1 Professor, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y Patil Vidyapeeth, Pune, India- 411018
2 Principal, Abhinav Bindra Sports Medicine and Research Institute, Bhubaneswar, India- 752101
3 PhD Scholar, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y Patil Vidyapeeth, Pune, India- 411018
4 Professor & Principal, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y Patil Vidyapeeth, Pune, India- 411018
5 Professor & Vice-Principal, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y Patil Vidyapeeth, Pune, India- 411018
6 Professor, Department of Community Medicine, IMS-SUM Hospital, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, India
* Corresponding Author: chinmayakumar.patra@gmail.com
Background:
"Postural Restoration® is a posture-based approach to physical therapy management that explores and explains the science of postural adaptations, physiological asymmetrical pattern and the influence of polyarticular chains of muscle development on the human body" according to Postural Restoration Institute® (PRI).
Objectives:
This study aimed to rigorously evaluate the efficacy of Myokinematics with Postural Restoration techniques on pain and disability among individuals with chronic mechanical neck pain, a highly prevalent musculoskeletal condition, using a Type I design in the form of a randomized controlled trial.
Methodology:
After obtaining Postural respiration training from the PRI® followed by ethical clearance, and CTRI registration, 89 subjects were recruited into two groups based on selection criteria. Finally, 84 subjects (47.14+13.76 yrs) could successfully complete the treatment protocol of 06 weeks. Within- and between-group comparisons were performed using paired and independent t-tests, respectively. Effect sizes were estimated using Cohen's d (≥0.8 indicating a strong effect), with Hedges' correction applied for small samples. Glass's delta was used when group variances were unequal.
Results:
Though both the groups demonstrated significant improvements (p < 0.05) on pain intensity in NPRS reduction (control: 3.0+0.89 & experimental: 4.21+1.33) and functional score in NDI (control: 6.90+2.73 & experimental: 16.12+3.81), the experimental group demonstrated superior results (28.9% more in NPRS reduction, 57.13% more in NDI) with large effect size (Cohen's d > 0.8).
Conclusion:
Myokinematics with PRT is found to be effective for chronic mechanical neck pain supporting the alternate hypothesis of this study and is recommended to be included in routine physiotherapy practice due to its large effect size.
Keywords: Myokinematics, Postural restoration, chronic neck pain, postural respiration, physiotherapy, exercise
How to cite this article: Zafar A, Kumar PC, Palekar TJ, Rathi M, Epari V. Efficacy of Myokinematics with Postural Restoration Techniques on Pain and Disability among Individuals with Chronic Mechanical Neck Pain: A Randomized Controlled Trial. Int J Drug Deliv Technol. 2026;16(5): 110-118. DOI: 10.25258/ijddt.16.5.11
Source of support: Nil.
Conflict of interest: None