scholarly journals Effects of Selective Rehabilitation on Neck Pain due to Cervical Spondylosis - A Clinical Trial

2015 ◽  
Vol 31 (2) ◽  
pp. 102-109
Author(s):  
Md Abdus Shakoor ◽  
- Shamsunnahar ◽  
Nayeem Anwar ◽  
Md Muhibbur Rahman ◽  
Fatema Zohra ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Chronic Neck Pain ◽  
P Value ◽  
Female Ratio ◽  
Rehabilitation Treatment ◽  
Group A ◽  
Student’S T ◽  
Group B

Background:Pain in the neck is a common complaint of the patients attending the hospital. In clinical practice, neck pain is seen frequently as a presenting symptom and sometimes it becomes disabling and compromises the working capacity. One of the most common causes of pain in the neck is cervical spondylosis. Rehabilitation treatment may play an important role to improve the condition of the patients. For this purpose, the study was done to find out the effects of rehabilitation treatment on chronic neck pain to improve the present situation regarding treatment. Methodology: A randomized clinical trial was conducted in the department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. A total of 150 patients were included and they were divided into two groups: group-A and group-B. Group-A was treated with selective rehabilitation and Group –B was treated with NSAID only. History, clinical examination and relevant investigations were done. The findings were recorded at first attendance and follow up was done weekly for six weeks. The results were expressed as mean ± SD and the level of significance was expressed by p-value unless otherwise stated. Student’s ‘t’ tests was done to test the hypothesis. Results: Among the study subjects 48(32 %)were male and 102 (68 %) were female. The male female ratio was 1: 2.12. There was significant improvement in both the group after treatment ( P= 0.001). But in comparison between two groups, all the baseline criteria were identical. There was no significant improvement between two groups up to 5th weak( P>05) but significant improvement was seen in Group-B than Group-A after six weeks treatment (P= 0.03). This results indicates that the improvement of the patient with cervical spondylosis was seen in selective rehabilitation group and in NSAIDs group. And improvementwas same in both the group up to 5th week and after six weeks more improvement was found in NSAIDs group. Conclusions: By this study, it may be concluded that to reduce symptom and disability, rehabilitation treatment can be used effectively for the treatment of chronic neck pain without analgesics and by this way nephropathy due to NSAIDs can be avoided. Bangladesh Journal of Neuroscience 2015; Vol. 31 (2): 102-109

scholarly journals Effectiveness of Mobilizations along With Hot Therapy versus Mobilizations for Management of Chronic Neck Pain Due to Over Usage of Smart Phones among Young at LUMHS Jamshoro

2021 ◽  
pp. 57-62
Author(s):  
Jeetendar Valecha ◽  
Syed Mukhtar Ahmed ◽  
Tasghir Nabi ◽  
Mahesh Kumar Mugria ◽  
Siknader Ali Sangrasi ◽  
...  
Keyword(s):  
Neck Pain ◽  
Severe Pain ◽  
Chronic Neck Pain ◽  
Smart Phones ◽  
Moderate Pain ◽  
Mild Pain ◽  
Group A ◽  
Group B ◽  
Rehabilitation Sciences ◽  
Therapy Treatment

Objective: To determine the effectiveness of mobilizations along with hot therapy versus mobilizations for the management of chronic neck pain due to over usage of smart phones among young. Materials and Methods: This interventional clinical trial was conducted at OPD, Institute of Physiotherapy & Rehabilitation Sciences (IPRS) in Liaquat University Medical and Health Sciences Jamshoro (LUMHS). All the individuals from LUMHS Jamshoro including students, age 18-35 years and either of gender were included. All the individuals were divided in two groups (group A and group B). Cases of group A were underwent management of mobilization with hot therapy and cases of group B underwent only mobilization management. Outcome was observed in the terms of decrease the pain during work, reading and sleeping. All the data was recorded via study proforma. Results: Total 64 individuals were studied. Mean age was 26.2+4.2 years in group A and 28.6+5.3years. Males were in majority in both groups. According to the pain assessment on movement, mild pain was in 18.8%, moderate pain was 50.0%, severe pain was in 12.5% and very severe pain was in 18.85 of the patients of group A. However in group B most of the patients 93.8% had mild pain and 6.2% patients had severe pain, while no any patients with moderate pain and very severe pain was found in group B. After treatment pain was more decreased in patients of group A as pain during work, reading and sleeping was significantly higher in only mobilizations treatment group as compared to those underwent mobilizations with hot therapy treatment, p-values were quite significant. Conclusion: It was concluded that the treatment of mobilization with Hot pack was more effective than treatment only mobilization.

