Influence of Extracorporeal Shockwave Therapy in Patients of Mechanical Neck Pain

NCT07266272 | Completed

• 1 other identifier: Shockwave in neck pain
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: The study aimed to determine whether adding extracorporeal shockwave therapy (ESWT) to a standardized physiotherapy program provides additional benefits for patients with chronic mechanical neck pain. Specifically, it examined effects on pain intensity, pressure pain threshold (PPT), neck disability index (NDI), cervical active range of motion (AROM), and joint position sense (JPS).

Conditions

Neck Pain Musculoskeletal; Neck Pain; Extracorporeal Shock Wave Therapy; Mechanical Neck Pain; Cervical Pain, Posterior; Pain Threshold

Keywords

Neck pain; Cervical joint position sense; Cervical range of motion; Pressure pain threshold; Extracorporeal shock wave therapy; Chronic mechanical neck pain

Outcome Measures

Primary Outcomes (1)

• Pressure pain threshold (PPT)

  The minimum amount of pressure applied to body tissue that a person perceives as pain, rather than just pressure, is measured by an algometer. Another definition is the point at which a sensation changes from pressure to pain. measured by an algometer. A higher score is better, and a lower score is worse.

  4 weeks

Secondary Outcomes (4)

• Active cervical range of motion

  4 weeks

• Joint position sense

  4 weeks

• Neck Pain

  4 weeks

• Neck disability index (NDI)

  4 weeks

Study Arms (2)

Control group, standardized physiotherapy group receiving (Stretch, strength, Postural correction)

OTHER

The control group recieve conventional program without additional shockwave

Other: Exercise

Intervention group received Extracorporeal shockwave therapy + Standardized physiotherapy as control

EXPERIMENTAL

Group B

Device: Extracorporeal Shockwave therapy; Other: Exercise

Interventions

Extracorporeal Shockwave therapy DEVICE

Radial, pneumatic extracorporeal shockwave therapy: The ESWT was applied using the following treatment parameters: 2,000 pulses, intensity of 1 to 1.2 bars, and 10 Hz frequency

Also known as: ESWT

Intervention group received Extracorporeal shockwave therapy + Standardized physiotherapy as control

Exercise OTHER

Stretch + isometrics + postural correction

Also known as: Strength _ Activation_ stretch_ postural correction

Control group, standardized physiotherapy group receiving (Stretch, strength, Postural correction); Intervention group received Extracorporeal shockwave therapy + Standardized physiotherapy as control

Eligibility Criteria

• Age: 18 Years - 29 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The patients (both males and females) with chronic non-specific neck pain for more than three months.
• The patient's age is between 18 and 29 years old.
• The patient has at least one taut band at the upper fibers of the trapezius as described in assessment procedures.
• patient's numeric pain rating scale (NPRS) was 3 to 8 out of 10

You may not qualify if:

• Were treated for neck or shoulder pain during the last three months.
• Had a neck or shoulder operation during the last two years.
• Had any structural pathology of the cervical spine, such as disk prolapse, spinal stenosis, or cervical spondylosis.
• Had a traumatic history, instability, and spasmodic torticollis.
• Had cardiovascular, respiratory, or allergic disease or neck osteoarthritis.
• Had homeostatic disorders.
• Fibromyalgia, shoulder diseases (tendonitis, bursitis, capsulitis).
• Inflammatory rheumatic diseases.
• Severe psychiatric illness and other diseases that restrict physical loading, and pregnancy (Salo et al., 2010).
• Patients with vertebrobasilar insufficiency and vertigo.

Sponsors & Collaborators

• Benha University: lead

Study Sites (1)

12

Shibīn al Kawm, Menofya, 32521, Egypt

Location

Related Publications (5)

• Akamatsu FE, Ayres BR, Saleh SO, Hojaij F, Andrade M, Hsing WT, Jacomo AL. Trigger points: an anatomical substratum. Biomed Res Int. 2015;2015:623287. doi: 10.1155/2015/623287. Epub 2015 Feb 24.

  PMID: 25811029 RESULT

• Abbott JH, Schmitt J. Minimum important differences for the patient-specific functional scale, 4 region-specific outcome measures, and the numeric pain rating scale. J Orthop Sports Phys Ther. 2014 Aug;44(8):560-4. doi: 10.2519/jospt.2014.5248. Epub 2014 May 14.

  PMID: 24828475 RESULT

• Abadiyan F, Hadadnezhad M, Khosrokiani Z, Letafatkar A, Akhshik H. Adding a smartphone app to global postural re-education to improve neck pain, posture, quality of life, and endurance in people with nonspecific neck pain: a randomized controlled trial. Trials. 2021 Apr 12;22(1):274. doi: 10.1186/s13063-021-05214-8.

  PMID: 33845880 RESULT

• Romeo P, Lavanga V, Pagani D, Sansone V. Extracorporeal shock wave therapy in musculoskeletal disorders: a review. Med Princ Pract. 2014;23(1):7-13. doi: 10.1159/000355472. Epub 2013 Nov 5.

  PMID: 24217134 RESULT

• Rahbar M, Samandarian M, Salekzamani Y, Khamnian Z, Dolatkhah N. Effectiveness of extracorporeal shock wave therapy versus standard care in the treatment of neck and upper back myofascial pain: a single blinded randomised clinical trial. Clin Rehabil. 2021 Jan;35(1):102-113. doi: 10.1177/0269215520947074. Epub 2020 Jul 30.

  PMID: 32731757 RESULT

MeSH Terms

Conditions

Neck Pain

Interventions

Extracorporeal Shockwave Therapy; Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Ultrasonic Therapy; Diathermy; Hyperthermia, Induced; Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Statistician and outcome assessor who is also an investigator.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer of physical therapy for orthopedics and sport injuries

Study Record Dates

• First Submitted: November 24, 2025
• First Posted: December 5, 2025
• Study Start: July 1, 2023
• Primary Completion: February 25, 2024
• Study Completion: March 27, 2024
• Last Updated: December 5, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)