Group A Patients will receive:

Deep neck flexor exercises (2 set of 10 repetitions) that includes:

• Contraction of deep neck flexor muscle in supine
• Craniocervical flexion in supine

Deep Neck Extensor exercises (2 set of 10 repetitions) that includes:

• Contraction of deep neck extensors in quadruped position
• Segmented extension movement with the head bent down onto their chest in a horizontal direction,

Standardized Physiotherapy treatment will be:

• Hot pack for 10 minutes,
• SNAG manual therapy at Cervical spine 6 repetitions for 60 seconds.
• Superficial neck muscles (upper trapezius, Levator scapulae, Pect.Major) stretching for 3 times with 30 seconds and
• Neck isometrics 10 times with 6 seconds hold. Both groups will come thrice per week for a total of 4 weeks. Pre and post treatment values of both groups will be analyzed

Deep neck flexor exercises (2 set of 10 repetitions) that includes:

Contraction of deep neck flexor muscle in supine Craniocervical flexion in supine

Deep Neck Extensor exercises (2 set of 10 repetitions) that includes:

Contraction of deep neck extensors in quadruped position Segmented extension movement with the head bent down onto their chest in a horizontal direction,

The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a unidimensional measure of pain intensity in adults, including those with chronic pain.

The NPRS is a segmented numeric version in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of pain.

The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

The NPRS takes <1 minute to complete The NPRS is a valid and reliable scale to measure pain intensity;

• High test-retest reliability has been (r = 0.96 and 0.95, respectively)
• For construct validity, the NPRS was shown to be highly correlated: correlations range from 0.86 to 0.95

Muscle strength will be assessed by Manual muscle testing. Which is scored using a 0-5 points Medical Research Council muscle strength scale. MMT is the most commonly used method for documenting impairments in muscle strength in both spine and periphery with a kappa value 0.88.

A goniometer is an instrument that measures the available range of motion at a joint. To measure the range of motion physical therapists most commonly use a goniometer. It is necessary that a single notation system is used in goniometry. The neutral zero method (0 to 180- degree system) is the most widely used method. The same goniometer should always be used to reduce the chances of instrumental error. The range of motion of neck including flexion and extension will be measured by using universal goniometer that has an inter-rater reliability (ICC2, 2 = 0.79 to 0.92) for cervicle region.

Pressure biofeedback unit if placed under the suboccipital region and the pressure cuff is inflated to a pressure of 20 mmHg in order to fill the space of the cervical lordosis and the subject asked to perform a gentle head-nodding action of craniocervical flexion (indicating yes). Maximum pressure increase above the baseline upto 10 mmHg achieved and held for 10 seconds is defined as strength of deep cervical flexors.