scholarly journals LOWER URETERIC STONES EXPULSION;

2017 ◽  
Vol 24 (09) ◽  
pp. 1331-1335
Author(s):  
Khalid Hussain ◽  
Maria Tarique ◽  
Attiq ur Rehman Khan ◽  
Asim Bukhari ◽  
Bilal Akhter ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Oral Treatment ◽  
P Value ◽  
X Rays ◽  
Female Ratio ◽  
Group A ◽  
Insignificant Difference ◽  
The Mean ◽  
Group B ◽  
Trial Setting

Objectives: To compare Tamsulosin versus ESWL for lower ureteric stonesexpulsion. Study Design: Randomized controlled trial. Setting: Outpatient Department ofUrology at Services Hospital, Lahore. Period: January 2015 to December 2015. Material& Methods: Total 50 patients were enrolled in study. Patients were divided into 2 groups.In group A, 25 patients received daily oral treatment of 0.4mg Tamsulosin for 28 days, andin group B, 25 patients were treated with ESWL. A stone-free condition, was defined as thecomplete absence of any stone based on plain abdominal X-rays observed and during followupvisits at the time of treatment of stone was noted. Results: The mean age of the patientswere recorded as 33.20±9.23 years. There were 40(80%) males and 10(20%) females with maleto female ratio of 4:1. Out of 50 patients, 16(32%) presented with hematuria, 3(6%) had feverwhile 31(62%) appeared with no complication status. Out of 50 patients, 21(42%) presentedwith expulsion time 08-14 days in which 14(28%) were from tamsulosin group and 07(14%)were from ESWL group, similarly 19(38%) patients appeared with expulsion time of 15-28 daysin which 10(20%) were from tamsulosin group and 09(18%) were from ESWL group. Statisticallythere is insignificant difference between the groups i.e. p-value=0.28 Ns. Conclusion: Thisstudy suggests that the tamsulosin helps in the earlier clearance of stone fragments andreduces the complications as compared to ESWL.

scholarly journals Primary prophylaxis of hepatic encephalopathy in decompensated cirrhosis: Low dose vs. full dose rifaximin

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Shahid Sarwar ◽  
Bushra Muhyuddin ◽  
Abdul Aleem ◽  
Muhammad Arif Nadeem
Keyword(s):  
Hepatic Encephalopathy ◽  
Low Dose ◽  
Randomized Study ◽  
Primary Prophylaxis ◽  
Decompensated Cirrhosis ◽  
P Value ◽  
Female Ratio ◽  
Full Dose ◽  
Group A ◽  
Group B

Objective: To compare efficacy of high vs low dose rifaximin for primary prophylaxis of portosystemic encephalopathy (PSE) in decompensated liver cirrhosis. Methods: In a quasi-experimental double blind randomized study at Services Institute of Medical Sciences (SIMS), Lahore from August 2017 to August 2018, patients of decompensated cirrhosis with no previous PSE were randomized to receive twice daily rifaximin 200mg in Group-A and 550mg in Group-B. Patients were followed for 6 months for development of PSE. Results: In 75 included patients, mean age was 53.8(±10.7) years and male/female ratio was 0.97/1(37/38). After randomization, 34 (45.3%) patients were included in Group-A and 41 (54.7%) patients in Group-B. During 6 month follow up 24 (32%) patients developed PSE, 12 (35.2%) in Group-A and 12 (29.2%) in Group-B, difference was not significant (p value 0.57). In 6 months, 13 (17.3%) patient died, 6 (17.6%) in Group-A and 7 (17.07%) patients in Group-B, difference not significant (p value 0.94). Patients who died had higher bilirubin (p < 0.00), higher serum creatinine (p 0.05), high CTP score (p 0.04) and worse MELD score (p 0.004). Conclusion: Rifaximin is not effective for primary prophylaxis of overt hepatic encephalopathy in decompensated cirrhosis patients. doi: https://doi.org/10.12669/pjms.35.5.549 How to cite this:Sarwar S, Muhyuddin B, Aleem A, Nadeem MA. Primary prophylaxis of hepatic encephalopathy in decompensated cirrhosis: Low dose vs. full dose rifaximin. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.549 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals A CONTROLLED CLINICAL STUDY TO EVALUATE THE EFFICACY OF KARPASASTHYADI TAILA NASYAKARMA IN THE MANAGEMENT OF GREEVA ASTHIGATAVATA VIS- A-VIS CERVICAL SPONDYLOSIS

