Examining the Effects of Core Stabilization Exercises and Myofascial Release Technique in Individuals with Chronic Neck Pain: A Randomized Clinical Trial

Cohen, S. P. (2015). Epidemiology, diagnosis, and treatment of neck pain. Mayo Clinic Proceedings, 90(2), 284–299.

Article  PubMed  Google Scholar 

Safiri, S., Kolahi, A.-A., Hoy, D., Buchbinder, R., Mansournia, M. A., Bettampadi, D., et al. (2020). Global, regional, and national burden of neck pain in the general population, 1990–2017: Systematic analysis of the Global Burden of Disease Study 2017. BMJ, 2020, 368.

Google Scholar 

Rezai, M., Côté, P., Cassidy, J. D., & Carroll, L. (2009). The association between prevalent neck pain and health-related quality of life: A cross-sectional analysis. European Spine Journal, 18(3), 371–381.

Article  PubMed  Google Scholar 

Bakry, H. A. (2021). The effect of poor posture on the cervical range of motion in young subjects. Egyptian Journal of Physical Therapy, 5(1), 5–12.

Article  Google Scholar 

Nair, S. P., Panchabhai, C. S., & Panhale, V. (2022). Chronic neck pain and respiratory dysfunction: A review paper. Bulletin of the Faculty of Physical Therapy, 27, 21.

Article  Google Scholar 

Stecco, C., Porzionato, A., Lancerotto, L., Stecco, A., Macchi, V., Day, J. A., & De Caro, R. (2008). Histological study of the deep fasciae of the limbs. Journal of Bodywork and Movement Therapies, 12(3), 225–230.

Article  PubMed  Google Scholar 

Prabu Raja, G., Shyamasunder Bhat, N., Marie Cruz, A., Prabhu, A., Fernandes, S., & Naaz, N. (2022). The anatomical myofascial continuum between the neck and eyes. Clinical Anatomy, 35(3), 340–346.

Article  CAS  PubMed  Google Scholar 

Bijker, L., ten Have, M., Scholten-Peeters, G. G. M., Coppieters, M. W., Cuijpers, P., & de Wit, L. M. (2025). Associations between social factors and spinal pain-related disability in people with back pain and/or neck pain. Annals of Medicine. https://doi.org/10.1080/07853890.2025.2577877

Article  PubMed  PubMed Central  Google Scholar 

Shah, N., Gill, M. A., Singal, S. K., & Payla, M. (2020). Effect of core stability exercise in patients with neckpain. The Indian Journal of Physiotherapy & Occupational Therapy, 2020, 102–107.

Google Scholar 

Anwar, S., Zahid, J., Alexe, C. I., Ghazi, A., Mareș, G., Sheraz, Z., et al. (2024). Effects of myofascial release technique along with Cognitive Behavior Therapy in university students with chronic neck pain and forward head posture: A randomized clinical trial. Behavioral Sciences, 14(3), Article 205.

Article  PubMed  PubMed Central  Google Scholar 

Laimi, K., Mäkilä, A., Bärlund, E., Katajapuu, N., Oksanen, A., Seikkula, V., Karppinen, J., & Saltychev, M. (2018). Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: A systematic review. Clinical Rehabilitation, 32(4), 440–450.

Article  PubMed  Google Scholar 

Khan, Z. K., Ahmed, S. I., Baig, A. A. M., & Farooqui, W. A. (2022). Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, ROM and QoL in the management of non-specific neck pain: A randomized controlled trial. BMC Musculoskeletal Disorders, 23, 567.

Article  PubMed  PubMed Central  Google Scholar 

Junaid, M., Yaqoob, I., Shakil Ur Rehman, S., & Ghous, M. (2020). Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain: A randomized controlled trial. Journal of the Pakistan Medical Association, 70, Article 168.

Google Scholar 

Arifin, N., Abu Osman, N. A., & Wan Abas, W. A. B. (2014). Intrarater test–retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. Journal of Applied Biomechanics, 30(2), 300–304.

Article  PubMed  Google Scholar 

Reed, M. D., & Van Nostran, W. (2014). Assessing pain intensity with the visual analog scale: A plea for uniformity. Journal of Clinical Pharmacology, 54(3), 241–244.

Article  PubMed  Google Scholar 

Chien, A., Eliav, E., & Sterling, M. (2009). Hypoaesthesia occurs with sensory hypersensitivity in chronic whiplash—Further evidence of a neuropathic condition. Manual Therapy, 14(2), 138–146.

Article  PubMed  Google Scholar 

Canlı, K., Demirkıran, G., & Can, F. (2025). The efficiency of tactile discrimination training and oculomotor exercises in people with chronic neck pain: A randomized controlled trial. BMC Musculoskeletal Disorders, 26, Article 519. https://doi.org/10.1186/s12891-025-08755-0

Article  PubMed  PubMed Central  Google Scholar 

Youdas, J. W., Carey, J. R., & Garrett, T. R. (1991). Reliability of measurements of cervical spine range of motion—Comparison of three methods. Physical Therapy, 71(2), 98–104.

