Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally

Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally.

Is the most commonly used method for assessing pain intensity. The leftmost value on the 10-cm horizontal line used for VAS indicates a painless condition represented by 0. The rightmost value is 10, which represents extreme pain. The subjects rated their feelings of pain on the line by themselves, thereby quantifying the pain. The validity and reliability are very high.

Is an instrument for measuring the Quality of an individual's life across a broad range of specific areas.

Quality of life (QoL) could be viewed as a subjective, multidimensional concept that emphasizes an individual's current state's self-perception. However, the general Quality of life includes individuals' evaluation of all aspects of life, including the safety of the environment in which they live, whether they feel they have access to health care and social services, and their current spiritual status

Measures neck pain and consequent patient disabilities. It is easy to complete, to score, and it gives an objective measure to assess the monitor symptoms and outcome in patients with acute or chronic neck pain over time.

The Neck Disability Index (NDI) was grown in (1989) by Howard Vernon. The Index developed to modify the Oswestry Low Back Pain Disability Index with the original author's permission J. Fairbank, (1980). Vernon and Mior at (1991) the reliability and validity analysis finding have been published in the Manipulative and Physiologic Therapeutics Journal.