The intervention will include targeted neck strengthening and endurance exercises combined with the application of hot packs

The intervention will include targeted neck strengthening and endurance exercises combined with the application of hot packs in addition to myofasical release technique

control ; only advices

Neck Strengthening and Endurance Exercises with Hot Packs

Preparation: A moist hot pack will be applied for 10-15 minutes to the cervical region before exercise to reduce stiffness and enhance tissue extensibility.

Exercise program:

Deep cervical flexor training: Chin tucks in supine and sitting, progressing to sustained isometric holds.

Extensor and scapular stabilizer training: Prone head lifts and shoulder retraction exercises with light resistance.

Endurance training: Low-load, high-repetition exercises focusing on maintaining cervical posture against gravity.

Progression: Intensity and duration will gradually increase, emphasizing endurance over maximal strength to correct postural deficits.

Frequency: 40 minutes per session, 3 times per week for 6 weeks

Rationale: The combined use of heat and targeted exercises improves neuromuscular control, enhances cervical stability, and supports better cervical curvature correction. Myofascial Release Technique

Landmarks & angle construction (C2-C7 Cobb)

Draw a line along the inferior endplate of C2.

Draw a line along the inferior endplate of C7.

Erect perpendiculars to each line and measure the angle at their intersection (alternatively, measure the acute angle between the two endplate lines and subtract from 180°).

Record the angle in degrees of lordosis (greater positive values = greater lordosis). Note the sign convention in your CRF and keep it consistent pre/post.

Normal value is between 20_40

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