Symmetrical Scapula-Pelvis Proprioceptive Neuromuscular Facilitation and Superficial Back Line among patients with Chronic Neck Pain and Hamstring Tightness

Intervention will be provided with 18 sessions (3 sessions per week for 6 weeks). The total duration of the session will 20 minutes. A Physical Therapist with more than 13 years of clinical experience will provide the intervention. Group A (Intervention/ experimental group) will receive Proprioceptive Neuromuscular Facilitation, Dynamic Reversal of Antagonists using Symmetrical Scapula-Pelvis Patterns. In these, the scapula and pelvis move in the same diagonal but in opposite movement pattern named as scapular anterior elevation–pelvic posterior depression and Scapular posterior depression–pelvic anterior elevation. • Patient will be in right side lying position. • The therapist will perform left side passive scapular anterior elevation–pelvic posterior depression (SAE-PPD) and Scapular posterior depression–pelvic anterior elevation (SPD-PAE) on patients to demonstrate the movement. • Then, therapist will ask the patient to perform the same move against resistance. • Then the therapist will resist the patient’s movement in one direction. • As the end of the desired range of motion approaches the therapist will reverse one grip on the moving segment and will give a command to prepare for the change of direction. • At the end of the desired movement the therapist will give the action command to reverse direction to SPD-PAE, without relaxation, and will give resistance to the new motion starting with the distal part. • When the patient begins moving in the opposite direction the therapist reverses the second grip so all resistance opposes the new direction. • Same procedure will be repeated on another side. • There will 10 repetitions and 3 sets exercises for each side, 20 second rest between two sets, The self-report checklist will be used with therapist supervision and patient feedback to monitor intervention fidelity and adherence to the intervention.