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Bulletin of Health Sphere

Published by Font Fusions Publication  •  eISSN: 3139-8634

Effectiveness of Stabilization Exercises with Mirror Feedback Versus Home Based Exercise Programme on Pain, Disability and Muscle Endurance in Salon professionals on Chronic Neck Pain

Volume 1, Issue 2 • 2026
Original Research

Supriya Patil ORCID iD , Shyamli Kulkarni ORCID iD

Received:
2026-05-05
Accepted:
2026-07-22
Published:
2026-09-30

Abstract

Introduction: Chronic neck pain is common among Salon professionals due to prolonged static postures and repetitive upper-limb activities. Cervical stabilization and home-based exercises are commonly used physiotherapy interventions. This study compared the effectiveness of cervical stabilization exercises with mirror feedback and a home-based exercise program on pain, disability, and cervical muscle endurance in Salon professionals with chronic neck pain.

Methods: Thirty Salon professionals with chronic neck pain were enrolled and allocated by purposive sampling into two groups: cervical stabilization exercises with mirror feedback (n=15) and home-based exercises (n=15). The intervention group performed cervical stabilization exercises with real-time mirror feedback in different positions, while the control group followed a structured home-based exercise program. Pain and disability were assessed using the Neck Disability Index (NDI), and cervical muscle endurance was measured using a pressure biofeedback unit before and after the intervention.

Results: The intervention group showed a significant reduction in mean NDI scores from 26.4 to 17.8 (mean difference=8.6, p<0.001) and improvement in cervical muscle endurance from 24.5 to 28 (mean difference=3.5, p<0.001). The control group demonstrated a reduction in NDI scores from 24.87 to 15.13 (mean difference=10, p<0.001) and improved muscle endurance from 24.27 to 25.87 (mean difference=1.6, p<0.001). Both groups improved significantly, with greater gains in muscle endurance in the intervention group and slightly greater disability reduction in the control group.

Conclusion: Both interventions effectively reduced disability and improved outcomes in Salon professionals with chronic neck pain. Cervical stabilization with mirror feedback produced greater improvement in cervical muscle endurance.

DOI: 10.63150/bhs.2026.07
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References

