Krina Ved1, Anup Brahmbhatt 1 and Shubham Menaria 2*
1 Orthopaedic Physiotherapy, Co-founder at Physiotattva, Physiotattva, Physiotherapy Clinic, India
2 Neurology and Psychosomatic Disorder Physiotherapy, Physiotattva, Physiotherapy Clinic, India
*Corresponding Author: Shubham Menaria, Neurology and Psychosomatic Disorder Physiotherapy, Physiotattva, Physiotherapy Clinic, India.
Received: February 02, 2026; Published: February 16, 2025
Background: Neck pain is a highly prevalent musculoskeletal disorder and a leading cause of disability, reduced productivity, and impaired quality of life, particularly among individuals with sedentary and desk-based occupations. With advances in physiotherapy practice, treatment has evolved from traditional modality-based approaches to protocol-driven, multimodal, and technology-assisted rehabilitation. However, real-world comparative evidence evaluating ADVANCED versus BASIC physiotherapy protocols using routine clinical data remains limited.
Objective: To retrospectively compare the effectiveness of ADVANCED and BASIC physiotherapy treatment protocols for neck pain using clinical software-based outcome data from a Bangalore-based physiotherapy clinic network.
Methods: A retrospective comparative study was conducted using anonymised electronic health records from PHYSIOTATTVA Physiotherapy Clinics across Bangalore between November and December 2025. Ninety patient records (age 20–60 years) diagnosed with non-specific or mechanical neck pain were included. Participants were categorised into two groups: BASIC physiotherapy protocol (hot/cold packs, TENS, ultrasound, IFT, basic ROM and strengthening exercises; n = 34) and ADVANCED physiotherapy protocol (super inductive magnetic system, shockwave therapy, high-intensity laser therapy, EPIR, manual therapy, neurodynamic mobilisation, ergonomics training, and progressive strengthening; n = 56). Outcome measures included pain intensity using the Numeric Pain Rating Scale (NPRS) and functional disability using the Neck Disability Index (NDI), assessed at baseline and discharge. Statistical analysis involved paired and independent t-tests, with p < 0.05 considered statistically significant.
Results: Both groups demonstrated statistically significant improvements in NPRS and NDI scores from baseline to discharge (p < 0.001). While between-group differences were not statistically significant at discharge, the ADVANCED physiotherapy group showed greater mean reductions in pain and disability scores compared to the BASIC group, particularly among patients with chronic neck pain. The average treatment duration was comparable between groups.
Conclusion: Both BASIC and ADVANCED physiotherapy protocols are effective in reducing pain and disability in neck pain patients. However, ADVANCED physiotherapy protocols demonstrated greater clinical improvement, especially in chronic conditions, suggesting added benefits of multimodal, technology-assisted, and patient-centric rehabilitation. Retrospective analysis of clinical software data from PHYSIOTATTVA serves as valuable real-world evidence to support evidence-based physiotherapy practice.
Citation: Shubham Menaria., et al. “A Retrospective-Comparative Analysis of Advanced and Basic Physiotherapy Treatment Protocols for Neck Pain using Clinical Software-Based Outcome Data from Bangalore-based Clinic". Acta Scientific Orthopaedics 9.2 (2026): 10-15.
Copyright: © 2026 Shubham Menaria., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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