2021 ◽  
Vol 09 (1) ◽  
pp. 63-72
Author(s):  
Asha Rani K ◽  
Umashankar. K. S
Keyword(s):  
Clinical Study ◽  
Cervical Spondylosis ◽  
Test Group ◽  
Control Group ◽  
P Value ◽  
Contingency Coefficient ◽  
Group A ◽  
Group B ◽  
B Test ◽  
Controlled Clinical Study

Asthigatavata is one among Shoola and Shosha Pradhana Vatavyadhi characterized by Asthishosha (Osteoporosis), Asthibheda (Cutting pain in bony joints), Asthishoola, Sandhishoola (Joint pain), Bedhaasthiparvanam (Splitting pain in bones and joints), Mamsabalakshaya (Loss of muscle strength), Aswapna (Insomnia) and Satata Ruk (Continuous pain). When Kupitha Vata Dosha enters in to the Asthi present in Greevapradesha causes series of changes producing symptoms and this clinical entity is named as Greeva Asthigatavata. Cervical Spondylosis is seen in the general population with the incidence rate of 83 per 100,000 and occurs mostly in fourth and fifth decades of life. More disability is seen over the age of 50years. Its prevalence is similar for both the sex, although the degree of severity is greater for males. Aim: To evaluate the therapeutic efficacy of Karpasasthyadi Taila Nasyakarma in the management of Greeva Asthigatavata vis-à-vis Cervical Spondylosis. Materials and Methods: It was a controlled clinical study with pre and posttest design. Total 100 subjects were incidentally selected and assigned into two groups viz., Group A (Control group) and Group B (Test group), with 50 subjects in each group. Subjects of Control Group were subjected with Greevabasti with Mahamasha Taila for 7 consecutive days and Astavarga Kashaya internally for 14 consecutive days from the first day of Greevabasti. Subjects of Test Group were subjected to Nasyakarma with Karpasasthyadi Taila for 7 consecutive days along with Greevabasti with Mahamasha Taila for 7 consecutive days and Astavarga Kashaya internally for 14 consecutive days from the first day of Nasyakarma. The study consisted of 3 assessments i.e on 0th day, 7th day and on 14th day. Result: In the study it was observed that Group B (CC=0.529) showed clinically and statistically highly significant results with respect to reduction of symptoms than Group A (CC=0.389) with high contingency coefficient value. Also, the overall assessment showed clinically and statistically highly significant result in both groups with p value 0.000. Conclusion: On comparing the overall effect of the study, trial group (Group B) showed better results than control group (Group A). Hence, Karpasasthyadi Taila has a better role in the management of Greeva Asthigatavata.

scholarly journals Postural Restriction in Benign Paroxysmal Positional Vertigo: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Yuvatiya Plodpai ◽  
Pattarawadee Prayuenyong
Keyword(s):  
Clinical Trial ◽  
Recurrence Rate ◽  
Head Movement ◽  
Benign Paroxysmal Positional Vertigo ◽  
P Value ◽  
Dizziness Handicap Inventory ◽  
Positional Vertigo ◽  
Group A ◽  
Group B ◽  
Paroxysmal Positional Vertigo

