Neck Exercises Research Articles

A COMPARATIVE STUDY ON DYNAMIC NECK EXERCISE VERSUS ISOMETRIC NECK EXERCISES WITH THERABAND IN CHRONIC NECK PAIN

Objective: To compare the efficacy of dynamic neck exercises versus isometric neck exercises with theraband in chronic neck pain Methods: 60 patients with chronic neck pain selected as per the inclusion criteria; all the conditions in exclusion criteria was excluded. By dividing them into group A (n =30) (treated with dynamic neck exercise), group B (n=30) (treated with isometric neck exercise with theraband). Results: After screening of the 60 patients for study eligibility, a total of 30 patients were included for analysis, of whom 30 were in the control group A (Dynamic neck exercise with theraband) and 30 were in group B (Isometric neck exercise with theraband) Analysis pre-test and post-test score within and between the values of groups are tabulated with intervention of the result of the study. Group B showed significant change in ROM and Neck pain. Conclusion: Isometric Exercise is very well known for its pain reliving and long-lasting properties, but variability of techniques make it difficult to document but Theraband is known to provide consistency in training whilst preventing fatigue. Hence, patients in group B (treated with Theraband) showed decrease in VAS (Visual Analog Score) and NDI (Neck Disability Index) scores, which prove that isometric with theraband is better in treating Chronic Neck Pain.

Effects of Integrating Jaw Opening and Closing Movements with Active Neck Exercises in the Management of Chronic Non-Specific Neck Pain: A Randomized Controlled Trial.

Background and Objectives: It has been seen that jaw opening is associated with neck extension and jaw closing is associated with neck flexion. This natural association between the jaw and neck can be used as a novel approach to treat chronic non-specific neck pain, although the effects of this concept have never been previously evaluated as a treatment strategy. This article intends to study the effects of integrating jaw opening and closing movements along with active neck exercises versus active neck exercises alone in the management of chronic non-specific neck pain. Materials and Methods: A total of 80 patients, aged 20 to 50, with chronic non-specific neck pain were included in a double-blind randomized controlled trial, conducted at the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan from 2018 to 2022. The patients were divided into two groups: Group A patients were assigned jaw movements with active neck exercises, while Group B patients were assigned only active neck exercises. Both groups were assigned isometric strengthening exercises and self-resisted strengthening exercises for cervical spine muscles as a home plan. The study used various outcome measures, including the numerical pain rating scale (NPRS), neck disability index (NDI), neck flexion endurance (NFE), neck extension endurance (NEE), the neck proprioception error (NPE): neck flexion proprioception error (NFPE), neck extension proprioception error (NEPE), neck right rotation proprioception error (NRRPE), and neck left rotation proprioception error (NLRPE), with measurements taken at week 1 and week 6, respectively; the mean differences between the groups were measured using a two-way repeated ANOVA. Results: The experimental group showed better improvements compared to the control group, NPRS (73%), NDI (57%), NFE (152%), NEE (83%), NFPE (58%), NEPE (65%), NRRPE (65%), and NLRPE (62%), with a significant difference (p < 0.05). Conclusions: Active neck extension and flexion movements combined with jaw opening and closing are more effective in reducing pain and disability, improving neck muscles endurance and normalizing neck proprioception in patients with chronic neck pain.

Causes, effects and treatment of forward head posture. Systematic literature review

The human cervical spine, with its complex structure, is designed to serve unique biomechanical functions. In addition to providing support and protection for the skull, the cervical spine also acts as a shock absorber for brain structures. Mechanically, it transfers weight and facilitates head flexion movements. To effectively carry out its function, proper alignment of the head’s posture with the body’s vertical center of gravity is necessary to minimize pressure and tension on spinal muscles. When continuous activities involving head restraint or forward bending cause an anterior translation of the head over extended periods of time, it can lead to a condition known as forward head posture (FHP). Prolonged FHP can result in injuries to muscles, tendons, and ligaments within both the cervical and lumbar regions of the spine, resulting in various health issues such as neck pain, shoulder pain or discomfort in the upper thoracic scapular segment. The aim of this study was to determine the impact, causes, and management strategies that can be implemented when forward posture occurs in individuals. The data used for this research were obtained from accredited journals such as Mendeley and PubMed. Articles were searched based on keywords related to forward head posture and then filtered according to inclusion and exclusion criteria. Ten out of 140 articles were selected as primary sources for this study. The results indicate that one significant impact of forward head posture is acute neck pain, which primarily affects an individual’s balance negatively. Known causes of forward head posture include engaging in work that involves repetitive bending or maintaining a static position where one leans their neck forwards continuously over prolonged periods. Finally, the recommended management approach when dealing with forward head posture is treatment through exercise therapy, such as Chin tuck exercise, McKenzie Neck Exercise, and Forward Head Posture Exercise.

