BACKGROUND: Mechanical neck pain is a prevalent musculoskeletal condition affecting global populations. While conventional physiotherapy exercises are widely used, kinetic controlbased exercises targeting motor control deficits may provide superior outcomes. OBJECTIVE: To compare the effectiveness of kinetic control-based exercises combined with conventional physiotherapy versus conventional physiotherapy alone in patients with mechanical neck pain. METHODS: A randomized controlled trial was conducted with 84 participants (aged 25 to 55 years) diagnosed with mechanical neck pain. Participants were randomly allocated to Group A (kinetic control plus conventional exercises, n = 42) or Group B (conventional exercises alone, n = 42). Both groups received treatment 3 times per week for 6 weeks. Outcome measures included Visual Analog Scale (VAS) for pain, Neck Disability Index (NDI), cervical range of motion (CROM), and pressure pain threshold (PPT). Assessments were conducted at baseline, 3 weeks, 6 weeks, and 3-month follow-up. RESULTS: Both groups showed significant improvements in all outcome measures (p < 0.001). Group A demonstrated superior improvements in VAS scores (4.2 +/- 1.1versus 5.8 +/- 1.3, p < 0.001), NDI scores (18.6 +/- 4.2versus 26.4 +/- 5.1, p < 0.001), CROM (flexion: 48.2 +/- 3.4degrees versus 42.1 +/- 4.2degrees, p < 0.001), and PPT (2.8 +/- 0.4 versus 2.3 +/- 0.5 kg/cm2, p < 0.001) compared to Group B at 6 weeks. Improvements were maintained at 3-month follow-up. CONCLUSION: Kinetic control-based exercises combined with conventional physiotherapy demonstrated superior effectiveness compared to conventional physiotherapy alone in reducing pain, disability, and improving function in patients with mechanical neck pain.

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