Impact of Integrated Exercise Protocol on Musculoskeletal Symptoms, Neck Disability and Quality of Life among Computer Professionals: A Quasi-experimental Study

Introduction: Prolonged computer use is a known risk factor for Cervical Spondylosis (CS) and associated musculoskeletal complaints. Occupational neck disorders can negatively impact function, productivity, and overall well-being. Multimodal interventions that integrate exercise and ergonomic strategies offer promising therapeutic benefits. Aim: To evaluate the effectiveness of a 10-week Integrated Exercise Protocol (IEP) on neck disability, musculoskeletal symptoms, and Quality of Life (QoL) among computer professionals experiencing CS-related symptoms. Materials and Methods: This quasi-experimental study was carried out at the Outpatient Department of Jyotirao Phule Subharti College of Physiotherapy from August 2024 to March 2025. A total of 120 computer professionals aged 25-50 years presenting with clinical signs of CS or neck and upper back musculoskeletal complaints were included in this study. The Integrated Exercise Group (IEG) underwent a 10-week supervised program including cervical mobility, strengthening exercises, postural correction, and ergonomic training. The Control Group (CG) received only standard ergonomic advice. Primary outcomes were measured using the Neck Disability Index (NDI) and the World Health Organisation Quality of Life Brief version (WHOQOL-BREF). The Nordic Musculoskeletal Questionnaire (NMQ) served as a secondary measure. Preand post-intervention scores were analysed using Paired t-tests (within-group comparisons) and an Independent t-test (between-group comparisons). A two-tailed p-value