Effect of Integrated Neuromuscular Inhibition Technique on Subjects with Neck Pain and Forward Head Posture

NCT05439018 | Completed

• 1 other identifier: INMI on neck pain and FHP
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.To investigate the effects of integrated neuromuscular inhibition technique for upper trapezius and suboccipital muscles on craniovertebral angle in neck pain and forward head posture subjects.
2. 2.To investigate the effects of integrated neuromuscular inhibition technique for upper trapezius and suboccipital muscles cervical pain intensity level in neck pain and forward head posture subjects.
3. 3.To investigate the effects of integrated neuromuscular inhibition technique for upper trapezius and suboccipital muscles on cervical range of motion in neck pain and forward head posture subjects.
4. 4.To investigate the effects of integrated neuromuscular inhibition technique for upper trapezius and suboccipital muscles on cervical proprioception in neck pain and forward head posture subjects.
5. 5.To investigate the effects of integrated neuromuscular inhibition technique for upper trapezius and suboccipital muscles cervical function in neck pain and forward head posture subjects.

Conditions

Neck Pain and Forward Head Posture

Keywords

neck pain; Forward head posture

Outcome Measures

Primary Outcomes (1)

• Craniovertebral angle

  Craniovertebral angle (CVA): is the angle formed between a horizontal line through the spinous process of C7 and a line from the tragus of the ear

  up to eight weeks

Secondary Outcomes (4)

• Neck pain intensity level

  up to eight weeks

• change in Neck Functional disability

  up to eight weeks

• Cervical Range of motion ROM

  up to eight weeks

• Cervical proprioception

  up to eight weeks

Study Arms (2)

Integrated Neuromuscular Inhibition

EXPERIMENTAL

Integrated Neuromuscular Inhibition in addition to traditional treatment will be received three times a week for eight weeks. Integrated Neuromuscular Inhibition will be contain three combined manual treatment ( ischemic compression , strain counter strain , Muscle energy technique )

Other: Integrated Neuromuscular inhibition

traditional treatment

ACTIVE COMPARATOR

traditional treatment will be received three times a week for eight weeks . traditional treatment in Form of stretching and strenghthening of cervical muscles and postural advices

Other: traditional treatment

Interventions

Integrated Neuromuscular inhibition OTHER

Integrated Neuromuscular Inhibition in addition to traditional treatment will be received three times a week for eight weeks. Integrated Neuromuscular Inhibition will be contain three combined manual treatment ( ischemic compression , strain counter strain , Muscle energy technique ) traditional treatment will be received three times a week for eight weeks . traditional treatment in Form of stretching and strenghthening of cervical muscles and postural advices

Also known as: INMI

Integrated Neuromuscular Inhibition

traditional treatment OTHER

traditional treatment will be received three times a week for eight weeks . traditional treatment in Form of stretching and strenghthening of cervical muscles and postural advices

traditional treatment

Eligibility Criteria

• Age: 18 Years - 23 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- Adolescent Female physical therapy students between 18-23 years old
• BMI between 18.5-25 kg/m²
• Symptomatic forward head posture with CVA 49° or less.
• Latent trigger point
• Neck pain more than 3 months

You may not qualify if:

• Cervical disc
• Myelopathy or cervical radiculopathy
• Cervical spine surgery in the past
• Having received physical therapy in the three months prior to the study
• Non- rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infection.
• Rheumatologic condition as poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases. -

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical Therapy

Cairo, Egypt

Location

Related Publications (2)

• Mohamed DA, Kamal RM, Gaber MM, Aneis YM. Combined Effects of Extracorporeal Shockwave Therapy and Integrated Neuromuscular Inhibition on Myofascial Trigger Points of Upper Trapezius: A Randomized Controlled Trial. Ann Rehabil Med. 2021 Aug;45(4):284-293. doi: 10.5535/arm.21018. Epub 2021 Aug 30.

  PMID: 34496471 BACKGROUND

• Saadat Z, Hemmati L, Pirouzi S, Ataollahi M, Ali-Mohammadi F. Effects of Integrated Neuromuscular Inhibition Technique on pain threshold and pain intensity in patients with upper trapezius trigger points. J Bodyw Mov Ther. 2018 Oct;22(4):937-940. doi: 10.1016/j.jbmt.2018.01.002. Epub 2018 Jan 17.

  PMID: 30368338 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer of physical Therapy

Model Details: this trial has two groups ,one experimental and one control

Study Record Dates

• First Submitted: June 23, 2022
• First Posted: June 30, 2022
• Study Start: October 1, 2022
• Primary Completion: December 30, 2022
• Study Completion: January 1, 2023
• Last Updated: March 18, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)