Neck muscle function improves after neck exercises in individuals with whiplash-associated disorders: a case–control ultrasound study with speckle-tracking analyses

A whiplash injury can alter neck muscle function, which remains years after the injury and may explain why symptoms such as persistent pain and disability occur. There is currently limited knowledge about dynamic neck muscle function in chronic whiplash-associated disorders (WAD), and about the extent to which altered muscle function can improve after rehabilitation. Ultrasound can detect mechanical neck muscle function by measuring real-time deformation and deformation rate in the muscles. This method was used for five dorsal neck muscles in participants with chronic WAD versus matched controls in resistant neck rotation. We obtained real-time, non-invasive ultrasound measurements using speckle tracking, multivariate analyses, and mixed-design ANOVA analyses. The results showed altered deformation in the three deepest neck muscle layers, with less deformation area in the WAD group compared to controls in rotation to the most painful side at baseline. Participants in the WAD group performed three months of neck-specific exercises, resulting in improved deformation in the deep neck muscles in WAD and with a similar deformation pattern to controls, and the significant group differences ceased. We reveal new and important insights into the capability of ultrasound to diagnose altered neck muscle function and evaluate an exercise intervention.

Drive away neck pain: Transformative motor control therapeutic neck exercises and tailored programs redefine posture for automotive workers.

Neck discomfort, arising from strained muscles, poor posture, accidents, or underlying medical conditions, significantly impacts daily activities and overall well-being, presenting a substantial healthcare challenge. This study aims to evaluate the efficacy of motor control therapeutic neck exercise and a Structured Exercise Program on neck pain and posture among automobile industrial workers. Using a lottery technique, 106 participants aged 20 to 45 were selected from the vicinity of Chennai's auto industries based on predetermined eligibility and exclusion criteria. Subsequently, participants were randomly assigned to either the motor control therapeutic neck exercise group or the structured exercise program group, each comprising 53 individuals. Participants received a comprehensive overview of the study and respective interventions, and their informed consent was obtained. Demographic details, Neck Injury and Disability scores, and Assessment of Postural and Ergonomic Characteristics data were then collected. Statistical analysis revealed a significant difference between the groups, with the Motor Control Therapeutic Neck Exercise group demonstrating superior outcomes in reducing pain and improving posture, with p-values less than 0.001. This study highlights the efficacy of Motor Control Therapeutic Neck Exercise over Structured Exercise in improving neck pain and posture among automobile industrial workers. These findings contribute valuable insights for the development of targeted interventions in occupational health settings.

Concussion Reduction in Division I and II Athletes: Effects of Simple Cervical Spine Exercise Regimen.

