Effect of Deep Neck Flexor Activation on Pain and Dysfunction in Chronic Nonspecific Neck Pain

Document Type : Original Article

Authors

1 B.SC at the faculty of physical therapy (2019), October 6 university

2 Professor and Chairperson of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University

3 Assistant Professor and Chairperson of Department of Orthopedic Physical Therapy.Faculty of Physical Therapy, 6 of October University

4 Lecturer at the Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery Faculty of Physical Therapy, Cairo University

5 Lecturer at the Department of Orthopedic Physical Therapy. Faculty of Physical Therapy,6 of October university

10.21608/iptccu.2025.440739

Abstract

Background: Chronic nonspecific neck pain is a very common musculoskeletal disorder that has many factors, such as prolonged posture or weakness in deep stabilizers of the neck. Deep neck flexor activation may have a role in stabilization of neck muscles. Purpose: The purpose of this study was to detect the effect of deep neck flexor activation on pain and dysfunction in patients with chronic nonspecific neck pain. Patients and Methods: Twenty-two Egyptian physiotherapy students aged 18 to 24 years with chronic nonspecific neck pain participated in this study and were treated with deep neck flexor activation using pressure biofeedback (PB) for 4 weeks, two sessions per week. Before and after treatment, all patients were evaluated for pain intensity using a visual analogue scale and neck disability using the Arabic version of the Neck Disability Index. Results: There was a significant improvement in pain and dysfunction post deep neck flexor activation. Conclusion: Deep neck flexor activation shows great improvement in pain intensity and good enhancement of function after four weeks of treatment.

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