain. Methods: A pre–post experimental study was conducted on 30 adults with Smartphone-related neck pain. Cervical rotation range of motion was measured using a goniometer, and pain intensity was assessed using the Numeric Pain Rating Scale (NPRS). Mulligan Sustained Natural Apophyseal Glide (SNAG) was applied to the cervical spine. Pre- and post-intervention data were analyzed using SPSS software, and a paired t-test was performed to evaluate the effectiveness of the intervention. Results: Both males (n = 5) and females (n = 25) showed statistically significant immediate reduction in neck pain following Mulligan SNAG. Pain scores decreased significantly in both genders (p ≤ 0.001). Cervical rotation range of motion improved significantly on both sides in males and females (p < 0.01). However, no statistically significant difference was observed between males and females in pain reduction or cervical rotation improvement (p > 0.05). Conclusion: Mulligan SNAG produces immediate improvement in cervical rotation range of motion and reduces neck pain in young adults with Smartphone-related neck pain, making it an effective manual therapy intervention. Keywords: Immediate effect, Mulligan SNAG, Neck pain, cervical rotation