Primary preventative medicine lacks a consensus on effective concussion prevention strategies for collegiate athletes. Cervical strength has been identified as a potential factor in concussion risk reduction. This study evaluates the impact of a commercially available, portable cervical muscle stretching and strengthening device, NeckX®, on cervical strength, range of motion (ROM), and concussion incidence in collegiate athletes participating in high-concussion-risk sports. A single-arm prospective cohort study was conducted with 162 collegiate athletes from various sports. Participants underwent a 12-week neck exercise protocol using the NeckX® device. Clinical data, including neck strength and ROM, were collected at weeks 0, 6, and 12. Concussion incidence was self-reported by participants and cross-referenced with records from the athletic department. Data were analyzed for significant neck strength and ROM changes throughout the 12-week study. A two-way analysis of variance multiple comparisons with the Tukey-Kramer significant difference test was utilized, using the Holm-Sidak method, with an alpha of 0.05. All athletic teams experienced a significant increase in cervical strength during the 12-week intervention (α = 0.05, p < 0.05). Increases in cervical flexion and extension force were most consistent between teams. Cervical ROM increased significantly in male and female soccer players (α = 0.05, p < 0.05). The overall incidence of head and neck injuries, including concussions, was reduced to 6.60% during the study period, the lowest recorded value in the university's athletic department history. The use of the NeckX® device for 12 weeks was effective in enhancing pericervical muscle strength and ROM while reducing concussion incidence in collegiate athletes participating in high-concussion-risk sports. Interestingly, the positive outcomes were consistent for both males and females, indicating the universal advantages of neck training among collegiate athletes. These findings support existing research on the benefits of cervical strengthening exercises for reducing concussions in collegiate athletes and highlight the convenience and affordability of using this device.

Classification of physiotherapy exercise of stroke patients using deep transfer learning and fuzzy logic: A novel approach

According to the world health organization (WHO), stroke stands as a significant contributor to mortality and adult disability, causing motor function impairment, paralysis, and intense back pain. In aiding stroke patients' mobility recovery, physiotherapists employ diverse therapeutic techniques. This research introduces an automated method for identifying distinct therapeutic exercises performed by stroke patients during their rehabilitation process. For detecting rehabilitation exercises, leveraging pre-trained neural networks like GoogLeNet, InceptionV3, ResNet-101, DenseNet-201, Xception, InceptionResNetV2, and DarkNet-53, all potent models trained on extensive datasets. The proposed models were trained on a dataset of 2250 diverse RGB images to classify eight rehabilitation exercises: Elbow Extension, Knee Flexion, Neck Exercise, Planter Flexion of Foot, Trunk Extension, Trunk Flexion, Wrist Extension, and Wrist Flexion. The resulting average validation accuracies are as follows: InceptionV3 (97.4%), Xception (97.3%), ResNet101 (97.3%), DarkNet53 (96.7%), GoogLeNet (95.9%), DenseNet201 (94.3%), and InceptionResNetV2 (93.4%). Fuzzy EDAS is then employed to rank the models. This ranking suggests that the inception-v3 model has high rank for most of the classes and is highly recommended for physiotherapy exercises classification.

The effect of a rehabilitation neck exercise program on biomechanical head alignment, neck pain, and disability among nursing students: A randomized controlled trial

The effect of a rehabilitation neck exercise program on biomechanical head alignment, neck pain, and disability among nursing students: A randomized controlled trial

Results of neck-specific exercise for altered postural sway in individuals with chronic whiplash-associated disorders: a longitudinal case–control study

Postural sway has not been investigated before or after a neck exercise intervention in individuals with chronic whiplash-associated disorders (WAD). The aim of the study was to investigate postural sway in individuals with chronic WAD grades 2 and 3: (a) compared with healthy matched controls at baseline; (b) after three months of neck-specific exercise and (c) to investigate the correlation between postural sway with self-reported dizziness during motion and balance problems/unsteadiness. This is a longitudinal prospective experimental case–control intervention study. Individuals with WAD (n = 30) and age- and gender-matched healthy volunteers (n = 30) participated. Postural sway was assessed using an iPhone application. Measurements were carried out at baseline, and for those with WAD a second measurement was performed at the three-month follow-up when neck-specific exercise intervention ended. The WAD group performed significantly worse than the healthy group in both pathway and ellipse area double stance eyes closed at baseline (main outcome), but not at the three-month follow-up. The WAD group significantly improved after rehabilitation in both pathway double stance eyes closed and pathway single stance eyes open. The correlation between postural sway and self-rated dizziness during motion and balance problems was low to moderate. One may conclude that postural sway was improved after a neck-specific exercise programme. The study results strengthen earlier findings that individuals with WAD have worse balance outcome when they have to rely on neck proprioception (eyes closed). The study results may be important for the development of improved rehabilitation methods for WAD.

