Effectiveness of Pressure Biofeedback-Assisted Deep Cervical Flexor Training With and Without Scapular Stabilization Exercises on Pain, Range of Motion and Neck Disability in Cervical Spondylosis

Inclusion Criteria: * Both genders aged 40-60 years. * Presence of chronic neck pain for ≥3 months with NPRS ≥3. * Radiologically confirmed cervical spondylosis, including cervical spine X-ray showing disc space narrowing and/or osteophyte formation. * Ability to perform active cervical and shoulder movements without neurological deficits. * Willingness to participate in the study and comply with the intervention protocol. Exclusion Criteria: * History of cervical spine surgery or trauma in the past 6 months. * Severe neurological involvement, including cervical myelopathy or severe radiculopathy with motor weakness, gait disturbance, or bowel/bladder involvement. * Inflammatory or systemic musculoskeletal disorders, e.g., rheumatoid arthritis or ankylosing spondylitis. * Current participation in structured neck/shoulder rehabilitation programs. * Uncontrolled medical conditions contraindicating exercise, e.g., uncontrolled hypertension or cardiovascular disease.