Comparison of Dynamic Neuromuscular Stabilization Exercises and Deep Cervical Muscle Exercises on Muscle Fat Infiltration in Individuals With Neck Pain

Comparison of Dynamic Neuromuscular Stabilization Exercises and Deep Cervical Muscle Exercises on Muscle Fat Infiltration in Individuals With Neck Pain

This clinical trial study aims to compare the effects of DNS (Dynamic Neuromuscular Stabilization) exercises and deep cervical muscle exercises on fat infiltration, disability, and posture in individuals with chronic non-specific neck pain. The clinical questions of this study are as follows:

• Can DNS and deep cervical muscle exercises decrease muscle fat infiltration?
• Can DNS and deep cervical muscle exercises improve neck disability?
• Can DNS and deep cervical muscle exercises improve neck posture?

Researchers will compare DNS and deep cervical muscle exercises to people with non-specific neck pain. DNS exercises are hypothesized to significantly reduce fat infiltration and improve neck disability and neck posture compared to deep cervical muscle exercises.

The participants will undergo an MRI scan and clinical assessment, such as NDI (Neck Disability Index) and posture checking, before being randomly divided into two groups. The first group will perform DNS exercises, and the second group will engage in deep cervical muscle exercises. Both sets of exercises will be performed for 16 weeks as part of a daily routine. After the 16-week exercises, the participants will undergo a follow-up MRI, NDI, and posture checking.

Inclusion Criteria:

• Non-specific neck pain condition for three months or more
• Mild to moderate disability ( more than 10% of NDI)
• Mild to moderate pain level(2-8/10 of NRS)

Exclusion Criteria:

• A history of spine surgery or cervical injury
• Participated in a neck exercise program in the past three months
• Upper extremity problems
• Radiating pain, numbness, and weakness of the upper extremities
• A detectable pathological spinal condition
• Metabolic disorders, diabetes, and hypertension Obesity