Effectiveness of neck extensor stretching and strengthening in cyclist neck syndrome: a randomized controlled study utilizing Kinovea and NPRS

Introduction. The condition known as cyclist neck syndrome, characterized by fatigue and the inability of the neck muscles to support the head, often results from prolonged cycling in an improper position. This repetitive strain on the neck extensor muscles commonly leads to reduced range of motion, pain, and impaired performance. Aim of the study. To assess the effectiveness of neck extensor stretching and strengthening exercises in reducing symptoms of cyclist neck syndrome, improving range of motion, and enhancing overall neck function. Materials and methods. A total of 50 participants diagnosed with cyclist neck syndrome were randomly selected. Inclusion criteria included individuals aged 20–50 years, cycling at least five times per week, and covering a minimum of 75 km per ride. Exclusion criteria encompassed a history of neck surgery, traumatic neck pain, spinal instability, rheumatological conditions, and recent neck interventions. Participants were divided into two groups of 25: Group A received conventional treatment plus neck extensor stretching and resistance training; Group B received only conventional treatment. Pre-treatment data were collected using the Numerical Pain Rating Scale (NPRS) and cervical range of motion (ROM) for flexion and extension, assessed with Kinovea software. The intervention lasted 4 weeks, with 4 sets per session, 15 repetitions per set, conducted 3 times per week. Results. Post-treatment mean NPRS score for Group A was 2.16, compared to 5.2 for Group B. Group A showed improved post-treatment cervical ROM in flexion (67.04) and extension (53.4), whereas Group B showed 46 and 47.4, respectively. These results indicate that Group A achieved greater reductions in pain and better functional outcomes. Conclusion. The findings support that incorporating neck extensor stretching and resistance training significantly improves symptoms and neck function in individuals with cyclist neck syndrome.