Effects of Integrated Neuromuscular Inhibition Technique on Neck Position Sense and Pain in Adults with Forward Head Posture

What this Trial Is About

Researchers are evaluating the effects of the Integrated Neuromuscular Inhibition Technique INIT on cervical proprioception in adults aged 18 to 40 with Forward Head Posture FHP. Forward Head Posture is characterized by a specific head and neck alignment difference measured by the craniovertebral angle CVA and is associated with neck muscle tightness and pain. This study is a randomized control trial with 42 participants conducted at Riphah International University to understand how INIT affects neck function and posture. Participants are divided into two groups one receives INIT plus posture corrective exercises, and the other performs only posture corrective exercises. INIT consists of ischemic compression, strain-counter strain, and muscle energy techniques applied to specific neck muscles. Posture exercises include strengthening and stretching routines targeting neck and shoulder muscles. Treatments are given in 40-minute sessions, three times a week, for four weeks. During the study, researchers assess pain levels, craniovertebral angle, cervical joint position sense, and range of motion at baseline and at multiple points during treatment. Tools such as inclinometers, software, and scales are used to collect data. The study monitors changes in neck function and posture over six months, with data analyzed using statistical software to measure the impact of the interventions.

Effect of INIT on Cervical Proprioception in Patients With Forward Head Posture