Reciprocal Inhibition vs PNF for Cervical Spondylitis

Cervical spondylitis is a common cause of chronic neck pain and limited function. Physiotherapists often use two manual techniques: Reciprocal Inhibition (RI) and Passive Proprioceptive Neuromuscular Facilitation (PNF) stretching. However, no previous study has directly compared these two techniques in patients with confirmed cervical spondylitis. This randomized controlled trial will include 60 patients diagnosed with cervical spondylitis based on clinical and imaging findings. Participants will be randomly divided into two equal groups. Group A will receive Reciprocal Inhibition Technique. Group B will receive Passive PNF Stretching. Both groups will receive 12 sessions over 4 weeks, with three sessions per week on alternate days. Pain will be measured using the Visual Analog Scale (VAS). Functional disability will be measured using the Neck Disability Index (NDI). Cervical range of motion will be measured using a standard goniometer. All measurements will be taken at baseline and after 4 weeks of treatment. The goal is to determine which technique is more effective for reducing pain, improving function, and increasing neck mobility in cervical spondylitis patients

Inclusion Criteria: * Confirmed diagnosis of cervical spondylitis by MRI or radiograph. * Chronic neck pain lasting more than 4 months. * Visual Analog Scale (VAS) score of 7 or higher. * Age between 25 and 65 years. * Willing to provide written informed consent. * Bacteriological or histological confirmation where available. Exclusion Criteria: * Upper limb fracture or recent injury. * Cervical radiculopathy with neurological deficit. * Systemic diseases (e.g., rheumatoid arthritis, diabetes with neuropathy). * Congenital cervical deformity. * Cognitive impairment preventing cooperation. * Previous cervical spine surgery.