Article  CAS  PubMed  Google Scholar 

Vernon, H., & Mior, S. (1991). The neck disability index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics, 14(7), 409–415.

CAS  PubMed  Google Scholar 

Hudak, P. L., Amadio, P. C., & Bombardier, C. (1996). Development of an upper extremity outcome measure: The DASH (Disabilities of the Arm, Shoulder and Hand). The Upper Extremity Collaborative Group (UECG). American Journal of Industrial Medicine, 29(6), 602–608.

Article  CAS  PubMed  Google Scholar 

Akuthota, V., & Nadler, S. F. (2004). Core strengthening. Archives of Physical Medicine and Rehabilitation, 85, 86–92. https://doi.org/10.1053/j.apmr.2003.12.005

Article  Google Scholar 

Myers, T. W. (2009). Anatomy trains: Myofascial meridians for manual and movement therapists. Elsevier Health Sciences.

Google Scholar 

Cabrera-Martos, I., Rodríguez-Torres, J., López-López, L., Prados-Román, E., Granados-Santiago, M., & Valenza, M. C. (2022). Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: A randomized controlled trial. Physiotherapy Theory and Practice, 38(9), 1145–1152.

Article  PubMed  Google Scholar 

Elshafey, M. A., Abdrabo, M. S., & Elnaggar, R. K. (2022). Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy. Journal of Musculoskeletal and Neuronal Interactions, 22(2), 172–178.

PubMed  PubMed Central  Google Scholar 

Al-Nemr, A., & Kora, A. N. (2024). Effect of core stabilization versus rebound therapy on balance in children with cerebral palsy. Acta Neurologica Belgica, 124(3), 843–851.

Article  PubMed  PubMed Central  Google Scholar 

Halperin, I., Aboodarda, S. J., Button, D. C., Andersen, L. L., & Behm, D. G. (2014). Roller massager improves range of motion of plantar flexor muscles without subsequent decreases in force parameters. International Journal of Sports Physical Therapy, 9(1), 92–102.

PubMed  PubMed Central  Google Scholar 

Cachupe, W. J. C., Shifflett, B., Kahanov, L., & Wughalter, E. H. (2001). Reliability of biodex balance system measures. Measurement in Physical Education and Exercise Science, 5(2), 97–108.

Article  Google Scholar 

Tamartash, H., Bahrpeyma, F., & Dizaji, M. M. (2023). Effect of remote myofascial release on lumbar elasticity and pain in patients with chronic nonspecific low back pain: A randomized clinical trial. Journal of Chiropractic Medicine, 22(1), 52–59. https://doi.org/10.1016/j.jcm.2022.04.002

Article  PubMed  Google Scholar 

Lv, Y., & Yin, Y. (2024). A review of the application of myofascial release therapy in the treatment of diseases. Journal of Multidisciplinary Healthcare, 17, 4507–4517. https://doi.org/10.2147/JMDH.S481706

Article  PubMed  PubMed Central  Google Scholar 

Gumuscu, B. H., Kisa, E. P., Kaya, B. K., & Muammer, R. (2023). Comparison of three different exercise trainings in patients with chronic neck pain: A randomized controlled study. Korean J Pain, 36(2), 242–252. https://doi.org/10.3344/kjp.22371

Article  PubMed  PubMed Central  Google Scholar 

Soroush, S., Feiz Arefi, M., Babaei Pouya, A., Barzanouni, S., Heidaranlu, E., Gholizadeh, H., Salehi, A. R., Raei, M., & Poursadeqiyan, M. (2022). The effects of neck, core, and combined stabilization practices on pain, disability, and improvement of the neck range of motion in elderly with chronic non-specific neck pain. Work, 71(4), 889–900.

PubMed  Google Scholar 

Morsi, A. A., Al-Kabalawy, M. A., Aneis, Y. M., Hamza, M. S., & Atta, H. K. (2023). Effect of sustained natural apophyseal glides and myofascial release on chronic nonspecific neck pain: Randomized controlled trial. Journal of Population Therapeutics and Clinical Pharmacology, 30(8), 390–404.

Google Scholar 

Arun, Y., Joginder, Y., & Sheetal, K. (2022). A comparative study of effectiveness between myofascial release and pressure release on pain and ankle range of motion in adults with soleus myofascial trigger points. International Journal of Orthopedics and Rehabilitation, 1(2), 61–66.

Article  Google Scholar 

Michalak, B., Kopiczko, A., Gajda, R., et al. (2024). Recovery effect of self‐myofascial release treatment using different type of a foam rollers. Science and Reports, 14, Article 15762. https://doi.org/10.1038/s41598-024-66577-x

Article  CAS  Google Scholar 

Ahmad, M. Z., Asif, S., Nisar, S., Ali, M., Maryam, A., Asghar, S., et al. (2025). Comparative effectiveness of myofascial release vs graded motor imagery and desensitization exercise therapy in managing complex regional pain syndrome (CRPS) in pediatric burn survivors: A randomized controlled trial. Journal of Health, Wellness and Community Research, 3(16), Article e881. https://doi.org/10.61919/hna40v2

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