Objective: We compared the efficacy between addition of post-maneuver postural restriction, and that of the modified Epley’s maneuver alone.Material and Methods: One hundred eighty patients with posterior canal benign paroxysmal positional vertigo were divided into two groups, using a block of four randomization. Group A were instructed to avoid head movement for 48 hours after the modified Epley’s maneuver. Group B were treated with the modified Epley’s maneuver alone. DixHallpike test and dizziness handicap inventory (DHI) scores were assessed at 1 and 2 weeks, and followed up for 48 weeks to assess recurrent symptoms.Results: There were no significant differences between the two groups in terms of changes from a positive to a negative Dix-Hallpike test; while the DHI score and recurrence rate were significantly lower in group A (p-value 0.042).Conclusion: Postural restriction after the modified Epley’s maneuver can improve the DHI score, and reduce the recurrence rate of vertigo, compared with the modified Epley’s maneuver alone.

scholarly journals DIAPHYSEAL FEMORAL FRACTURES

2015 ◽  
Vol 22 (04) ◽  
pp. 476-482
Author(s):  
Muhammad Azeem Akhund ◽  
Karam Ali Shah ◽  
Allah Nawaz Abbasi ◽  
Zulfiqar Ali Mastoi
Keyword(s):  
Road Traffic ◽  
Callus Formation ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
P Value ◽  
Female Ratio ◽  
Femur Fractures ◽  
Group A ◽  
The Mean ◽  
Group B

The femur fractures usually happen with oomph forces like motor vehicleaccidents. Objectives: To assess the mode of injury and complications of the management, indiaphyseal femoral fractures, in comparison of close versus open intramedullary interlockingnail (IMN). Study Design: Experimental and comparative study. Period: April 2013 to March2014. Setting: Department of Orthopaedic Surgery, Peoples University of Medical & Healthsciences, Nawabshah. Methods: The cases were divided into two groups A and B. Group Awas treated by open nailing (n = 20) and group B by close nailing (n = 20), all the cases wereoperated within 48 hours of admission. All the data were recorded on well structured proforma.Serial radiographies were performed at 3, 6, 12 weeks, and 6 months; additional radiographieswere performed as needed postoperatively. Knee, ankle, and hip motions were begun andprotected weight bearing was started on the second day postoperatively and increasedgradually to full WB depending on x-ray findings of callus formation. The patients were followedfor two years. Results of open and closed I.M.N were assessed and the complications if anywere observed over a mean follow-up period of two years. Results: The mean age in groupA was 29.40 years and the mean age in group B was 30.45 years. Out of 40 cases, 32(80.0%)were males with male to female ratio 1:4. Mean ± SD hospital stay was 19.80 ± 14.60 days ingroup A, and 17.90 ± 5.95 days in group B (p value 0.55). Average time between injury andadmission was 1.53 days (n = 40), in the group A it was 1.05 days, and in the group B it was2.0 days (p value 0.03). The average of time between injury and operation in the group A was8.75 days, and in the group B, it was 8.20 days, (p value 0.71). The average of time betweenadmission and discharge in the group A was 11.0 days, and in the group B was 9.15 days,(p value 0.55). Mean ± SD union time was 11.70 ± 6.45 weeks, in group A and 11.90 ± 5.77weeks, in group B. (p value 0.91). All the patients had full ranged of hip motion and 2 (10.0%)patients of group A had mild limitation of knee motion with a flexion ranges between 80 and110 degrees. Final functional results based on Thoresen BO criteria16. Excellent results wereobserved in 19 (47.5%) cases, out of them 5(25.0%) were in group A and 14(70.0%) were ingroup B. Good results were found in 13(32.5%) patients, out of these 7(35.0%) were in group Aand 6(30.0%) were in group. Fair and poor results were detected in 4(10.0%) cases of group A.Conclusions: Road traffic accidents by motorcycle was found the commonest (47.5%) causeof femur fracture, a few complications were observed in open interlocking nailing as comparedto closed interlocking nails.

