Eye-cervical Re-education and Motor Control Training Program in Chronic Neck Pain

February 23, 2026 updated by: Riphah International University

Comparative Effects of an Eye-cervical Re-education and Motor Control Training Program on Pain, Range of Motion and Functional Disability in Chronic Neck Pain

The study was conducted to determine the comparative effects of an eye-cervical re-education and motor control training program on pain, range of motion and functional disability in chronic neck pain

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

52

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 05412
        • Rafiq Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Neck pain for minimum 3 months
  • Pain intensity on NPRS between 4 to 7
  • Limited neck range of motion
  • Medical diagnosis (Grade-II Neck pain) as per classification by "Bone and Joint Decade 2000-2010"
  • Cervical discomfort resulting from repetitive motion or prolonged postures.

Exclusion Criteria:

  • History of neck trauma/Fracture/Surgery/ Whiplash Injury
  • Systemic illness, rheumatic conditions, inflammatory joint disease
  • Other spine pathologies Cervical myelopathy / Fibromyalgia / Multiple Sclerosis/ Cervical radiculopathy
  • Tumor symptoms like high temperature, shivering, night pain

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Eye-cervical Re-education Program
Other: Eye-cervical Re-education Program
Eye-cervical Re-education program was carried out consisting of 10 proprioceptive reprogramming intervention steps : Activation of eye muscles, Passive cervical mobilization with fixed gaze, Active cervical mobility with directed gaze , Global cervical motion exercise , Neck mobility with the trunk , Head reposition exercise (Active), Head reposition exercise (Passive), Free coordination exercise, Manual resistance coordination exercise and Oculo-cervical coordination with soft stimuli. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.
Other: Standardized Physiotherapy Treatment
Electric Hot pack and TENS having (200 µs pulse-width, 1Hz frequency) were applied for 10 minutes.
Active Comparator: Motor Control Training Program
Other: Standardized Physiotherapy Treatment
Electric Hot pack and TENS having (200 µs pulse-width, 1Hz frequency) were applied for 10 minutes.
Other: Motor Control Training Program
Motor Control Training Program was performed in supine position. It consisted of four parts, which include the cranio-cervical flexor exercise; co-contraction of neck flexors and extensors; the cranio-cervical extensor exercise; and the scapular re-education exercises. An air-filled cuff was put behind the neck and the patient tried to make five progressive positions with an increase in ROM i.e. to make improvements in pressure of 22, 24, 26, 28 and eventually 30 mmHg on pressure gauge. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric Pain Rating Scale
Time Frame: From enrollment to the end of treatment at 8 weeks
Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively
From enrollment to the end of treatment at 8 weeks
Neck Disability Index in Urdu language
Time Frame: From enrollment to the end of treatment at 8 weeks
Neck pain disability index is used for the disability of the neck or the impact of neck pain on a person. It consists of 10 questions on pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Performance in each item is described in 6 stages, from 0 to 5 points. The total of 0-4 points indicate no disability, 5-14 points indicate mild disability, 15-24 points indicate moderate disability, 25-34 points indicate severe disability and 35-50 points indicate complete disability
From enrollment to the end of treatment at 8 weeks
ROM Cervical spine (Flexion)
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine flexion ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks
ROM Cervical Spine (Extension)
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine extension ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks
ROM Cervical Spine (Lateral Flexion) Left Side
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine lateral flexion on left side ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks
ROM Cervical Spine (Lateral Flexion) Right Side
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine lateral flexion on right side ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks
ROM Cervical Spine (Rotation) Left Side
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine rotation on left side ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks
ROM Cervical Spine (Rotation) Right Side
Time Frame: From enrollment to the end of treatment at 8 weeks
Changes in cervical spine rotation on right side ROM at baseline and 8th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Ali Raza, MS, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 13, 2025

Primary Completion (Actual)

May 31, 2025

Study Completion (Actual)

October 31, 2025

Study Registration Dates

First Submitted

February 23, 2026

First Submitted That Met QC Criteria

February 23, 2026

First Posted (Actual)

February 27, 2026

Study Record Updates

Last Update Posted (Actual)

February 27, 2026

Last Update Submitted That Met QC Criteria

February 23, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/24/01102

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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