Participants in this group received a hot pack followed by Bowen Therapy in prone lying position. Treatment was administered on alternate days for 6 weeks, with each session lasting 15-20 minutes. Assessments were performed at baseline, week 3, and week 6, with a follow-up at 3 weeks post-treatment.

Participants in this group received a hot pack applied to the neck and upper back area for 7-10 minutes, followed by Muscle Energy Technique (Post-Isometric Relaxation) for the upper trapezius, levator scapulae, scalenus, and sternocleidomastoid muscles in supine lying position. Each contraction lasted 5 seconds followed by 3 seconds of relaxation, with 5 repetitions per muscle. Treatment was given on alternate days for 6 weeks, with assessments at baseline, week 3, and week 6, and a follow-up after 3 weeks.

Participants received a hot pack, followed by Bowen Therapy performed in prone lying position on a plinth. Bowen moves were applied to soft tissues and muscles of the neck and upper back, aiming to reduce muscle tension and pain. Sessions lasted 15-20 minutes, administered on alternate days for 6 weeks. Assessments were conducted at baseline, 3rd week, 6th week, and at 3-week follow-up.

Neck disability Index scale (NDI-U) This Neck Disability Index (NDI) scale assesses the degree of perceived pain in neck an the disability status based on daily activities and underlying cervical spine pain. Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'. Points summed to a total score