About this trial
The aim of this randomized controlled trial is to determine the effect of Bruegger's Relief Exercise combined with conventional physical therapy on pain intensity, functional disability, cervical range of motion, and craniovertebral angle in patients with chronic mechanical neck pain
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Participants falling in this category would be recruited into the study.
Age 20-50 years
Diagnosis of chronic mechanical neck pain (>3 months)
Pain intensity ≥ 3/10 on NPRS
Disqualifiers
• Participants falling in this category would be excluded from the study.
History of cervical spine fracture or surgery
Systemic musculoskeletal or neurological disease
Recent whiplash injury (within 6 months)
Trial design
Parallel
Treatments tested in this trial
Bruegger's Relief Exercise + Conventional Physical Therapy
Other interventionBruegger's Relief Exercise. High sitting neutral posture with feet flat on the floor and a light resistance band held across the thighs. 1A gentle chin tuck is performed to maintain cervical alignment. The movement includes 2 shoulder abduction and external rotation 3. Elbow extension 4. Forearm supination 5. Wrist extension 6. Finger and thumb abduction, coordinated with diaphragmatic breathing. (Hold duration: 10-30 seconds with progression of 2 seconds per session). 12 repetitions per session with 30-second rest interval between holds. Total duration is 3 sessions per week for 4 consecutive weeks.
Conventional Treatment
Other interventionConventional PT including 1- Cervical ROM exercises (flexion, extension, rotation, lateral flexion) 2- Stretching of upper trapezius and levator scapulae (30 sec hold × 3 repetitions) 3- Cervical isometric strengthening in all directions 4- Scapular stabilization exercises (elevation-depression, protraction-retraction) (Dosage: 2-3 sets of 10-15 repetitions). Total duration is 3 sessions per week for 4 consecutive weeks.
Treatment groups
Trial outcomes
Primary outcomes
Numeric Pain Rating Scale
An 11-point scale (0-10) used to assess pain intensity. 0 indicates no pain and 10 indicates worst imaginable pain. Participants verbally report their pain score
Neck Disability Index
The NDI is a 10-item questionnaire assessing functional disability related to neck pain. Each item is scored 0-5 with total score range 0-50. Higher scores indicate greater disability.
Cervical Range of Motion
A universal goniometer will be used to measure cervical flexion, extension, lateral flexion, and rotation
Craniovertebral Angle
CVA will be measured using the Angle - Video Goniometer mobile application via lateral photographic analysis. A smaller angle indicates greater forward head posture.
Locations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
Sponsors and contacts
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