Success of Ponseti Method in Idiopathic Club Feet of <2 Years and 2-5 years of age – A Comparative Study

2021 ◽  
Vol 15 (11) ◽  
pp. 3022-3025
Author(s):  
Usman Ahmed ◽  
Ayesha Saeed ◽  
Mian Maqbool Hussain ◽  
Mumtaz Hussain ◽  
Abdul Latif Sami ◽  
...  
Keyword(s):  
Success Rate ◽  
Study Groups ◽  
Ponseti Method ◽  
P Value ◽  
Congenital Talipes Equinovarus ◽  
Female Ratio ◽  
Talipes Equinovarus ◽  
Group A ◽  
Group B ◽  
Male To Female

Background: The Ponseti technique is the gold standard for treatment of clubfoot. However, the data in walking children is still limited and results are ill defined. Aim: We prospectively compared Ponseti method in clubfoot patients aged <2 and between 2 to 5 years in our local scenario. Methods: A total of 40 patients were included in the study through non-probability purposive sampling. The patients were examined, classified (Goldner and Fitch classification) and demographic information was recorded. They were explained about the risk and informed consent was taken. In group A, patients were below 2 years of age while in group B, patients were between 2-5 years of age. Ponseti casting was performed by a designated team. Follow-up was done for 6 months from the correction of feet. Results: We received 27(67.5%) male and 13(32.5%) female patients .The male to female ratio was 2:1. The mean age of patients in group A and B was 0.8±0.70 years and 4.3±2.1 years respectively. There was no statistical difference of severity of deformity of clubfoot in both study groups, p-value>0.05. In group A, 17 (85%) patients had success of procedure while in group B the success was achieved in 11 (55%) patients. The success rate was statistically significantly higher in group-A as compared to group B, p-value<0.001 Conclusion: Patient aged <2 years have significantly higher success rate as compared to patients aged between 2-5 years. So we recommend the Ponseti method as standard therapy in clubfoot management for patients with age<2 years and for correction of mild and moderate deformities in patients between 2 to 5 years. Keywords: Clubfoot, Congenital talipes equinovarus, Ponseti method

scholarly journals THE PASSIVE CASE DETECTION OF MALARIA AT TEHSIL LIAQUETPUR

2006 ◽  
Vol 13 (01) ◽  
pp. 32-34
Author(s):  
ABDUL REHMAN
Keyword(s):  
Clinical Trial ◽  
Control Programme ◽  
P Value ◽  
Malaria Control Programme ◽  
Case Detection ◽  
Passive Case Detection ◽  
Group A ◽  
Group B ◽  
Better Than

Introduction: The purpose of this study is to compare the role of thedoctors and the medical technicians/ dispensers in passive case detection (PCD) of malaria.Design: This is a nonrandomized clinical trial. Material and Methods: The PCD slides data of Malaria Control Programme Laboratory atTehsil Headquarter Hospital Liaquetpur from 2001 to 2004 was divided into group A and Group B depending onwhether the slides were advised by the doctors or the medical technicians/dispensers. P value less than 0.05 was takenas significant. Results: The slide positivity rate (%) of Group A vs. Group B was 17.11 vs. 5.64 (p<0.0001) in 2001,9.35 vs. 3.17 (p<0.0001) in 2002, 5.76 vs. 1.61 (p<0.0001) in 2003 and 5.74 vs. 1.33 (p<0.0001) in 2004. Thefalciparum rate (%) of group A vs. group B was 2.59 vs. 0.46 (p<0.0001) in 2001, 2.06 vs. 1.15 (p=0.0342) in 2002,0.3 vs. 00 (p= 0.0767) in 2003 and 0.31 vs. 00 (p=0.1276) in 2004. Conclusion: The performance of doctors groupwas better than those of medical technicians/dispensers group

scholarly journals A CONTROLLED CLINICAL STUDY TO EVALUATE THE EFFICACY OF KARPASASTHYADI TAILA NASYAKARMA IN THE MANAGEMENT OF GREEVA ASTHIGATAVATA VIS- A-VIS CERVICAL SPONDYLOSIS

2021 ◽  
Vol 09 (1) ◽  
pp. 63-72
Author(s):  
Asha Rani K, ◽  
Umashankar. K. S
Keyword(s):  
Clinical Study ◽  
Cervical Spondylosis ◽  
Test Group ◽  
Control Group ◽  
P Value ◽  
Contingency Coefficient ◽  
Group A ◽  
Group B ◽  
B Test ◽  
Controlled Clinical Study

