Effect of integrated neuromuscular inhibition technique on subjects with neck pain and forward head posture: a randomized controlled trial.
Objective: Forward head posture (FHP) and neck pain are common musculoskeletal complaints. This study aimed to evaluate the effect of the Integrated Neuromuscular Inhibition Technique (INIT) on the range of motion (ROM) and craniovertebral angle (CVA) in individuals with FHP and neck pain. Methods:...
| Publicado en: | Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd) Vol. 33; no. 5; pp. 401 - 412 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188157173&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188157173 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10669817 B83L jtl: Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd) issn: 10669817 maglogo: N pubinfo: dt: Oct2025 vid: 33 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188157173 183620198 188157173 188157173 10.1080/10669817.2025.2476662 188157173 ppf: 401 ppct: 11 formats: tig: atl: Effect of integrated neuromuscular inhibition technique on subjects with neck pain and forward head posture: a randomized controlled trial. aug: au: Ali, Rania Reffat Elsayed, Somaya Nady Mohamed Kamel, Ragia Mohamed Fahmy, Ebtisam Mohamed Hamdy, Hend Ahmed affil: Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt sug: subj: Neck Pain Therapy Manual Therapy Head Physiology Posture Range of Motion Craniovertebral Junction Treatment Outcomes Human Male Female Adolescence Young Adult Students, Physical Therapy Randomized Controlled Trials Random Assignment Combined Modality Therapy Photography Cellular Phone Pain Measurement Pain Management Visual Analog Scaling T-Tests Multivariate Analysis Analysis of Variance Post Hoc Analysis Statistical Significance Data Analysis Software Descriptive Statistics Adolescent: 13-18 years Male Female ab: Objective: Forward head posture (FHP) and neck pain are common musculoskeletal complaints. This study aimed to evaluate the effect of the Integrated Neuromuscular Inhibition Technique (INIT) on the range of motion (ROM) and craniovertebral angle (CVA) in individuals with FHP and neck pain. Methods: A total of 40 physical therapy participants (26 females and 14 males), aged 18 to 23 years (mean age: 20 ± 1.71 years), participated in this study. They were randomized into two groups: Group A received conventional therapy combined with Integrated Neuromuscular Inhibition Technique (INIT) targeting the upper trapezius and suboccipital muscles, while Group B received conventional therapy consisting of strengthening and stretching exercises only. The treatment was administered three times per week for one month. Photographic sessions were conducted using a mobile phone. A Realme 7 Pro camera and CorelDRAW software were employed to analyze the craniovertebral angle (CVA). A pressure algometer was used to measure the pressure pain threshold (PPT), while a visual analogue scale (VAS) was utilized to assess pain severity. Additionally, a clinometer application on an Android device was used to evaluate cervical range of motion (ROM). Results: Both groups demonstrated significant improvements in craniovertebral angle (CVA) and visual analogue scale (VAS) scores, with Group A showing a 16.12% improvement in CVA and a 75.61% reduction in VAS, compared to a 7.20% improvement in CVA and a 57.14% reduction in VAS in Group B. Group A also showed a significantly greater post-treatment increase in CVA (p = 0.01), cervical range of motion (ROM) for flexion (p = 0.002), extension (p = 0.005), right bending (p = 0.001), left bending (p = 0.001), right rotation (p = 0.001), and left rotation (p = 0.001). Additionally, Group A exhibited a significantly greater decrease in VAS (p = 0.003) compared to Group B following treatment. Conclusion: The Integrated Neuromuscular Inhibition (INI) technique, which combines ischemic compression, strain-counterstrain, and muscle energy techniques, yields superior outcomes compared to conventional therapy alone for individuals with forward head posture (FHP) and neck pain. It is particularly effective in improving craniovertebral angle (CVA), reducing pain levels, and enhancing cervical range of motion (ROM). pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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