Impact Of Cervical High-Intensity Resistive Exercises In Patients With Chronic Non-Specific Neck Pain

NCT07132229 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/004930
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Purposes of the study To investigate the effect of adding Cervical High-Intensity Resistive Exercises to conventional physical therapy in patients with Chronic Non-Specific Neck Pain

Conditions

Chronic Non-specific Neck Pain

Keywords

neck pain; cervical pain; High-Intensity Resistive Exercises

Outcome Measures

Primary Outcomes (4)

• Disability

  Neck disability index (NDI)

  Change from Baseline Disability at 6 weeks

• Diaphragm thickness

  Ultrasound

  Change from Baseline Diaphragm thickness at 6 weeks

• Forced vital capacity (FVC)

  Spirometry

  Change from Baseline Forced vital capacity (FVC) at 6 weeks

• maximum voluntary ventilation (MVV)

  Spirometry

  Change from maximum voluntary ventilation (MVV) at 6 weeks

Secondary Outcomes (2)

• Neck pain

  Change from Baseline Neck pain at 6 weeks

• Strength of neck flexors, extensors, and side bending

  Change from Baseline Strength of neck flexors, extensors, and side bending at 6 weeks

Study Arms (2)

Cervical High-Intensity Resistive Exercises + Conventional physical therapy

EXPERIMENTAL

Patients in this group will receive Cervical High-Intensity Resistive Exercises + Conventional physical therapy

Other: Cervical High-Intensity Resistive Exercises; Other: Conventional physical therapy

Conventional physical therapy

ACTIVE COMPARATOR

Patients in this group will receive Conventional physical therapy

Other: Conventional physical therapy

Interventions

Cervical High-Intensity Resistive Exercises OTHER

The patient will wear a neck harness, and a weight equivalent to 90% of the patient's measured maximum voluntary isometric contraction (MVIC) will be attached to it.

Cervical High-Intensity Resistive Exercises + Conventional physical therapy

Conventional physical therapy OTHER

Conventional physical therapy consisting of TENS for pain control, soft tissue release for the cervical and associated muscles, activation and strengthening exercises for the deep neck flexors, extensors, and scapular muscles, as well as diaphragmatic breathing exercises.

Cervical High-Intensity Resistive Exercises + Conventional physical therapy; Conventional physical therapy

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Thirty-four patients diagnosed CNSNP.
• Age of the patients between 20-40 years.
• Non-specific neck pain started more than 3 months.
• Reduce ventilatory function; FVC \>= 70% from predicted.
• Waist to height ratio (WtHR)\> 60 %.
• Positive craniocervical flexion test.
• Positive neck flexor endurance test.
• Pain at neck after prolonged static weight bearing positions.
• Pain with palpation of the neck paraspinal or suboccipital or trapezius muscles.

You may not qualify if:

• History of whiplash injury.
• Clinical sign of cervical radiculopathy.
• Clinical signs of cervical myelopathy.
• Rheumatoid Arthritis or any other autoimmune diseases.
• Any respiratory disorders.
• Tumors.
• vertebrobasilar insufficiency VBI.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

outpatient clinic, Faculty of Physical Therapy, Cairo University

Giza, Egypt, 12613, Egypt

Location

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: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate in Physical Therapy, Cairo University

Study Record Dates

• First Submitted: August 5, 2025
• First Posted: August 20, 2025
• Study Start: August 10, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: August 20, 2025

Record last verified: 2025-08

Locations

EG (1)