A Study to Compare the Effectiveness of McKenzie Neck Exercise and Contract Relax Stretching in Mechanical Neck Pain

Background: Mechanical neck pain is commonly defined as pain between the superior nuchal line and an imaginary transverse line through the tip of the first thoracic spinous process, extending laterally to the sagittal planes peripheral to the lateral borders of the neck. Neck pain (NP) can be local and/or referred into the head and/or upper limbs. NP is a prevalent musculoskeletal issue worldwide, similar to low back pain (LBP), characterized by episodic occurrences with high recurrence and chronicity rates. It frequently arises insidiously and is multifactorial in origin, with modifiable factors including smoking, poor posture, anxiety, depression, neck strain, and occupational activities. NP is a significant societal burden, particularly prevalent among office workers and computer users. Objective: The objective of this study was to compare the effectiveness of McKenzie neck exercises and contract-relax stretching in alleviating mechanical neck pain. Methods: This quasi-experimental study included 40 participants aged 25 to 50 years from Allied Hospital Faisalabad, selected using purposive sampling. Participants were divided into two groups of 20 each. Group 1 received McKenzie neck exercises, while Group 2 received contract-relax stretching. Both groups underwent treatment three times per week for 6 to 8 weeks. Pain and functional performance were evaluated using the Numeric Pain Rating Scale (NPRS) and Neck Disability Index (NDI). Statistical analysis was conducted using SPSS version 27.0, with the Wilcoxon signed-rank test applied for within-group comparisons and the Mann-Whitney U test for between-group comparisons. Results: In Group 1 (contract-relax stretching), NPRS scores improved from a mean of 2.56 (SD=0.51) to 2.11 (SD=0.47) (Z=-2.828, p&lt;0.05), and NDI scores improved from a mean of 3.78 (SD=0.55) to 0.73 (SD=0.73) (Z=-3.419, p&lt;0.05). In Group 2 (McKenzie neck exercises), NPRS scores improved from a mean of 2.61 (SD=0.50) to 1.72 (SD=0.57) (Z=-2.828, p&lt;0.01), and NDI scores improved from a mean of 3.22 (SD=0.73) to 2.06 (SD=0.94) (Z=-3.391, p&lt;0.05). Between-group comparisons indicated that Group 2 had significantly greater improvements in NPRS (mean rank 15.47 vs. 21.53, p&lt;0.05) and NDI scores (mean rank 13.86 vs. 23.14, p&lt;0.05). Conclusion: Both McKenzie neck exercises and contract-relax stretching effectively reduced pain and improved function in patients with mechanical neck pain. However, McKenzie neck exercises demonstrated significantly greater improvements in pain relief and functional outcomes. Therefore, McKenzie neck exercises may be preferred for managing mechanical neck pain. Keywords: Mechanical Neck Pain, McKenzie Neck Exercise, Contract-Relax Stretching, Numeric Pain Rating Scale, Neck Disability Index

Effect of Combined Neck, Shoulder and Hand Exercises with Conventional Physiotherapy Treatment on Hand Grip Strength and Hand Function in Patients with Unilateral Cervical Radiculopathy: a Comparative Study

Effect of Combined Neck, Shoulder and Hand Exercises with Conventional Physiotherapy Treatment on Hand Grip Strength and Hand Function in Patients with Unilateral Cervical Radiculopathy: a Comparative Study

The effects of neck exercise in comparison to passive or no intervention on quantitative sensory testing measurements in adults with chronic neck pain: A systematic review.

