Efficacy of Dynamic Exercise and Multi-angle Isometric Exercise in Cervical Spondylosis

NCT07048288 | Completed

• 1 other identifier: AWH/EC/020/2/2023
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Exercises are widely regarded as the primary approach for managing cervical spondylosis. Although several studies have examined the effectiveness of multi-angle isometric exercises and dynamic exercises in patients with cervical spondylosis, their findings have been inconsistent. Further research is warranted to determine whether combining dynamic exercises with Kinesio taping can yield superior therapeutic outcomes. Additionally, there is a lack of comparative studies evaluating the relative benefits of multi-angle isometric versus dynamic exercises for individuals with cervical spondylosis. Therefore, this study aims to compare the efficacy of Multi-angle isometric exercise and Dynamic exercise, along with kinesio taping, in improving range of motion in the cervical spine, reducing pain, and improving functional disability in patients with Cervical Spondylosis. Fifty-two participants were randomly assigned to Experimental Group 1 (EG1) and Experimental Group 2 (EG2), with 26 participants in each group. EG1 received Multi-angle isometrics and Kinesio taping along with conventional physiotherapy, while EG2 received Dynamic exercise and Kinesio taping along with conventional physical therapy. Both groups were treated for 9 weeks. Goniometry and the Neck Pain and disability index were used as outcome measures.

Conditions

Cervical Spondylosis

Outcome Measures

Primary Outcomes (2)

• Goniometry

  Goniometry is the measurement of joint angles using a device called Goniometer. Greater joint angles indicate better treatment outcomes.

  Pre-intervention values were taken before the intervention, and post-intervention values were taken in week 10 (after 9 weeks of treatment).

• Neck Pain and Disability Index

  The Neck Disability Index (NDI) is a self-report questionnaire designed to measure how neck pain affects a person's ability to manage daily life. Each section has six statements scored from 0 (no disability) to 5 (maximum disability), with a total possible score of 50. The higher the score, the greater the perceived disability.

  Pre-intervention values were taken before the intervention, and post-intervention values were taken in week 10 (after 9 weeks of treatment).

Study Arms (2)

Experimental Group 1

EXPERIMENTAL

Experimental group 1 received multi-angle isometrics and kinesio taping along with conventional physiotherapy.

Other: Multi-angle isometrics; Other: Kinesio taping; Other: Conventional Physiotherapy

Experimental Group 2

ACTIVE COMPARATOR

Experimental Group 2 received dynamic exercise and kinesio taping along with conventional physical therapy.

Other: Kinesio taping; Other: Dynamic exercise; Other: Conventional Physiotherapy

Interventions

Multi-angle isometrics OTHER

Multi angle exercises include cervical flexion training, Cervical extension training, and Cervical lateral flexion training

Experimental Group 1

Kinesio taping OTHER

Kinesio taping is a therapeutic technique used in rehabilitation to support muscles and joints without restricting movement.

Experimental Group 1; Experimental Group 2

Dynamic exercise OTHER

The dynamic exercise program included dynamic cervical flexion, dynamic cervical extension, and dynamic lateral flexion.

Experimental Group 2

Conventional Physiotherapy OTHER

Conventional physiotherapy included transcutaneous electrical nerve stimulation

Experimental Group 1; Experimental Group 2

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients diagnosed with Cervical Spondylosis aged between 30 - 50.
• Both genders.
• Patients with radiological findings of Cervical Spondylosis confirmed by a medical professional.
• Patients without any surgical indication.

You may not qualify if:

• Patients with cervical radiculopathy.
• Patients with other cervical spine problems such as; a history of fracture or dislocation, ankylosing spondylitis, congenital cervical anomalies, cervical spine stenosis, cervical spondylotic myelopathy, rheumatoid arthritis, bone tumor, and tuberculosis.
• Patients with pacemakers.
• Patient with psychiatric conditions.
• In cases where the Kinesio taping technique is contraindicated, such as thrombosis, wound, intolerability, allergy to tape, or impaired sensation.
• Patients receiving any form of medications including steroids, NSAIDs or analgesics.
• Patients who do not have good compliance with the intervention or have difficulty in co-operating with the study.
• Patients who cannot read or understand English.

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

AWH Special College

Calicut, Kerala, 673003, India

Location

MeSH Terms

Conditions

Spondylosis

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Study Officials

• Khan, MPTh

  King Saud University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Model Details: A two-arm parallel-group pre-test-post-test design was used in this randomized controlled trial.

Study Record Dates

• First Submitted: June 24, 2025
• First Posted: July 2, 2025
• Study Start: August 2, 2023
• Primary Completion: February 26, 2024
• Study Completion: March 20, 2024
• Last Updated: September 3, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1)