Overview
Neck pain is a common musculoskeletal disorder that significantly affects quality of life and daily activities, with an annual prevalence of 30-50% worldwide. This randomized clinical trial aims to compare the effects of myofascial release therapy and dynamic cupping on neck pain and posture in school-based children aged 7-12 years. A total of 40 children with neck pain and postural deviations will be recruited from schools and randomly assigned to either a myofascial release group or a dynamic cupping group (20 participants each) for a 6-week intervention. Children with skin conditions, neurological symptoms, recent analgesic use, or assistive device use will be excluded. Outcomes will be assessed using the Visual Analog Scale, goniometer, and plumb line test, and data will be analyzed using SPSS version 27 to determine the effectiveness of both interventions in reducing pain and improving posture.
Description
Neck pain is a highly prevalent musculoskeletal disorder that significantly impairs quality of life and restricts social, academic, and physical activities. Globally, neck pain is ranked as the fourth leading cause of disability, with an annual prevalence estimated between 30% and 50%. Chronic neck pain is defined as pain or discomfort experienced along the posterior cervical spine, extending from the superior nuchal line to the first thoracic spinous process, persisting for more than three months. In school-aged children, prolonged poor posture, excessive screen use, and heavy schoolbags contribute to the increasing incidence of neck pain and postural deviations, making early intervention essential.
This study is designed as a randomized clinical trial to evaluate and compare the effectiveness of myofascial release therapy and dynamic cupping therapy in reducing neck pain and correcting postural deviations in school-based children. The study will be conducted in selected schools, where data collection and treatment sessions will take place. Children aged 7 to 12 years, both boys and girls, who present with neck pain and observable postural deviations will be included in the study. Exclusion criteria will consist of children with skin infections, open wounds, or dermatological conditions in the neck or upper back region, neurological symptoms, recent use of analgesic medications, or reliance on assistive devices, to ensure participant safety and reduce confounding variables.
Eligibility
Inclusion Criteria:
- Children with age 13 to 16.
- Both boys and girls
- neck pain (NPRS score from 7 to 10)
- Presence of postural deviations (will be access by using Plumb line test)
Exclusion Criteria:
- Skin infections, open wounds, or dermatological conditions in the neck/upper back region
- Neurological symptoms (cerebral palsy, muscular dystrophy, multiple sclerosis)
- Recent use of analgesics
- use of assistive devices (collars)


