To Compare the Effect of Isometric and Dynamic Neck Exercises on Pain, Cervical Muscle Endurance and Range of Motion in Patient with Non-Specific Chronic Neck Pain

Abstract

Background: Neck pain is among the most encountered problem. Several previous studies have reported the effectiveness of various therapeutic exercises on neck pain. However, the comparison of the effectiveness of isometric and dynamic neck exercises on neck muscle endurance (NME) and Range of motion (ROM) in this population is not well documented. Objective: To compare the effectiveness of isometric and dynamic neck exercises on pain, NME and ROM in patients with Chronic Non-specific neck pain (CNNP). Study Design: Experimental design Source of Data Collection: DAV institute of physiotherapy, Yamunanagar. Methodology: 30 Subjects with non-specific chronic neck pain were included in study on the basis of inclusion criteria were randomly allocated into 2 groups: Group A performed isometric neck exercises and Group B performed dynamic neck exercises. Treatment was given for 3 weeks. Pain, cervical muscle endurance and ROM was measured as Outcome measure on 1st , 10th and 21st day using Visual Analogue Scale (VAS), Ventral and Dorsal Neck Muscle Endurance (NME) Test and universal goniometer respectively. Result: Statistically significant improvement (p<0.05) noticed in both groups for all the outcomes. However, Dynamic exercise group has shown highly significant improvement in all three parameters as compared to isometric exercise group. Conclusion: This study provides evidence that the dynamic neck exercises (DNE) are more effective than isometric neck exercises (INE) and resulting in speedy and early recovery in patient with CNNP. Key words: Chronic Non- Specific Neck Pain, dynamic neck exercises, isometric neck exercises, VAS, Ventral and Dorsal Neck Muscle Endurance Test, Cervical ROM.