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

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

Study Overview

• Status: Not yet recruiting
• Conditions: Mechanical Neck Pain
• Intervention / Treatment: Device: Cervical stabilization exercise and Integrated Neuromuscular Inhibition; Device: Integrated neuromuscular inhibition technique; Other: Conventional Treatment group

• Study Type: Interventional
• Enrollment (Estimated): 63
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: huda adel mohammed, assistant lecturer; Phone Number: +201283866669; Email: huda.dahy@gmail.com

Study Locations

• Egypt
  • Cairo, Egypt
    • Fuclty of Physical Therapy
    • Contact: huda adel mohammed; Phone Number: +201022951242; Email: huda.dahy@cu.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

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

Exclusion Criteria:

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

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: cervical stabilization exercise plus integrated neuromuscular inhibition technique; this group will recive cervical stablization exercise whice 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. and integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)	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 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
Experimental: integrated neuromuscular inhibition technique; this group integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)	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
Active Comparator: conventional treatment; 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.	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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain threshold	Measured by using Pressure algometer	One month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain intensity	Measured by using Visual Analog Scale	One month
Range of Motion	Measured by using mobile application clinometer	One month
Neck function	Measured by using neck disability index	One month
Neck proprioception	Measured by using mobile application clinometer	One month

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Chair: Hytham mohammed elhafez, PhD, Cairo University; Study Director: rania reda mohammed, PhD, Cairo univeristy; Study Director: heba ahmed elgyar, PhD, Cairo University

Study record dates

Study Major Dates

• Study Start (Estimated): August 25, 2026
• Primary Completion (Estimated): December 10, 2026
• Study Completion (Estimated): January 25, 2027

Study Registration Dates

• First Submitted: May 20, 2026
• First Submitted That Met QC Criteria: July 7, 2026
• First Posted (Actual): July 13, 2026

Study Record Updates

• Last Update Posted (Actual): July 13, 2026
• Last Update Submitted That Met QC Criteria: July 7, 2026
• Last Verified: July 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: P.T.REC/012/006463

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No