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Normative Values of Neck Extensor Endurance Test in Adults: An Observational Study.

Flavia Kennady1, Rajasekar Sannasi1,2, M Premkumar1

  • 1Institute of Physiotherapy, Srinivas University, Mangalore, Karnataka, India.

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|January 14, 2026
PubMed
Summary

This study establishes normative values for the Deep Neck Extensor Endurance Test (NEET) in middle-aged adults. Results show endurance decreases with age and increases with physical activity, providing benchmarks for cervical spine health.

Keywords:
muscle enduranceneck muscleneck painreference values

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Area of Science:

  • Physiotherapy
  • Sports Medicine
  • Ergonomics

Background:

  • Deep neck extensor muscle endurance is crucial for cervical spine stability.
  • Limited normative data exists for middle-aged adults.
  • Cervical spine health impacts overall function and well-being.

Purpose of the Study:

  • To establish age-, sex-, and activity-specific normative values for the Deep Neck Extensor Endurance Test (NEET).
  • To provide reference data for asymptomatic adults aged 29-60 years.
  • To aid in the assessment of cervical extensor muscle function.

Main Methods:

  • An observational study involving 448 healthy adults (29-60 years).
  • Standardized Deep Neck Extensor Endurance Test (NEET) protocol was used.
  • Participants were stratified by age decade, sex, and physical activity level (IPAQ).

Main Results:

  • Mean NEET time was 38.42 ± 24.04 seconds.
  • Neck extensor endurance declined with age and was higher in males and more active individuals.
  • Values below the 25th percentile (≈26 s) may indicate reduced endurance.

Conclusions:

  • The study provides normative NEET reference values for adults aged 29-60 years.
  • These benchmarks assist clinicians in identifying reduced cervical extensor endurance.
  • Reference values aid in setting rehabilitation targets and monitoring outcomes objectively.