Adding Rib Mobilization to Diaphragm Release Techniques in Patients With Non-Specific Neck Pain

Rib mobilization is a therapeutic technique aimed at enhancing the mobility of the ribcage, which can have a significant impact on neck pain, even when the pain is classified as non-specific. The ribcage plays a crucial role in maintaining the alignment and posture of the upper body, including the neck. When the ribs are restricted or misaligned, it can lead to compensatory movements and increased strain on the cervical spine, contributing to neck pain. By mobilizing the ribs, we can restore their natural movement, which in turn can release tension in the surrounding musculature and improve the overall biomechanics of the thoracic and cervical regions. This approach not only addresses the immediate symptoms of neck pain but also targets the underlying structural issues that may perpetuate discomfort.

Inclusion Criteria: * Neurological tests will be negative * Both genders having age between 20 to 45 years * Participants should have primary complaint of neck pain * Neck Disability Index (NDI) score of 20% or greater (i.e. 10 points or greater on a 0 to 50 scale) * A pain intensity of ≥4 on the 10-point Numerical Pain Rating Scale (NPRS) Exclusion Criteria: * First and second rib fracture and dislocation * Past surgical history of cervical and thoracic region * Thoracic Outlet syndrome and cervical radiculopathy * Congenital anomalies of spine and ribs