الفهرس 
Scapular Stabilization Exercise Versus Neck Stabilization Exercise In Females With chronic Mechanical Neck Pain
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Abstract
Background: chronic mechanical neck pain is a common musculoskeletal problem in females and reported to be a major health problem worldwide that affects the quality of life. chronic mechanical neck pain is related to neck muscle deterioration and scapular dysfunction. Purpose: This study was conducted to compare the efficacy of scapular stabilization to neck stabilization exercises on chronic mechanical neck pain in females as regard to pain, functional level and cervical range of motion. Methods: Forty-five female patients with chronic mechanical neck pain participated in this study. Patients were randomly assigned to three groups. group A (control group) received the traditional physical therapy (hot packs, ultrasound and stretching exercises). group B (scapular stabilization) received the traditional physical therapy in addition to scapular stabilization exercise. group C (neck stabilization) received the traditional physical therapy in addition to neck stabilization exercise. The treatment sessions were conducted three times per week for six successive weeks. Assessment for pain using visual analogue scale (VAS), functional activity using neck disability index (NDI), and cervical range of motion insturment using (CROM) before and after treatment. Results: Mixed MANOVA test revealed significant decrease in VAS within the three groups (p-value 0.0001, p-value 0.0001 , p-value 0.0001 of the three groups respectively) with superiority of group B and C on group A, NDI results also revealed significant decrease within the three groups (p-value 0.0001,p-value 0.0001, p-value 0.0001 of the three groups respectively) with superiority of group B and C on group A, and flexion ROM revealed significant improvement within the three groups (p-value 0.002, p-value 0.0001, p-value 0.0001 of the three groups respectively) with superiority of group B and C on group A, with similar results for extension , right side bending and left side bending. Post treatment results revealed that there was a significantly superior improvement in pain level, functional level and cervical range of motion in the neck stabilization group. Conclusion: Stabilization exercises (scapular stabilization and neck stabilization) had beneficial effect on pain, disability and ROM in females with chronic mechanical neck pain. However neck stabilization exercise showed greater improvement.