Previous systematic reviews have identified the benefits of exercise for chronic neck pain on subjective reports of pain, but not with objective measures such as quantitative sensory testing (QST). A systematic review was conducted to identify the effects of neck specific exercise on QST measures in adults with chronic neck pain to synthesise existing literature and provide clinical recommendations. The study protocol was registered prospectively with PROSPERO (PROSPERO CRD42021297383). For both randomised and non-randomised trials, the following databases and trial registries were searched: AMED, CINAHL, Embase, Google Scholar, Medline, PEDro, PubMed, Scopus, SPORTDiscus, Science Citation Index and Social Science Citation Index from Web of Science Core Collection, clinicaltrials.gov, GreyOpen, and ISRCTN registry. These searches were conducted from inception to February 2022 and were updated until September 2023. Reference lists of eligible studies were screened. Study selection was performed independently by two reviewers, with data extraction and quality appraisal completed by one reviewer and independently ratified by a second reviewer. Due to high heterogeneity, narrative synthesis was performed with results grouped by exercise type. Three trials were included. Risk of bias was rated as moderate and the certainty of evidence as low or moderate for all studies. All exercise groups demonstrated statistically significant improvement at an intermediate-term follow-up, with progressive resistance training combined with graded physical training demonstrating the highest certainty of evidence. Fixed resistance training demonstrated statistically significant improvement in QST measures at a short-term assessment. Fixed resistance training is effective for short-term changes in pain sensitivity based on low-quality evidence, whilst moderate-quality evidence supports progressive resistance training combined with graded physical training for intermediate-term changes in pain sensitivity.

Efficacy of Static and Dynamic Exercise Interventional Protocol in Patients with Non-Specific Neck Pain

Aim: To see the efficacy of dynamic and static neck exercise interventional protocol in patients with nonspecific neck pain. Objectives: To evaluate the efficacy of static and dynamic exercises in patients with nonspecific neck pain and compare the efficacy of dynamic and static neck exercise interventional protocol when given alone or in combination. Methods: 30 Subjects were selected for the study. Sampling was done by random selection method and then groups of 10 subjects were assigned to each group by chit-chat method. Each subject was given an Ultrasound for 5 min before exercises in each group. It was a 5-week (6 days a week) intervention study. Conclusion: Dynamic and static exercise protocols effectively improve the range of motion and functional activities in nonspecific neck pain patients. However, a significant difference has not been found when these exercises are combined or alone.

McKenzie neck exercise versus cranio-cervical flexion exercise on strength and endurance of deep neck flexor muscles, pain, disability, and craniovertebral angle in individuals with chronic neck pain: a randomized clinical trial

ABSTRACT Purpose To compare the effectiveness of McKenzie neck exercise and cranio-cervical flexion (CCF) exercise on strength and endurance of deep neck flexor (DNF) muscles, pain, disability, and craniovertebral angle (CVA) in individuals with chronic neck pain. Methods Forty individuals with chronic neck pain were randomly allocated to the McKenzie neck or CCF exercise group. Each group performed exercises at home daily. The strength and endurance of DNF muscles were measured at baseline, immediately after the first exercise session, and each week follow-up for six weeks. Average pain over the past week was measured at baseline and each week follow-up for six weeks. Disability and CVA were measured at baseline and the end of six weeks. Results At six weeks, both groups exhibited significant improvements across all outcome variables (p < 0.001) but there were no differences between groups (p > 0.05). The significant difference from baseline in the strength of DNF muscles was observed as early as the second week of each intervention (p ≤ 0.001). The significant difference from baseline in the endurance of DNF muscles was observed as early as the first week in the CCF exercise group (p < 0.05) and the second week in the McKenzie neck exercise group (p < 0.05). A significant decrease in pain intensity from baseline was observed after the first week in the McKenzie neck exercise group (p < 0.001) while it was after the second week in the CCF exercise group (p < 0.05). Conclusion Both the McKenzie neck exercise and CCF exercise produced similar effects in enhancing the strength and endurance of the DNF muscles, decreasing pain, alleviating neck disability, and improving the CVA.

Online Exercise Programs for Chronic Nonspecific Neck Pain: A Randomized Controlled Trial Reveals Comparable Effects of Global, Local, and Combined Approaches.

