Clinical Research Directory

Group A will receive Pilates exercises and Routine Physical Therapy (baseline treatment). Baseline treatment will include stretching, strengthening and corrective exercises. Session duration will be 30 minutes, 10 to 12 exercises in form of 10 steps will be carried out per session, with no more than three repetitions of each exercise. The following is a detailed description of each exercise to be utilized in both treatments, along with its starting and ending positions and number of repetitions(24). 1. Corrected neck alignment while lying on the back on a mat (use pillows if needed) 2. Arm circles (both directions) on the mat. 3. Diamond press 4. Diamond press and lateral arm movement to back extension. 5. Arm slides 90°: 6. Arm circles on a tiny barrel while lying on back. 7. Chair expansion. 8. Lying prone, stabilize the scapula and pump arms up and down with lower back support. 9. Straps for chest expansion. 10. Kneel plank on a Swiss ball.

Group B will receive stretching, strengthening and postural correction exercises as follows: Exercises for postural correction, stretches, and strengthening for the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors muscles. -Every exercise will be for 30 seconds on and 30 seconds off, 3 times per day, - Push-ups and head-neck retraction were also included, total time about 30 minutes.