Clinical Research Directory

* Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times. Patient came thrice per week for a total of 4 weeks.

▪ Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks. All exercises were performed three times per week for total of 4 weeks.