Specific neck exercises are recommended in the rehabilitation of chronic nonspecific neck pain (CNNP). They are unfortunately often accompanied by acute pain flare-ups. Global exercises might be a beneficial addition, as they activate endogenous analgesia without overloading painful structures. However, it is still unclear which type of exercise is most effective. This randomized controlled trial was done to evaluate the effect of an online blended program of global and specific neck exercises, compared to programs including only 1 of both types of exercise. Forty-eight patients with CNNP were randomized into 3 groups. Online questionnaires were collected at baseline, at midtreatment, immediately after treatment, and at the 3-month follow-up. Quantitative sensory testing and actigraphy were assessed at baseline and after treatment. Linear mixed-model analyses were performed to evaluate treatment effects within and between groups. Neck pain-related disability after treatment was considered the primary outcome. No time × treatment interaction effects were found. All groups improved in neck pain-related disability, pain intensity, self-reported symptoms of central sensitization, local pain sensitivity, physical activity, and pain medication use. No effects were found on quality of life, sleep quality, depression, anxiety, stress, widespread pain sensitivity, health economics, or actigraphy measurements. A higher global perceived effect was reported after performing the blended program, compared to the other groups. A blended exercise program was not superior to the stand-alone programs in reducing disability. Nevertheless, the global perceived effect of this type of exercise was higher. Future research necessitates larger sample sizes to adequately explore the optimal type of exercise for patients with CNNP. Exercise therapy should be an important part of the rehabilitation of patients with CNNP, regardless of the type of exercise.

The effectiveness of cervical rehabilitation interventions for pain in adults with myogenic temporomandibular disorders: A systematic review and meta-analysis.

Little evidence exists for the most effective conservative treatment approach for adults with myogenic temporomandibular disorders (MTMD). We aim to assess the effectiveness of cervical rehabilitation interventions on pain intensity and sensitivity in adults with MTMD compared to comparison intervention such as placebo, sham treatment, education or no intervention. For this systematic review and meta-analysis, we searched PubMed, EMBASE, Medline, PEDro databases, forward and backward citations and grey literature studies through PROSPERO, clinical trials and data registries without language or date restrictions between inception and 1 December 2021. We selected randomised controlled trials (RCTs) based on adult populations with MTMD who had a cervical rehabilitation intervention which was defined as any conservative intervention targeting the anatomical structures of the cervical spine. The primary outcome measures for pain were self-reported pain intensity and pain sensitivity through the pressure pain threshold (PPT) of the masseter and temporalis muscles. Secondary outcome measures of maximal mouth opening (on MMO) were included. Included studies were assessed for bias with the Cochrane risk of bias tool for randomised trials. Evidence from RCTs was synthesised to determine treatment effect size as differences between standardised mean difference (SMD) for changes in pain intensity, PPT and MMO comparing adults with MTMD who were treated with cervical rehabilitation interventions compared to a control group. This study is registered on Prospero, number CRD 42021289299. Our general search yielded 2647 studies where seven RCTs met eligibility criteria with low to some concerns in their risk of bias. Pain intensity (five studies, n = 223, SMD -0.98, 95% CI -1.67 to -0.28, I2 = 79%), PPT of the masseter muscle (six studies, n = 395, SMD 0.64, 95% CI 0.43 to 0.86, I2 = 90%) and the temporalis muscles (five studies, n = 295, SMD 0.76, 95% CI 0.07 to 1.45, I2 = 84%) showed large treatment effect estimates favouring cervical rehabilitation interventions compared to no treatment, sham cervical treatment, patient education or non-cervical neuromuscular techniques. Compared to control interventions, one type of cervical rehabilitation intervention, cervical manual therapy alone or in combination with a neck exercise program was associated with statistically significant, large treatment effect estimates on pain intensity (four studies, n = 203, SMD -1.52, 95% CI -2.50 to -0.55). This review found that in the short-term, cervical rehabilitation interventions especially upper cervical MT alone or in combination with a neck exercise program are effective in improving multiple pain outcomes in adults with MTMD. However, further research is needed to measure the long-term effects of this type of intervention.

Neck Pain, Mental Status, and Associated Factors Among Hospital Secretaries: A Cross-Sectional Study From Turkey.

