الفهرس 
Efficacy of core training exercise on patients with chronic mechanical neck pain : Randomized controlled trial
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Abstract
Background: One of the most frequent causes of pain in the general population
is cervical pain , sometimes known as neck pain. Its estimated prevalence ranges from
16.7% to 71.5 percent, and it should be noted that up to 50% of these cases may
develop into chronic conditions. In this study, patients with persistent mechanical
neck pain were examined to determine the effectiveness of trunk core training
exercises on pain, range of motion, functional impairment, and muscle activity.
Purpose: The goal of the study was to determine the impact of adding core training to
patients’ existing conventional treatments for chronic mechanical neck pain.
Methods: Twenty male and twenty female patients with persistent mechanical neck
pain, ranging in age from 18 to 40, participated in this study. The cases were
classifiedinto two equal groups randomly (A and B). group A had got conventional
physiotherapy program (Passive stretching of the upper fibers of trapezius,
sternocleidomastoid, and scalene muscles, Isometric strengthening exercises for neck
muscles, hot pack). group B had obtained conventional physiotherapy program in
addition to trunk core training program. Results: When the two groups were
evaluated, it was found that both groups had statistically significant decrease in VAS,
NDI, and sternocleidomastoid and scalenus anterior activity after treatment compared
to pre-treatment (p > 0.001). Both groups’ post- treatment upper trapezius activity
and total neck range of motion were statistically significant higher than they were
pre-treatment (p > 0.001). Following treatment, a comparison between the groups
showed a statistically decrease in group B’s VAS, NDI, and right and left
sternocleidomastoid activity (p < 0.001). In favor of group B after treatment, there
was a statistically significant increase in neck range ofmotion and the activity of the
right and left upper trapezius (p < 0.001).Although there was no statistically
significant difference in the activity of the right and left scalenus anterior between
the groups (p> 0.05). Conclusions: Based on the study’s objectives and results, it
was determined that core training programs for the trunk, in addition to
conventional treatment, were superior to conventional treatment alone in improving
VAS, NDI, neck range of motion, right and left sternocleidomastoid activity, and
upper trapezius activity in patients with chronic mechanical neck pain