Deze pagina is automatisch vertaald en de nauwkeurigheid van de vertaling kan niet worden gegarandeerd. Raadpleeg de Engelse versie voor een brontekst.

Effects of Myokinetic Stretching Technique and Post Facilitation Stretching on Pain, Range of Motion, and Functional Disability in Patients With Cervical Radicular Pain

21 juli 2026 bijgewerkt door: Lahore University of Biological and Applied Sciences

Cervical radicular pain (CRP) is a musculoskeletal condition characterized by neck pain radiating to the upper limb due to compression or irritation of cervical nerve roots. It significantly affects daily activities, cervical mobility, and overall quality of life. Conventional physical therapy focuses on reducing pain and improving function; however, there is limited evidence comparing the effectiveness of different stretching techniques used in clinical practice.

This randomized controlled trial aims to compare the effectiveness of Myokinetic Stretching Technique (MST) and Post Facilitation Stretching (PFS) on pain intensity, cervical range of motion, and functional disability in patients with cervical radicular pain.

A total of 70 participants with cervical radicular pain (>4 weeks) will be randomly allocated into two groups:

Group A (Myokinetic Stretching Technique Group) - receiving MST along with conventional therapy including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction.

Group B (Post Facilitation Stretching Group) - receiving Post Facilitation Stretching along with the same conventional therapy.

The intervention will be conducted for 4 weeks, with 3 sessions per week on alternate days, each session lasting approximately 45 minutes.

Outcome measures will include:

Pain intensity assessed using the Visual Analogue Scale (VAS) Cervical range of motion measured using a goniometer Functional disability assessed using the Neck Disability Index (NDI)

This study aims to determine the more effective stretching technique for reducing pain, improving cervical mobility, and enhancing functional outcomes, thereby supporting evidence-based physiotherapy practice in managing cervical radicular pain.

Studie Overzicht

Toestand

Werving

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Cervical radicular pain (CRP) is a condition characterized by neck pain radiating to the upper limb due to compression or irritation of cervical nerve roots. It is commonly associated with reduced cervical range of motion, muscle tightness, and functional disability, significantly affecting daily activities and quality of life. Conservative physiotherapy interventions, including stretching techniques, play a key role in managing this condition.

Among commonly used techniques, Myokinetic Stretching Technique(MST) and Post Facilitation Stretching (PFS) are widely applied to improve muscle flexibility, reduce pain, and enhance functional mobility. MST focuses on controlled contraction and gradual stretching to promote neuromuscular relaxation, whereas PFS involves maximal voluntary contraction followed by rapid passive stretching to achieve muscle lengthening. Despite their frequent use in clinical practice, there is limited comparative evidence regarding their effectiveness in patients with cervical radicular pain.

This study is designed as a single-blinded, two-arm parallel randomized controlled trial. A total of 40 participants diagnosed with cervical radicular pain will be recruited using a convenience sampling technique. Participants will be randomly allocated into two groups using computer-generated randomization with a 1:1 allocation ratio. Allocation concealment will be ensured by an independent administrator, and outcome assessment will be performed by a blinded assessor.

Both groups will receive conventional physiotherapy treatment consisting of hot pack application for 10 minutes, cervical isometric exercises (flexion, extension, lateral flexion, and rotation), neurodynamic gliding techniques, and continuous cervical traction.

Participants in Group A will receive Myokinetic Stretching Technique, applied to the cervical musculature with emphasis on trapezius stretching combined with myofascial release techniques. Participants in Group B will receive Post Facilitation Stretching, involving strong voluntary contraction followed by rapid passive stretching of the targeted muscles.

The intervention will be conducted over a period of 4 weeks, with 3 sessions per week on alternate days. Each treatment session will last approximately 45 minutes.

Outcome measures will include pain intensity assessed using the Number Pain Rating scale Scale (NPRS), cervical range of motion measured using a goniometer, and functional disability assessed using the Neck Disability Index (NDI). Assessments will be conducted at baseline and after completion of the intervention.

Data will be analyzed using SPSS software. Normality of data will be assessed using the Shapiro-Wilk test. Appropriate parametric or non-parametric tests will be applied for within-group and between-group comparisons.

This study aims to provide evidence regarding the comparative effectiveness of Myokinetic Stretching Technique and Post Facilitation Stretching in improving pain, cervical mobility, and functional outcomes in patients with cervical radicular pain, thereby supporting evidence-based physiotherapy practice.

