Work-related Neck Pain
Conditions
Brief summary
Scapular muscle strengthening combined with core stabilization exercises is an effective intervention for reducing neck pain in telephone operators. Prolonged sitting, forward head posture, and repetitive upper-limb use in this population often lead to scapular dyskinesis and poor trunk control, increasing cervical spine stress. Strengthening the scapular stabilizers (such as the middle and lower trapezius and serratus anterior) improves shoulder girdle alignment and reduces overload on cervical muscles. When combined with core stabilization exercises, which enhance trunk stability and postural control, overall biomechanical efficiency is improved. This combined approach has been shown to decrease pain intensity, improve neck function, enhance posture, and reduce work-related musculoskeletal strain in telephone operators with neck pain.
Interventions
OTHERScapular Muscle Strengthening Combined with Core Stabilization Exercises
This intervention consists of a structured therapeutic exercise program focusing on strengthening the scapular stabilizing muscles (including the middle and lower trapezius and serratus anterior) combined with core stabilization exercises targeting the deep abdominal and lumbar muscles. The program is designed to improve postural alignment, enhance trunk and shoulder girdle stability, and reduce mechanical stress on the cervical spine. Exercises are performed under supervision with progressive intensity over the intervention period. The intervention is specifically tailored for telephone operators experiencing work-related neck pain.
OTHERConventional Neck Exercise Program
This intervention consists of conventional physiotherapy exercises commonly used for the management of work-related neck pain. The program includes cervical range-of-motion exercises, stretching of neck and shoulder muscles, and basic isometric strengthening of the cervical musculature. No specific scapular muscle strengthening or core stabilization exercises are included. The exercises are supervised and performed according to standard clinical practice guidelines for neck pain management, serving as a comparator to evaluate the added effects of scapular strengthening combined with core stabilization exercises.
Sponsors
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* 1\. Aged between 20 and 60 years(Kang, Im, \& Kim, 2021) 2. Both male and female(Hetaimish et al., 2024) 3. Sitting job during an 8-hour shift and worked telephone, and documents.(Tabanfar, Sobhani, Safari Variani, \& Varmazyar, 2023) 4. Employed 6 months ago 5. The patients included in this study if they have CVA equal or less than 50(Abd El-Azeim et al., 2022) 6. Neck pain with mild neck disability (NDI score 5-15)(Pawaria, Sudhan, \& Kalra, 2019) 7. A score of 4-7 for the Visual Analog Scale (VAS)(Kang et al., 2021)
Exclusion criteria
* 1\. History of traumatic cervical spine injuries ,Inflammatory arthropathy 2. Infectious spondylitis, severe osteoporosis, cervical disc protrusion, cervical spine fractures or dislocations, previous cervical surgery, and intractable migraines.(Tian et al., 2025a) 3. intermittent neck pain, transient neck pain or any radiation of the pain to the upper extremity (neurological origin of the pain)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck Pain | 6 weeks | Neck disability index |
Outcome results
None listed