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.