Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz – Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 186-192

Abstract
Purpose. This study conducted to compare between the effect of deep cervical flexor pressure biofeedback exercise and Integrated neuromuscular inhibition technique on treatment of chronic mechanical neck pain. Materials and methods. Forty-five patients (34 females, 11 males), with age (27.47 ± 3.29) years with Chronic mechanical neck pain randomly assigned into three equal groups, Group (A): received Deep cervical flexor pressure biofeedback exercise plus traditional program, Group (B): Integrated neuromuscular inhibition technique plus traditional program and Group (C) only traditional program (Infrared, Ultrasonic, and massage) for three weeks, three sessions per week. The outcomes measured by inclinometer for cervical range of motion assessment in six directions, visual analogue scale for pain and neck pain disability index for functional disability, before and after treatment. Results. within group analysis revealed significant difference in range of motion, pain and neck pain disability index before and after the treatment in the three groups as p ˂ 0.05, and between group analysis revealed significant difference of range of motion, pain after treatment in favor to group A, as p ˂ 0.05 while no significant difference between group A, B in NDI as P > 0.05. Conclusions. Deep cervical flexor biofeedback exercise and Integrated neuromuscular inhibition technique are effective modalities for treating chronic mechanical neck pain with superior effect of Deep cervical flexor biofeedback exercise.
Key words:
Deep cervical flexor, pressure biofeedback exercise, Integrated neuromuscular inhibition technique, Mechanical neck pain, Neck pain disability index
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