Scapular muscle strengthening combined with core stabilization exercises is an effective intervention for reducing neck pain in telephone operators. Prolonged sitting, forward head posture, and repetitive upper-limb use in this population often lead to scapular dyskinesis and poor trunk control, increasing cervical spine stress. Strengthening the scapular stabilizers (such as the middle and lower trapezius and serratus anterior) improves shoulder girdle alignment and reduces overload on cervical muscles. When combined with core stabilization exercises, which enhance trunk stability and postural control, overall biomechanical efficiency is improved. This combined approach has been shown to decrease pain intensity, improve neck function, enhance posture, and reduce work-related musculoskeletal strain in telephone operators with neck pain.

Inclusion Criteria:

• 1. Aged between 20 and 60 years(Kang, Im, & Kim, 2021) 2. Both male and female(Hetaimish et al., 2024) 3. Sitting job during an 8-hour shift and worked telephone, and documents.(Tabanfar, Sobhani, Safari Variani, & Varmazyar, 2023) 4. Employed 6 months ago 5. The patients included in this study if they have CVA equal or less than 50(Abd El-Azeim et al., 2022) 6. Neck pain with mild neck disability (NDI score 5-15)(Pawaria, Sudhan, & Kalra, 2019) 7. A score of 4-7 for the Visual Analog Scale (VAS)(Kang et al., 2021)

Exclusion Criteria:

• 1. History of traumatic cervical spine injuries ,Inflammatory arthropathy 2. Infectious spondylitis, severe osteoporosis, cervical disc protrusion, cervical spine fractures or dislocations, previous cervical surgery, and intractable migraines.(Tian et al., 2025a) 3. intermittent neck pain, transient neck pain or any radiation of the pain to the upper extremity (neurological origin of the pain)