Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain

this group will recive cervical stablization exercise whice starting with cervical isometric exercises performed in the supine position. The head will be supported on a pillow with a towel roll placed under the cervical spine to ensure proper alignment. Additional cervical isometric exercises will be conducted in the seated position by applying manual resistance at the forehead to perform cervical flexion, extension, rotation, and side-bending movements. and integrated Neuromuscular Inhibition be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)

this group integrated Neuromuscular Inhibition be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)

Participants in this group will receive conventional physical therapy only in the form of: (superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) for 3 sessions/week over 4 weeks' periods.