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Not yet recruiting NCT07699458

Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain

No phase Interventional Mechanical Neck Pain

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Cervical stabilization exercise and Integrated Neuromuscular Inhibition, Integrated neuromuscular inhibition technique, Conventional Treatment group.
Who it may be relevant to
Registry conditions: Mechanical Neck Pain. Basic parameters: 18 years — 44 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Egypt
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Overview

the goal of this clinical trial is to study the Impact of adding integrated neuromuscular inhibition technique to cervical stabilization exercise in chronic mechanical neck pain

Interventions

  • Device Cervical stabilization exercise and Integrated Neuromuscular Inhibition
    cervical stablization exercise starting with cervical isometric exercises performed in the supine position. The head will be supported on a pillow with a towel roll placed under the cervical spine to ensure proper alignment. Additional cervical isometric exercises will be conducted in the seated position by applying manual resistance at the forehead to perform cervical flexion, extension, rotation, and side-bending movements. The Integrated Neuromuscular Inhibition will be applied to the upper t
  • Device Integrated neuromuscular inhibition technique
    Integrated Neuromuscular Inhibition will be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique
  • Other Conventional Treatment group
    Participants in this group will receive conventional physical therapy only in the form of superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice for 3 sessions/week over 4 weeks' periods.

Primary outcome measures

  • Pain threshold [Time frame: One month]
Secondary outcome measures (4)
  • pain intensity [Time frame: One month]
  • Range of Motion [Time frame: One month]
  • Neck function [Time frame: One month]
  • Neck proprioception [Time frame: One month]

Eligibility criteria

Inclusion criteria

  • Age from 18-44 year
  • Their body mass index will be ranging from (18-25) Kg/m2
  • All patient has active cervical trigger point of the upper fiber of the Trapezius detected by pincer palpation
  • Subjects must have characteristics of trigger points hardened, thickened taut bands in MPS patients.

Exclusion criteria

  • Individuals with a recent history of neck or back surgery.
  • Individuals with recent history of trauma or fracture.
  • Individuals with congenital and pathological disorders of the cervical spine.
  • Individuals with any psychiatric diseases

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Treatment

Study locations

Egypt · 1 center
  • Fuclty of Physical Therapy — Cairo

Identifiers

NCT: NCT07699458 · P.T.REC/012/006463

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