Efficacy of Fascial Manipulation on Pain, Function, and Neck Disability in Chronic Non-Specific Neck Pain: A Randomized Controlled Trial

Background: Chronic Non-Specific Neck Pain (CNSNP) is a common musculoskeletal issue that impairs daily activities. This study investigates the effects of Fascial Manipulation (FM), a technique targeting fasciae, on pain and neck function in individuals with CNSNP. Methods: Fifty-two participants diagnosed with CNSNP were randomly assigned to two groups: Group A (n=26) received FM in addition to routine physical therapy, while Group B (n=26) received only routine therapy. Pain (VAS), range of motion (ROM), and maximal voluntary isometric contraction (MVIC) for cervical flexion and extension were assessed at baseline (T0), post-treatment (T1), and after four weeks (T2). The Neck Disability Index (NDI) was measured at T0 and T2. Three months post-treatment, VAS and NDI were reassessed through follow-ups. Results: Both groups showed significant improvements in VAS and ROM at T1 and T2 (P < 0.01), with Group A demonstrating superior outcomes (P < 0.01). For MVIC, Group A showed significant changes at T1 and T2, while Group B had notable changes only at T2. NDI scores improved significantly for both groups at T2 (P < 0.01), with Group A outperforming Group B. At three-month follow-up, Group A maintained significant improvements (P < 0.01), while Group B did not (P > 0.05). Conclusion: FM significantly improves pain and neck function in CNSNP patients, with sustained benefits three months post-treatment.