Influence of Cervical Stabilization Exercises on Neural Tissue Mechanosensitivity in Patients With Chronic Nonspecific Neck Pain

NCT07339683 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005984
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of cervical stabilization exercises on cervical pain intensity, upper limbs mechanosensitivity, cervicovertebral angle, and cervical proprioception in individuals with chronic nonspecific neck pain

Conditions

Neck Pain

Keywords

cervical stabilization; tissue mechanosensitivity; neck pain

Outcome Measures

Primary Outcomes (1)

• mechanosensitivity of upper limb nerves

  A handheld algometer will be used to assess mechanosensitivity. To apply this test test, specific points on the peripheral nerve trunks of the tested upper limb nerves will be identified through manual palpation, being easily accessible by the probe of the algometer and as they are commonly used sites of peripheral nerves' palpation with moderate inter-tester reliability. The supine lying posture will be assumed to test median and ulnar nerves, while sitting posture will be the choice for radial nerve. Median nerve will be located and tested in the antebrachial fossa just medial to the biceps brachii tendon. Ulnar will be tested in the cubital tunnel between humeral medial epicondyle and olecranon process, with the arm in 90º shoulder abduction as well as external rotation, and elbow flexion. Radial nerve palpation point lies between the middle and lower thirds of the humerus.

  up to 6 weeks

Secondary Outcomes (3)

• craniovertebral angle

  up to 6 weeks

• pain intensity

  up to six weeks

• cervical joint position error (cervical proprioception)

  up to six weeks

Study Arms (2)

cervical and scapulothoracic stabilization exercises.

EXPERIMENTAL

forty patients will receive cervical and scapulothoracic stabilization exercises plus traditional therapy three times a week for six weeks

Other: cervical and scapulothoracic stabilization exercises.; Other: traditional therapy

traditional therapy

ACTIVE COMPARATOR

forty patients will receive traditional therapy three times a week for six weeks

Other: traditional therapy

Interventions

traditional therapy OTHER

the patients will receive traditional therapy in the form of ultrasound, hot pack, cervical extensors stretching and deep flexor strengthening

cervical and scapulothoracic stabilization exercises.; traditional therapy

cervical and scapulothoracic stabilization exercises. OTHER

the patients will receive cervical and scapulothoracic stabilization exercises in the form of activation of deep cervical flexors in the first two weeks, followed by scapulothoracic muscles activation for the third and fourth weeks and finally group of exercises that emphasis on increasing difficulty and progress to quadruped and standing.

cervical and scapulothoracic stabilization exercises.

Eligibility Criteria

• Age: 18 Years - 36 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• participants with age range from 18 to 36 years and BMI from 25 to 30kg/m2 will be recruited
• Participants having neck pain symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature, for 3 months
• Patients with a craniovertebral angle of less than 50º

You may not qualify if:

• History of previous injury of the neck.
• History of surgical intervention at the neck.
• History of inflammatory joint disease affecting facet joints
• participants with congenital disorders of the cervical spine.
• participants who received pain medication or physical therapy for their neck pain during the last 3 months.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

nada zuhairy, phd

CONTACT

01014930018; nadazuhairy11@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : nada ashraf mohamed zuhairy

Model Details: cervical and scapulothoracic stabilization exercises.

Study Record Dates

• First Submitted: January 5, 2026
• First Posted: January 14, 2026
• Study Start: January 15, 2026
• Primary Completion (Estimated): June 15, 2026
• Study Completion (Estimated): June 25, 2026
• Last Updated: January 14, 2026

Record last verified: 2026-01