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

7. juli 2026 opdateret af: Huda Adel Mohammed Hassan, Cairo University
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

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

63

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: huda adel mohammed, assistant lecturer
  • Telefonnummer: +201283866669
  • E-mail: huda.dahy@gmail.com

Studiesteder

  • Egypten
      • Cairo, Egypten
        • Fuclty of Physical Therapy
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 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)
Enhed: 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
Eksperimentel: 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)
Enhed: 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
Aktiv komparator: 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.
Andet: 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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain threshold
Tidsramme: One month
Measured by using Pressure algometer
One month

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
pain intensity
Tidsramme: One month
Measured by using Visual Analog Scale
One month
Range of Motion
Tidsramme: One month
Measured by using mobile application clinometer
One month
Neck function
Tidsramme: One month
Measured by using neck disability index
One month
Neck proprioception
Tidsramme: One month
Measured by using mobile application clinometer
One month

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Cairo University

Efterforskere

  • Studiestol: Hytham mohammed elhafez, PhD, Cairo University
  • Studieleder: rania reda mohammed, PhD, Cairo univeristy
  • Studieleder: heba ahmed elgyar, PhD, Cairo University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

25. august 2026

Primær færdiggørelse (Anslået)

10. december 2026

Studieafslutning (Anslået)

25. januar 2027

Datoer for studieregistrering

Først indsendt

20. maj 2026

Først indsendt, der opfyldte QC-kriterier

7. juli 2026

Først opslået (Faktiske)

13. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • P.T.REC/012/006463

Plan for individuelle deltagerdata (IPD)

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