Abstract
Objective: The objective of the study was to determine the immediate effectiveness of soft tissue mobilization versus scapular mobilization on mechanical neck pain.
Study Design: It was Randomized controlled trial.
Place and duration of study: This study was conducted at Al Khidmat Razi hospital and CASHT clinic, over a period of six
months from March 2025 to August 2025.
Material and Methods: A total of 52 patients of both genders, aged 18–60 years, with diagnosed mechanical neck pain were randomly allocated to two groups using the coin-toss method. Patients with cervical radiculopathy, scapular winging, severe cognitive impairment, cervical spine infection or abscess, soft tissue or joint malignancy, a recent related fracture, or recent surgery were excluded. Group 1 received soft tissue mobilization and Group 2 received scapular mobilization; pain was measured using the Numeric Pain Rating Scale (NPRS) before and immediately after treatment. Data were analysed using SPSS version 27.
Results: The mean NPRS score in Group 1 improved from 7.38±1.203 to 2.15±1.156 (p<0.05), and in Group 2 from 7.27±1.218 to 3.88±1.558 (p<0.05); between-group comparison also showed a significant difference (p<0.05). When both groups were compared, p value < 0.05 indicated that there is significant difference between both techniques with soft tissue mobilization being more effective than scapular mobilization.
Conclusion: Soft tissue mobilization was more effective than scapular mobilization in providing immediate pain reduction in
patients with mechanical neck pain.
Keywords: Mechanical neck pain, soft tissue mobilization, scapular mobilization, manual therapy, physiotherapy.
References
1. GBD 2021 Neck Pain Collaborators. Global, regional, and national burden of neck pain, 1990-2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2024;6(3):e142-e155. doi: 10.1016/S2665-9913(23)00321-1.
2. Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJ, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23:26. doi: 10.1186/s12891-021-04957-4.
3. Shamsi S, Khan S, Al Muhanna NA, Hussein ASB, Al Ghamdi AHA, Hasan Z, et al. Prevalence of neck pain among computer users: a systematic review. Int J Rec Innov Med Clin Res. 2022;4(3):99-105.
4. Khanum F, Khan AR, Khan A, Aafreen A, Khan AA, Ahmad A, et al. Predicting mechanical neck pain intensity in computer professionals using machine learning: identification and correlation of key features. Front Public Health. 2024;12:1307592. doi: 10.3389/fpubh.2024.1307592.
5. Panagiotopoulos AC, Crowther IM. Scapular dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT-J. 2019;5:29. doi: 10.1051/sicotj/2019029.
6. Cools AMJ, Struyf F, De Mey K, Maenhout A, Castelein B, Cagnie B. Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med. 2014;48(8):692-697. doi: 10.1136/bjsports-2013-092148.
7. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976). 2004;29(19):2108-14. doi: 10.1097/01.brs.0000141170.89317.0e.
8. Lim J, Lee D, Kim S, Lee S, Ryu JS. Analysis of abnormal muscle activities in patients with loss of cervical lordosis: a cross-sectional study. BMC Musculoskelet Disord. 2023;24(1):666. doi: 10.1186/s12891-023-06782-3.
9. Cagnie B. The relevance of scapular dysfunction in neck pain: a brief commentary. J Orthop Sports Phys Ther. 2014;44(6):435-9. doi: 10.2519/jospt.2014.5038.
10. Jull G, Thomas L, Liang Z, Treleaven J. Current and future advances in practice: cervical spondylosis and mechanical neck pain. Rheumatol Adv Pract. 2025;9(4):rkaf127. doi: 10.1093/rap/rkaf127.
11. Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. J Can Chiropr Assoc. 2016;60(3):200-211.
12. Hunter G. Specific soft tissue mobilization in the management of soft tissue dysfunction. Man Ther. 1998;3(1):2-11. doi: 10.1054/MATH.1998.0310.
13. Gutiérrez-Espinoza H, Pinto-Concha S, Sepúlveda-Osses O, Araya-Quintanilla F. Effectiveness of scapular mobilization in people with subacromial impingement syndrome: a randomized controlled trial. Ann Phys Rehabil Med. 2023;66(5):101744. doi: 10.1016/j.rehab.2023.101744.
14. Özdemir F, Toy Ş, Kızılay F, Avcı ZT, Altay Z, Çolak C. Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: a quasi-experimental study. Turk J Phys Med Rehabil. 2021;67(1):77-83. doi: 10.5606/tftrd.2021.6775.
15. Costello M, Puentedura EL, Cleland J, Ciccone CD. The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial. J Man Manip Ther. 2016;24(3):128-40. doi: 10.1179/2042618614Y.0000000083.
16. Kompal R, Jabeen Z, Kashif M. Comparison between immediate effects of soft tissue mobilization along with stretching exercises and without stretching exercises in patients with mechanical neck pain. Isra Med J. 2019;11(2):96-100.
17. Macias CH, Ortega JR, Serrano-Sánchez FJ, Díaz-Mancha JA, Seguín LF, Cabañes-García J. Effectiveness of the scapula mobilization technique on the neural mechanosensitivity of the upper limb neural test 1 in individuals with mechanical cervicalgia: a randomized controlled trial. J Bodyw Mov Ther. 2024;40:1926-31. doi: 10.1016/j.jbmt.2024.10.006.
18. Young IA, Dunning J, Butts R, Mourad F, Cleland JA. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019;35(12):1328-35. doi: 10.1080/09593985.2018.1471763.
19. Makin J, Watson L, Pouliopoulou DV, Laframboise T, Gangloff B, Sidhu R, et al. Effectiveness and safety of manual therapy when compared with oral pain medications in patients with neck pain: a systematic review and meta-analysis. BMC Sports Sci Med Rehabil. 2024;16(1):86. doi: 10.1186/s13102-024-00874-w.
20. Benetton A, Battista S, Bertoni G, Rossettini G, Falsiroli Maistrello L. Effectiveness of manual joint mobilization techniques in the treatment of nonspecific neck pain: systematic review with meta-analysis and meta-regression of randomized controlled trials. J Orthop Sports Phys Ther. 2025;55(3):173-192. doi: 10.2519/jospt.2025.12836.
21. Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021;22(1):212. doi: 10.1186/s12891-021-04080-4.
22. Minnucci S, Innocenti T, Salvioli S, et al. Benefits and harms of spinal manipulative therapy for treating recent and persistent nonspecific neck pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2023;53(8):510-528.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2026 Journal of Nursing and Allied Health
