Comparison of Chiropractic and Physiotherapy in Chronic Neck Pain

The Pain Visual Analog Scale (VAS) is a unidimensional measure of pain intensity. It typically consists of a 10-centimeter horizontal line anchored by two descriptors: "no pain" (0) and "worst imaginable pain" (10). Participants are asked to mark a point on the line that best represents their current level of pain. The distance from the "no pain" anchor to the marked point is measured in centimeters or millimeters and recorded as the pain score, with higher scores indicating greater pain intensity.

The Neck Disability Index is the most widely used and most strongly validated tool for assessing self-assessed disability in patients with neck pain. It has been used effectively in both clinical and research settings in the treatment of this very common problem.Each question is scored on a scale of 0-5; the total score is expressed as a percentage between 0-100 (or 0-50 points).

It is an objective test used to assess the proprioceptive function (position sense) of the neck.

It is used to measure whether cervical proprioception is impaired in individuals with neck pain and the effectiveness of interventions such as manual therapy (Cheng et al., 2010).

Required Materials: Laser pointer or reflective marker. Headband (to secure the laser) Target point or reference frame (A point or circle can be drawn on the wall.) Goniometer or motion analyzer (Optional.)

It aims to comprehensively assess the cognitive, behavioral, and sensory components of fear-avoidance behavior in patients with painful medical conditions. Each item is scored on a 6-point Likert scale from 0, "Strongly disagree," to 5, "Strongly agree." The total score indicates one of several severity levels ranging from 0 to 100. The best score is 0 and the worst score is 100.

The SF-36 measures eight scales: physical function, physical role, bodily pain, general health, vitality, social function, sensory role, and mental health. Component analyses showed that there are two distinct concepts measured by the SF-36: a physical dimension represented by the Physical Component Summary and a dimension represented by the Mental Component Summary. All scales contribute to the scoring of both physical and mental measures at different rates. The SF-36 comprises eight subscales (physical functioning, physical role functioning, emotional role functioning, energy, mental health, social functioning, body pain, and general health), and a separate score is calculated for each subscale. The scores for the subscales range from 0 to 100. Higher scores on the scale indicate an improvement in quality of life, whilst lower scores indicate a decline in quality of life