Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study

Abstract Background The purpose of this study was to evaluate the short- and intermediate-term effects combined application instrument-assisted soft tissue mobilization (IASTM) techniques neuromuscular exercises cervical thoracic area on improvement functionality patients with mechanical neck pain accompanying forward head posture (FHP). Methods Twenty FHP were randomized received eight treatment sessions either targeted IASTM in combination (Group A) or a classical massage same set B). vertebral angle (CVA), range motion (ROM) strength, (visual analogue scale-VAS), disability index (NDI) measured throughout period two- four-week post-treatment periods. Results contributed significantly greater CVA A: + 7,2 deg vs Group B: 1,1 deg) NDI A:-25,2 B:-5,8) than exercises. Both interventions improved ROM strength short term. Pain also both groups A VAS: − 5,97 B 3,1) intermediate term VAS:-5,5 B:-1,5). Conclusions Combining for can induce positive postural adaptations improve functional status patients. Trial registration ISRCTN, ISRCTN54231174 . Registered 19 March 2020 - Retrospectively registered.