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Abstract
Introduction: Neck pain is a common complaint that may contribute to substantial medical consumption and disability. Methods: 40 patients with chronic mechanical neck pain (CMNP) were randomly assigned into group-A received Shock Wave treatment (SWT) plus stretching exercise for upper fibers of trapezius muscle and group-B received ischemic compression treatment (ICT) plus stretching exercise for upper fibers of trapezius muscle. In group (A) the (SWT) was applied once a week for three weeks while stretching exercises were applied twice a week, while in group (B) the (ICT) was applied twice a week with the stretching exercises. Results: Pain pressure tolerability (PPT) (evaluated by Digital Pressure Algometer), neck pain and function were evaluated by neck pain & disability scale (NPADS), and cervical range of motions (CROMs) were evaluated by Digital Water Level before and after the study. At the end of the study; PPT and percentage of improvement (%) for the groups-A and B were 2.10±0.8 (71.91%) and 6.25±1.13 (14.94%) respectively. NPADS and (%) for the groups-A and B were 1.36 ± 9.23, (16.81%), 160 ± 8.2, (2.19%) respectively. Cervical flextion and (%) for the groups-A and B were 42.85±3.2 (144.51%) and 29.25± 4.36 (71.10%) respectively. Cervical extension and (%) for the groups-A and B were 53.85±4.23 (116.64%) 36.8±4.175 (42.01%) respectively. Cervical right rotation and (%) for the groups-A and B were 74.45±4.69 (98.05%) and 45.7±4.94 (30.11%) respectively. Cervical left rotation and (%) for the groups-A and B were 74.45±4.69 (95.24%) and 52.7±7.21 (25.21%) respectively