A CASE REPORT - A 27-YEAR-OLD FEMALE WITH MECHANICAL NECK PAIN: A COMPREHENSIVE ASSESSMENT AND MANAGEMENT APPROACH UTILIZING NECK FLEXION KINEMATIC DATA, CRANIO-CERVICAL FLEXION TEST, AND POSTURAL ANALYSIS

Abstract

An abridged outline of the case report. A 27-year-old female subject had a 6-month history of mechanical neck pain, which she described as a dull ache in the right side of her neck, radiating to her right shoulder and arm. She reported that the pain was exacerbated by prolonged sitting, working on computer persistently, and heavy lifting. The subject had tried various treatments, including physical therapy, chiropractic care, medication, and other home remedies. Her symptoms were not relieved and hence forth she visited our Harsha Institute of Physiotherapy Department of Musculoskeletal Physiotherapy & Movement science for further assessment and management. We received a consent from the subject and further investigated her symptoms through assessment tools such as movement analysis of neck flexion specifically kinematic data through KINOVEA software and postural analysis through postural grid with photographic and videographic documentation followed by Cranio-cervical flexion test (CCFT) for mechanical dysfunction of neck and posture due to poor ergonomics. So, further management we imposed are postural correction (Forward head posture and round shoulder) and movement patterns of nodding and deep cervical flexors endurance training followed by ergonomics modification, improvised, and focused performance index and activation score of neck.