Pressure Biofeedback on Deep Cervical Flexor Muscles

This study aims to reduce mechanical neck pain and improve deep cervical flexor muscle endurance by using pressure biofeedback training for school educators to improve their job satisfaction and quality of life. The main question is Can adding Pressure Biofeedback training to the General musculoskeletal Exercise Increase Deep Cervical Flexor Muscle Endurance , Functional Disability and reduce Pain than only implementing General Musculoskeletal Exercise in School Teachers ? Researcher will Compare General Musculoskeletal Exercise Treatment with a General Musculoskeletal exercise Treatment including Pressure Biofeedback Training Participants will: 1- undergo this trial for 8 weeks 2 - Three times per week for 30 minute per session

Mechanical neck pain is the most frequent musculoskeletal disorder. It is characterized by feeling of pain, stiffness and loss of function in the cervical region. It is often related to poor posture, repetitive strain, or local soft tissue dysfunction. Evidence suggests that this disorder significantly influences daily life activities and quality of life. Mechanical neck pain is one of the leading causes of global disability. It shows the importance of physiotherapeutic interventions for the associated pain and functional limitations. The prevalence of this condition has been increasing. Particularly among individuals who engage in prolonged periods of desk work or activities requiring sustained postural maintenance .School teachers are particularly impacted due to the demanding nature of their work. Studies report a prevalence of 35% to 65% among teachers. primarily caused by prolonged static postures, repetitive overhead activities like writing on boards, and poor ergonomic practices. The shift toward virtual teaching has further worsen the issue by increasing screen time, leading to cervical strain=. Additionally, psychological stress and heavy workloads associated with teaching contribute significantly to musculoskeletal pain.This negatively affects teachers' physical health, productivity, and overall quality of life. Targeting school teachers, a population with unique occupational demands, the study emphasizes early muscle-specific interventions to prevent chronic neck pain and promote functional recovery. School teachers build the future of the nation, for this reason our study is highlighting the importance of preventing any injuries that may cause absenteeism. It also highlights the importance of integrating workplace health promotion and ergonomic solutions into physiotherapy strategies for long-term benefits. Previous studies on cervical impairments indicated that lower endurance in deep cervical flexors is responsible for neck pain. This leads to muscular insufficiency as well as impaired activation. In such cases, poor endurance of deep cervical flexor muscles has been observed and weakness of the anterior cervical flexor muscles can lead to head and neck postural imbalances .A restoration of deep cervical flexor muscle function has been suggested clinically for managing neck pain, but still limited evidence on its efficacy in work-related neck pain has been noted . Mechanical neck pain is associated with disfunction in proprioception. The body's ability to sense joint movement and joint position. These disfunctions can disrupt sensorimotor control causing potential exacerbating pain and functional limitations . Previous studies has also showed that individuals with neck pain experience increased joint position limitations that indicate compromised cervical proprioception. The imbalance between superficial and deep flexor muscles during neck pain causes DCF to weaken. Mainly leading to hyperactivity of the superficial neck muscles a trial.show_full_description

Inclusion Criteria: * Female School teachers. * Age between 22 and 65 years old. * Presence of Mechanical Neck Pain Exclusion Criteria: * Pregnancy. * Presence due to non-mechanical issues ( inflammatory ,traumatic or systematic conditions) * Presence of any chronic systematic diseases. * Presence of any neurological disorder effecting the cervical region