  1. Aydoğmuş H, Şenocak Ö, Döner SM, Keskinoğlu P. Investigation of the effectiveness of neck stabilization exercises in patients with chronic neck pain: A randomized, single-blind clinical, controlled study. Turk J Phys Med Rehabil. 2022;68(3):364-71. doi:10.5606/tftrd.2022.8481
  2. Soares CO, Pereira BF, Pereira Gomes MV, Marcondes LP, de Campos Gomes F, de Melo-Neto JS. Preventive factors against work-related musculoskeletal disorders: narrative review. Rev Bras Med Trab. 2020;17(3):415-30. doi:10.5327/Z1679443520190360
  3. Adhikary I, Pachauri D, Gupta LK, Awasthi S. Vestibular rehabilitation training on balance among individuals with neck pain. Oral Sphere J Dent Health Sci. 2025;1(3):149-55. doi:10.63150/osjdhs.2025.12
  4. GBD 2021 Neck Pain Collaborators. Global, regional, and national burden of neck pain, 1990-2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2024;6(3):e142-e55. doi:10.1016/S2665-9913(23)00321-1
  5. Mishra S, Sarkar K. Work-related musculoskeletal disorders and associated risk factors among urban metropolitan hairdressers in India. J Occup Health. 2021;63(1):e12200. doi:10.1002/1348-9585.12200
  6. Jee H. Effects of mirror feedback during balanced exercise performance in the old people with mild cognitive impairment. J Exerc Rehabil. 2020;16(1):58-63. doi:10.12965/jer.2040036.018
  7. Yılmaz O, Soylu Y, Erkmen N, Kaplan T, Batalik L. Effects of proprioceptive training on sports performance: a systematic review. BMC Sports Sci Med Rehabil. 2024;16(1):149. doi:10.1186/s13102-024-00936-z
  8. Collado-Mateo D, Lavín-Pérez AM, Peñacoba C, Del Coso J, Leyton-Román M, Luque-Casado A, Gasque P, Fernández-Del-Olmo MÁ, Amado-Alonso D. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. Int J Environ Res Public Health. 2021;18(4):2023. doi:10.3390/ijerph18042023
  9. Tomar S, Tiwari RR, Verma G. Musculoskeletal symptoms and associated factors among beauty salon workers in Udupi, Karnataka, India. Work. 2022;73(1):301-7. doi:10.3233/WOR-210623
  10. Qi K, Xu Y, Xu Q, Bojarczuk A, Wang Z. Mitigating occupational hazards: the impact of physical activity on surgeons' physical and mental health - a scoping review. BMC Surg. 2026;26(1):297. doi:10.1186/s12893-026-03666-w
  11. Bullo V, Favro F, Pavan D, Bortoletto A, Gobbo S, De Palma G, et al. The Role of Physical Exercise in the Prevention of Musculoskeletal Disorders in Manual Workers: A Systematic Review and Meta-Analysis. Med Lav. 2024;115(1):e2024008. doi:10.23749/mdl.v115i1.15404
  12. Meuwissen I, Vanderstraeten R, Roussel NA, Meeus M, Van Eetvelde JS, Meus T, et al. Contributors to Adherence to Exercise Therapy in Non-Specific Chronic Low Back Pain: A Systematic Review of Qualitative and Quantitative Research. J Clin Med. 2025;14(17):6251. doi:10.3390/jcm14176251
  13. Argyrou S, Kitixis P, Dimitriadis Z, Christakou A, Strimpakos N, Paras G, et al. The Effectiveness of an Exercise Program Based on Motor Learning Principles for the Correction of the Forward Head Posture: A Randomized Controlled Trial. Brain Sci. 2025;15(8):873. doi:10.3390/brainsci15080873
  14. Safdar G, Kiyani MM, Saleem SA, Qureshi WI, Bashir S, Abualait T, et al. Comparison of supervised versus home-based exercise programs following platelet-rich plasma injections in knee osteoarthritis: clinical outcomes from quasi-experimental study. PeerJ. 2025;13:e19971. doi:10.7717/peerj.19971
  15. Meidian AC, Yige S, Irfan M, Rahayu UB, Amimoto K. Immediate effect of adding mirror visual feedback to lateral weight-shifting training on the standing balance control of the unilateral spatial neglect model. J Phys Ther Sci. 2021;33(11):809-17. doi:10.1589/jpts.33.809
  16. Ramachandran VS, Altschuler EL. The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain. 2009;132(Pt 7):1693-1710. doi:10.1093/brain/awp135
  17. Goo BW, Oh JH, Kim JS, Lee MY. Effects of cervical stabilization with visual feedback on craniovertebral angle and proprioception for the subjects with forward head posture. Medicine (Baltimore). 2024;103(2):e36845. doi:10.1097/MD.0000000000036845
  18. Falla D, Jull G, Hodges P, Vicenzino B. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol. 2006;117(4):828-37. doi:10.1016/j.clinph.2005.12.025
  19. Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14(6):696-701. doi:10.1016/j.math.2009.05.004
  20. Kim JY, Kwag KI. Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain. J Phys Ther Sci. 2016;28(1):269-73. doi:10.1589/jpts.28.269
  21. Guerra-Arencibia L, Santana-Déniz C, Pecos-Martín D, Fernández-Carnero S, de Miguel-Hernando N, Achalandabaso-Ochoa A, et al. Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain-A Randomized Clinical Trial. Sensors (Basel). 2024;24(24):8069. doi:10.3390/s24248069
  22. Dusunceli Y, Ozturk C, Atamaz F, Hepguler S, Durmaz B. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J Rehabil Med. 2009;41(8):626-31. doi:10.2340/16501977-0392
  23. Bronfort G, Maiers MJ, Evans RL, Schulz CA, Bracha Y, Svendsen KH, Grimm RH Jr, Owens EF Jr, Garvey TA, Transfeldt EE. Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial. Spine J. 2011;11(7):585-98. doi:10.1016/j.spinee.2011.01.036
  24. Igwesi-Chidobe CN, Anih EU, Emmanuel GN, Ozumba BC. Exploring the clinical utility of postural outcome tools for back and neck pain clinical outcomes: a systematic scoping review. F1000Res. 2025;14:44. doi:10.12688/f1000research.160172.2
  25. Özalp M, Talu B, Kayabinar E. Assessment of the effects of cervical stabilization exercises and proprioception training on balance and posture in individuals with forward head posture. BMC Musculoskelet Disord. 2025;26(1):1077. doi:10.1186/s12891-025-09259-7
  26. Elhamed HBA, Ahmed EAM, Youssif EF, Yehia AM, Ghafar MAA, Elkholi SM, et al. Global Postural Re-Education Versus Deep Neck Flexor Activation on Chronic Nonspecific Neck Pain with Forward Head Posture. J Clin Med. 2026;15(12):4833. doi:10.3390/jcm15124833
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Article Information
Journal
Bull. Health Sphere
ISSN
xxxx-xxxx
Publisher
Font Fusions Publication
Pages
53-59
Article Type
Original Research
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