Sonia Pawaria, Int. J. Res. Pharm. Sci., 2020, 11(4), 5287-5292 ORIGINAL ARTICLE INTERNATIONAL JOURNAL OF RESEARCH IN PHARMACEUTICAL SCIENCES Published by JK Welfare & Pharmascope Foundation Journal Home Page: www.pharmascope.org/ijrps Effect of Deep Cervical Flexor training on Respiratory Functions in Chronic Neck Pain patients with Forward Head Posture Sonia Pawaria *1 , Sheetal Kalra 2 1 Department Faculty of Physiotherapy, SGT University, Gurugram, Haryana - 122505 India 2 Department School of Physiotherapy, Delhi Pharmaceutical Science and Research University, Push Vihar, New Delhi, India-110017 Article History: Received on: 17 Jun 2020 Revised on: 15 Jul 2020 Accepted on: 31 Jul 2020 Keywords: Deep neck ϑlexor training, faulty mechanics, Craniovertebral angle, Forward Head Posture, FVC, Pulmonary functions ABSTRACT Protruded chin posture is one of the commonly seen postural problem associated with patients having chronic neck pain. It is also known by names Forward Head Posture (FHP) or anteriorly translated head posture. The FHP causes an alteration in mechanics of rib cage which leads to a reduction in mobility of thorax and abdomen, decreased movement of the diaphragm, reduced ventilatory effectiveness of diaphragm and reduced efϑi- cacy of abdominals and intercostals muscles during respiration. Therefore this study was executed to check the effectiveness of deep cervical ϑlexor exercises on Craniovertebral angle and pulmonary functions. It was a com- parative experimental study design. Based on the study’s selection criteria, the total numbers of 100 subjects were taken and divided into Experimen- tal and Control groups. In-depth Cervical ϑlexor training with the conven- tional Physiotherapy was given to subjects of the experimental group. Con- trol group subjects received only Conventional Physiotherapy for six weeks. The baseline measurement was taken on day one of the studies. The dig- ital camera assessed the Forward head posture by measuring Cranioverte- bral Angle (CVA). Spirometry determined pulmonary functions (FEV 1 & FVC). All measurements were repeated at the end of the 6 th week. The baseline measurement and measurement at the end of 6 th week were compared by using the t-test. Considerable improvement in Craniovertebral angle and func- tional status of the lung, resulted in subjects who were given in-depth cervi- cal ϑlexor training along with the conventional Physiotherapy treatment (p< 0.05). Therefore it is suggested that deep cervical ϑlexor exercises improve the head posture and also correct the biomechanics of respiratory muscles. Deep neck ϑlexor training can be considered as an efϑicient technique in lessening protruded chin posture. * Corresponding Author Name: Sonia Pawaria Phone: 9416414362 Email: sonia@sgtuniversity.org ISSN: 0975-7538 DOI: https://doi.org/10.26452/ijrps.v11i4.3146 Production and Hosted by Pharmascope.org © 2020 | All rights reserved. INTRODUCTION One of the most common problems of musculoskele- tal system is continuous pain in neck that is chronic neck pain. Once in life time approx 70%-80% of people fall prey to neck pain and in approx 60% of people either pain persists or there are repeated episodes of pain. Since long neck pain was given less priority compared to pain in back (Jull et al., 2008). However, the increasing incidence of neck pain during this century, which can be justiϑied by changes owing to increase used of gadgets & mod- © International Journal of Research in Pharmaceutical Sciences 5287