Studietype

Ingrijpend

Inschrijving (Geschat)

40

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

Studie Locaties

  • Pakistan
      • Lahore, Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Nog niet aan het werven
        • Hameed Latif Hospital
        • Contact:

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen

Accepteert gezonde vrijwilligers

Nee

Beschrijving

Inclusion Criteria:

  1. Both male and female gender
  2. Age 30 to 60 years with a +ve spurling test and radiating arm pain for more than 4 weeks
  3. Unilateral cervical radicular pain
  4. +ve upper limb tension test and neck disability index <50%

Exclusion Criteria:

  1. History of cervical spinal surgery
  2. Severe facet joint osteoarthritis
  3. History of fracture in the head and neck region
  4. Patient with cognitive dysfunction or mental illness, severe cardiovascular, cerebrovascular, liver, or kidney dysfunction
  5. History of dizziness, vertigo, and vomiting
  6. Osteoporosis and prolonged use of steroids
  7. Cervical myelopathy, tumor, or infectious disease

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Myokinetic Stretching Technique
Participants in this group will receive Myokinetic Stretching Technique (MST) along with conventional physiotherapy, including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction. The intervention will be conducted for 4 weeks, with 3 sessions per week, each lasting approximately 45 minutes. MST will be applied to the cervical muscles, particularly the trapezius, using controlled stretching and myofascial release techniques.
Ander: Myokinetic Stretching Technique

Participants in this group will receive Myokinetic Stretching Technique (MST) along with conventional physiotherapy treatment. The program will be delivered for 4 weeks, with 3 sessions per week on alternate days, each session lasting approximately 45 minutes.

Conventional treatment will include hot pack application to the cervical region, cervical isometric exercises (flexion, extension, lateral flexion, and rotation), neurodynamic gliding techniques, and continuous cervical traction.

MST will be applied to the cervical musculature, particularly the trapezius muscle. The participant will be positioned in supine, and the therapist will perform controlled lateral flexion stretching followed by myofascial release using sustained pressure (5-10 seconds). The technique will be performed in sets with brief rest intervals to improve muscle flexibility and reduce pain.
Actieve vergelijker: post Facilitation stretching
Participants in this group will receive Post Facilitation Stretching (PFS) along with conventional physiotherapy, including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction. The intervention will be conducted for 4 weeks, with 3 sessions per week, each lasting approximately 45 minutes. PFS will be applied to the cervical muscles, particularly the trapezius, using a sequence of strong voluntary contraction followed by rapid passive stretching to improve muscle flexibility and reduce pain.
Ander: Post facilitation stretching

Participants in this group will receive Post Facilitation Stretching (PFS) along with conventional physiotherapy treatment. The program will be conducted for 4 weeks, with 3 sessions per week on alternate days, each session lasting approximately 45 minutes.

Conventional treatment will include hot pack application to the cervical region, cervical isometric exercises (flexion, extension, lateral flexion, and rotation), neurodynamic gliding techniques, and continuous cervical traction.

PFS will be applied to the cervical musculature, particularly the trapezius muscle. The participant will be positioned in supine, and the therapist will guide the muscle into a neutral position followed by a strong voluntary contraction for approximately 10 seconds. After relaxation, a rapid passive stretch will be applied and held briefly. The procedure will be repeated in sets with short rest intervals to improve muscle extensibility and reduce pain.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Numeric Pain Rating scale
Tijdsspanne: Baseline and 4 weeks
Pain intensity will be assessed using the Numeric Pain Rating Scale. The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst possible pain. Higher scores indicate greater pain.
Baseline and 4 weeks
Neck Disability Index
Tijdsspanne: Baseline and 4 weeks
Functional disability will be assessed using the Neck Disability Index . The total score ranges from 0 to 50, with higher scores indicating greater disability.
Baseline and 4 weeks
Goniometer
Tijdsspanne: Baseline and 4 week
Cervical range of motion will be measured in degrees using a universal goniometer. Higher values indicate greater cervical range of motion.
Baseline and 4 week

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Lahore University of Biological and Applied Sciences

Onderzoekers

  • Studie stoel: Shoaib Waqas, Lahore University of Biological and Applied Sciences

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

29 juni 2026

Primaire voltooiing (Geschat)

30 juli 2026

Studie voltooiing (Geschat)

15 september 2026

Studieregistratiedata

Eerst ingediend

9 juli 2026

Eerst ingediend dat voldeed aan de QC-criteria

21 juli 2026

Eerst geplaatst (Werkelijk)

24 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

24 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

21 juli 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • UBAS/ERB/26/04/011

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

baseline participants

IPD-tijdsbestek voor delen

Start Date: De-identified individual participant data (IPD) along with supporting materials will be made available following publication of the main trial findings, anticipated around 12 months after the study concludes.

End Date: The data will be accessible for a period of 5 years from the commencement date to eligible researchers who provide a formal application and consent to the data use agreement.

IPD-toegangscriteria voor delen

De-identified individual participant data (IPD) along with supporting documents will be available to qualified researchers for academic and non-commercial use only. To access the data, researchers must submit a written application detailing their study objectives and proposed use of the dataset. All requests will be assessed by the principal investigator Irsa and the institutional ethics committee to ensure ethical compliance and protection of participant privacy.

Data Available:

The shared dataset will include anonymized participant information, such as age and sex.

IPD delen Ondersteunend informatietype

  • LEERPROTOCOOL
  • SAP
  • ICF
  • MVO

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Abonneren