Asthigatavata is one among Shoola and Shosha Pradhana Vatavyadhi characterized by Asthishosha (Osteoporosis), Asthibheda (Cutting pain in bony joints), Asthishoola, Sandhishoola (Joint pain), Bedhaasthiparvanam (Splitting pain in bones and joints), Mamsabalakshaya (Loss of muscle strength), Aswapna (Insomnia) and Satata Ruk (Continuous pain). When Kupitha Vata Dosha enters in to the Asthi present in Greevapradesha causes series of changes producing symptoms and this clinical entity is named as Greeva Asthigatavata. Cervical Spondylosis is seen in the general population with the incidence rate of 83 per 100,000 and occurs mostly in fourth and fifth decades of life. More disability is seen over the age of 50years. Its prevalence is similar for both the sex, although the degree of severity is greater for males. Aim: To evaluate the therapeutic efficacy of Karpasasthyadi Taila Nasyakarma in the management of Greeva Asthigatavata vis-à-vis Cervical Spondylosis. Materials and Methods: It was a controlled clinical study with pre and posttest design. Total 100 subjects were incidentally selected and assigned into two groups viz., Group A (Control group) and Group B (Test group), with 50 subjects in each group. Subjects of Control Group were subjected with Greevabasti with Mahamasha Taila for 7 consecutive days and Astavarga Kashaya internally for 14 consecutive days from the first day of Greevabasti. Subjects of Test Group were subjected to Nasyakarma with Karpasasthyadi Taila for 7 consecutive days along with Greevabasti with Mahamasha Taila for 7 consecutive days and Astavarga Kashaya internally for 14 consecutive days from the first day of Nasyakarma. The study consisted of 3 assessments i.e on 0th day, 7th day and on 14th day. Result: In the study it was observed that Group B (CC=0.529) showed clinically and statistically highly significant results with respect to reduction of symptoms than Group A (CC=0.389) with high contingency coefficient value. Also, the overall assessment showed clinically and statistically highly significant result in both groups with p value 0.000. Conclusion: On comparing the overall effect of the study, trial group (Group B) showed better results than control group (Group A). Hence, Karpasasthyadi Taila has a better role in the management of Greeva Asthigatavata.

scholarly journals The effect of giving verbal feedback during neck stabilisation exercise as an addition to physical therapy in patients with chronic neck pain: A randomised controlled trial

2021 ◽  
pp. 026921552110441
Author(s):  
Yi-Jia Lin ◽  
Wei-Chun Hsu ◽  
Lin-Fen Hsieh ◽  
Kae-Chwen Chang ◽  
Ying-Chen Kuo ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Neck Pain ◽  
Controlled Trial ◽  
Neck Disability Index ◽  
Chronic Neck Pain ◽  
Group A ◽  
Group B ◽  
Randomised Controlled ◽  
Neck Disability

Objectives To study the addition of feedback-guided neck strength home exercise to physical therapy as an enhanced rehabilitation programme in the treatment of patients with chronic neck pain. Design A prospective randomised controlled trial. Setting Rehabilitation department of an academic hospital. Subjects Patients with chronic neck pain. Interventions The patients in both groups received supervised physical therapy sessions 3 times a week for 12 weeks. Patients in Group A ( N = 38) used the neck strengthening exerciser device for 20 min daily at home for 6 weeks and patients in Group B ( N = 20) performed 20 min of daily regular neck exercise at home for 6 weeks. Outcome measures Neck disability index, pain visual analogue scale, active range of motion of the neck, Patient Global Assessment and patient evaluation of treatment effect. All subjects were assessed at baseline as well as at 6- and 12-week follow-ups. Results At the 6-week follow-up, Group A exhibited significantly greater improvements ( P < 0.05) in pain Visual Analogue Scale (Group A: 2.97 ± 1.57; Group B: 4.20 ± 1.82), neck disability index (Group A: 13.95 ± 8.07; Group B: 20.07 ± 9.14) and active cervical extension (Group A: 65.26 ± 12.76; Group B: 51.45 ± 11.78). At 12-week follow-up, Group A also exhibited significantly greater active cervical extension (Group A: 67.74 ± 11.94; Group B: 53.85 ± 14.09; P < 0.05). Conclusion Adding neck strengthening exerciser home training to physical therapy was demonstrated to be more effective than physical therapy alone for patients with chronic neck pain.

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