{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:12:18Z","timestamp":1788826338123,"version":"build-2803163510"},"reference-count":42,"publisher":"SAGE Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2024,11,8]]},"abstract":"<jats:p>BACKGROUND: Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition. OBJECTIVE: This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain. METHODS: A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (&gt; 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula. RESULTS: The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0\u201310 scale, 95% CI -1.8 to -0.6; p&lt; 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension. CONCLUSION: Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. This combined approach can improve outcomes.<\/jats:p>","DOI":"10.3233\/bmr-230352","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T11:44:17Z","timestamp":1721389457000},"page":"1507-1517","source":"Crossref","is-referenced-by-count":6,"title":["Effectiveness of McKenzie exercises plus stabilization exercises versus McKenzie exercises alone on disability, pain, and range of motion in patients with nonspecific chronic neck pain: A randomized clinical trial"],"prefix":"10.1177","volume":"37","author":[{"given":"Doaa I.","family":"Amin","sequence":"first","affiliation":[{"name":"Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt"},{"name":"Department of Basic Sciences, Faculty of Physical Therapy, October University for Modern Sciences and Arts, 6th of October City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghada I.","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt"},{"name":"Faculty of Physical Therapy, Ahram Canadian University, 6th of October City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed M.","family":"ElMeligie","sequence":"additional","affiliation":[{"name":"Department of Basic Sciences, Faculty of Physical Therapy, Ahram Canadian University, 6th of October City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/BMR-230352_ref1","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1007\/s00586-004-0864-4","article-title":"The prevalence of neck pain in the world population: a systematic critical review of the literature","volume":"15","author":"Fejer","year":"2006","journal-title":"European Spine Journal."},{"issue":"6","key":"10.3233\/BMR-230352_ref2","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/j.berh.2011.01.019","article-title":"The epidemiology of neck pain","volume":"24","author":"Hoy","year":"2010","journal-title":"Best Practice & Research Clinical Rheumatology."},{"issue":"7","key":"10.3233\/BMR-230352_ref3","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1136\/jech.2009.090720","article-title":"Risk factors for the onset of non-specific neck pain: a systematic review","volume":"64","author":"McLean","year":"2010","journal-title":"Journal of Epidemiology & Community Health."},{"issue":"5","key":"10.3233\/BMR-230352_ref4","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.apmr.2010.12.025","article-title":"Prognosis of acute idiopathic neck pain is poor: a systematic review and meta-analysis","volume":"92","author":"Hush","year":"2011","journal-title":"Archives of Physical Medicine and Rehabilitation."},{"key":"10.3233\/BMR-230352_ref5","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s00420-004-0578-2","article-title":"Prevalence of musculoskeletal pain and associated factors in the Quebec working population","volume":"78","author":"Leroux","year":"2005","journal-title":"International Archives of Occupational and Environmental Health."},{"issue":"9","key":"10.3233\/BMR-230352_ref6","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.2519\/jospt.2008.0303","article-title":"Neck pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association","volume":"38","author":"Childs","year":"2008","journal-title":"Journal of Orthopaedic & Sports Physical Therapy."},{"issue":"5","key":"10.3233\/BMR-230352_ref7","first-page":"1083","article-title":"Conservative management of mechanical neck disorders: a systematic review","volume":"34","author":"Gross","year":"2007","journal-title":"The Journal of Rheumatology."},{"key":"10.3233\/BMR-230352_ref8","doi-asserted-by":"crossref","unstructured":"Kay TM, Gross A, Goldsmith CH, Rutherford S, Voth S, Hoving JL, et al. 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