Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain

Trial design

Treatments tested in this trial

• Cervical stabilization exercise and Integrated Neuromuscular Inhibition

  Device DeviceA medical device, or sometimes a sham device used for comparison, that is being studied.

  cervical stablization exercise starting with cervical isometric exercises performed in the supine position. The head will be supported on a pillow with a towel roll placed under the cervical spine to ensure proper alignment. Additional cervical isometric exercises will be conducted in the seated position by applying manual resistance at the forehead to perform cervical flexion, extension, rotation, and side-bending movements. The Integrated Neuromuscular Inhibition will be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique

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• Integrated neuromuscular inhibition technique

  Device DeviceA medical device, or sometimes a sham device used for comparison, that is being studied.

  Integrated Neuromuscular Inhibition will be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique

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• Conventional Treatment group

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  Participants in this group will receive conventional physical therapy only in the form of superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice for 3 sessions/week over 4 weeks' periods.