Neck disorders occur in the presence of various risk factors. Determining the cause-effect relationship is highly important in treating existing health problems. Our study aimed to determine the relationship between neck pain and mental status and the factors affecting them in hospital secretaries. The study was cross-sectional. A total of 427 people who had been working as hospital secretaries at Gazi University Medical Faculty Hospital for at least one year were included in the study. Sociodemographic characteristics, working conditions, psychopathology levels, and the presence of neck pain were questioned. The study was conducted with 354 (82.9%) people. 34.3% of the hospital secretaries had neck pain, and 26.3% required psychiatric evaluation. There was a statistically significant (p<0.001) difference in neck pain according to gender, adjustability of the chair, accessibility of the tools, and the need for psychiatric evaluation. Data was collected during November 2022. Those who did neck exercises during the study period had lower mean scores on the General Health Questionnaire-12 than those who did not, and the difference was statistically significant (p<0.001). According to the General Health Questionnaire-12 scores and the Bournemouth Neck Pain Questionnaire Scale, there is a significant (p<0.001), positive, and moderate (r=0.481) correlation between the frequency of mental problems and neck pain disability levels. The relationship between the need for psychiatric status evaluation and neck pain is striking. A significant proportion of hospital secretaries complain of neck pain, work in non-ergonomic conditions, and need psychiatric evaluation. The study's results underline the necessity of targeted workplace interventions and wellness procedures, highlighting the need to implement ergonomic improvements, promote regular exercise regimes, and provide psychosocial support services to improve the general well-being of hospital secretaries and develop a better working environment.

Effect of Dry Needling in Patient with Cervical Radiculopathy in Reducing Pain and Increasing Rom Compared to Interferential Therapy

Background: This study was designed to inspect the effectiveness of Dry needling and interferential therapy oncervical radiculopathy patients.Purpose: To compare the effectiveness of dry needling and interferential therapy in patients with cervicalradiculopathy.Materials and methods: It is an experimental study from November 2022 to April 2023. In this study, 30 subjectswere allocated randomly using a randomization method (computer-generated random numbers) according toinclusion and exclusion criteria. Group A was allocated for interferential therapy with neck exercise (n=15) andGroup B was allocated for dry needling with neck exercise (n =15). Outcome measures are NPRS (Numerical painrating scale), Goniometer. Informed consent was obtained from the patient.Result: From the statistical analysis, both groups showed extremely satisfied statistical significance between theirpre- and post-test values (p&lt;0.0001) Also, there is a significant difference in the post-test values of both groups(p&lt;0.0001) which denotes that dry needling therapy with neck exercises values are higher than the IFT with neckexercises values for reducing pain and increasing ROM of cervical joint for cervical radiculopathy.Conclusion: In this study, Dry needling with Neck exercise activities was found to be more beneficial than IFTwith neck exercise in reducing cervical pain and increasing ROM.

Comparison of Effectiveness of Interferential Therapy and Transcutaneous Electrical Nerve Stimulation in Construction Workers having Cervical Spondylosis Using McGill Pain Questionnaire

Background: Degeneration can occur as a result of moisture loss and decreased flexibility in the neck’s spinal discsover time. Cervical spondylosis can also be brought in addition to recurrent neck motions, prior neck injuries, badposture, and genetic factors and by poor posture.Purpose: The study objective was comparison of the efficiency of interferential therapy and transcutaneouselectrical nerve stimulation in construction workers having cervical spondylosis using the short form of the MCGill pain questionnaire.Methodology: 50 subjects participated in the study from Mars India Builds and selected based on the inclusion andexclusion criteria. Subjects assigned into interferential therapy group (n=25) and transcutaneous electrical nervestimulation group (n=25). Along with this, static neck exercises were given to both groups. The treatment periodwas given for 40 mins and 6 days per week and continued for 2 weeks. The entire study process is conducted fromNovember 2022 to April 2023.Result: From the finding of this study interferential therapy group post-test mean was 8.88 and whereas thetranscutaneous electrical nerve stimulation group was 11.72. This strongly suggests that interferential therapyin construction workers having cervical spondylosis along with static neck exercises is more effective thantranscutaneous electrical nerve stimulation.Conclusion: In this study interferential therapy with static neck exercises among construction workers was foundto be more effective than transcutaneous electrical nerve stimulation.

Effect of Mckenzie Neck Exercises on Neck Pain and Disability in Smart Phone Users’ Adolescents

Effect of Mckenzie Neck Exercises on Neck Pain and Disability in Smart Phone Users’ Adolescents