ABSTRACT

Background : Pain neuroscience education is an educational approach aimed at helping individuals better understand the complex nature of pain. A frequent postural distortion known as "forward head posture," or FHP, occurs when the head is positioned forward relative to the spine and shoulders .Effect of PNE to FHP, individuals may develop a more accurate understanding of the pain associated with forward head posture.

Objective : To determine the  effect of pain neuroscience education with conservative treatment in female students with forward head posture

Method :A randomized clinical trial was conducted from the university of Faisalabad allied health sciences campus. Participants was randomly allocated by probability simple sampling techniques in two groups.  Group A was the study group. Patient in this group was received conservative treatment of forward head posture with pain neuroscience education. As baseline treatment was applied TENS, isometrics, self-stretching, hot packs.Group B was the control group and receive only baseline treatment. For six weeks, both groups acquired the intervention twice a week. Version 25 of SPSS was employed for statistical analysis.

Results :Craniovertebral angle in pretreatment with mean ±SD of group A (44.100±3.805), group B (41.771±5.2809). Following therapy, there were notable differences (p=0.009) between the groups, with group A's mean ±SD being 51.092 ±4.992 and group B's being 45.542 ±5.444.Group A paired difference of numeric pain rating scale is (-2.642) with significant p value (<.001), in Group B (-1.357) with significant p value (<.001).Showed significant improvement in cervical flexion ,extension lateral bending right and left  rotation with significant p value (<.001) both groups.

Conclusion : Study's findings suggest that pain neuroscience education, in conjunction with conservative therapy, produces positive results for female students who exhibit forward head posture.

Keywords: Conservative treatment, forward head posture, Pain neuroscience education