A Study To Evaluate The Combined Effects Of Muscle Energy Technique And Dynamic Neuromuscular Stabilization Exercises On Pain, Functional Disability And Forward Head Posture Among Subjects With Mechanical Neck Pain

Abstract

BACKGROUND: Mechanical neck pain is one of the most prevalent musculoskeletal disorders, requiring specialized, evidence-based management interventions. Muscle Energy Technique (MET) and Dynamic Neuromuscular Stabilization (DNS) are widely used in physiotherapy, but limited research studies their combined effect in treating mechanical neck pain. The findings can guide evidence-based practice, on the application of techniques for specific conditions.

AIM: Primary Objective: To study the combined effects of MET and DNS Exercises on Pain, Functional disability, and Forward head posture among subjects with mechanical neck pain. 

Secondary Objectives: To study the individual effect of MET and DNS exercises on Pain, Functional Disability, and Forward head posture among Subjects with mechanical neck pain.

MATERIALS AND METHODS: 45 subjects were conveniently selected and divided into three groups A (Control Group), B (Experimental Group 1), and C (Experimental Group 2), 15 subjects in each group.  Sample selection is based on inclusion.In the Cross-over study design, Group A was given a Hot pack, Low TENS, and Passive stretching. Group B -conventional treatment along with 1st week MET followed by 2nd week DNS exercises & Group C - 1st week DNS exercises followed by 2nd week of MET along with conventional treatment., 12 treatment sessions 6 times a week for 2 consecutive weeks. Data collection by convenient sampling.

RESULT: Repeated measure ANOVA was done for intra-group analysis. One-way ANOVA and Post Hoc analysis by Tukey were done for inter-group analysis at the value of p<0.05.

CONCLUSION: The combined effect of MET followed by DNS showed significant improvement on mechanical neck pain. Future research should explore the long-term combined effects on diverse populations.