Effect of Body Mind Exercises and Specific Neck Exercises in Chronic Mechanical Neck Pain

NCT07477145 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/006226.
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the effect of body mind exercise and specific neck exercises in chronic mechanical neck pain on neck pain severity, functional disability, neck flexion range of motion, isometric neck muscle strength and quality of life.

Conditions

Neck Pain Musculoskeletal

Outcome Measures

Primary Outcomes (5)

• Pain Intensity

  Numeric Pain Rating Scale (NPRS, Arabic version) 0-10 scale; validated for Arabic-speaking populations (Alghadir et al., 2016)

  (pre-intervention) and after 6 weeks (post-intervention).

• Quality of Life Measured by RAND-36 Health Survey

  Measures physical, emotional, and social functioning .

  (pre-intervention) and after 6 weeks (post-intervention).

• Functional Disability

  Neck Disability Index (NDI, Arabic version) 10-item questionnaire.

  (pre-intervention) and after 6 weeks (post-intervention).

• Cervical ROM

  CROM device. Measures flexion, extension, lateral flexion, rotation; 3 repetitions per movement (Kiatkulanusorn et al., 2023).

  (pre-intervention) and after 6 weeks (post-intervention).

• Isometric Neck Strength

  Handheld dynamometer (HHD) Flexion (forehead), Extension (occiput), 3 maximal contractions of 5 sec each, average recorded (Ghamkhar et al., 2011)

  (pre-intervention) and after 6 weeks (post-intervention).

Study Arms (4)

Group A: Conventional physical therapy group (Control group)

EXPERIMENTAL

Group A will receive conventional therapy which includes: heat therapy (infrared) for 10 minutes, massage therapy 10 min, stretching of neck (Scalene, SCM, UFT, Levator scapulae) and pectoral muscles 20 min.

Behavioral: Conventional physical therapy group.

Group B: Body mind exercises group (mindful aerobic exercises)

EXPERIMENTAL

Group B will receive conventional physical therapy (infrared, massage, and neck stretching) in addition to Body mind exercises (mindful aerobic exercises). The aerobic exercise will be performed at an intensity of at least 60% of maximal oxygen consumption (VO₂ max) to effectively improve cardiorespiratory fitness. The program will include treadmill walking 30 minutes.

Behavioral: Conventional physical therapy group.; Behavioral: Body mind exercises group (mindful aerobic exercises)

Group C: specific neck exercise group

EXPERIMENTAL

Group C will receive conventional therapy in addition to specific neck exercises. Specific exercises will include: cervical and scapular stabilization exercises.

Behavioral: Conventional physical therapy group.; Behavioral: specific neck exercise group

Group D : Combined exercise group.

EXPERIMENTAL

Group D will receive conventional therapy in addition to mindful aerobic exercises, cervical and scapular stabilization.

Behavioral: Conventional physical therapy group.; Behavioral: Body mind exercises group (mindful aerobic exercises); Behavioral: specific neck exercise group; Behavioral: Combined exercise group.

Interventions

Conventional physical therapy group. BEHAVIORAL

conventional therapy which includes: heat therapy (infrared) for 10 minutes, massage therapy 10 min, stretching of neck (Scalene, SCM, UFT, Levator scapulae) and pectoral muscles 20 min.

Group A: Conventional physical therapy group (Control group); Group B: Body mind exercises group (mindful aerobic exercises); Group C: specific neck exercise group; Group D : Combined exercise group.

Body mind exercises group (mindful aerobic exercises) BEHAVIORAL

Group B will receive conventional physical therapy (infrared, massage, and neck stretching) in addition to Body mind exercises (mindful aerobic exercises). The aerobic exercise will be performed at an intensity of at least 60% of maximal oxygen consumption (VO₂ max) to effectively improve cardiorespiratory fitness. The program will include treadmill walking 30 minutes.

Group B: Body mind exercises group (mindful aerobic exercises); Group D : Combined exercise group.

specific neck exercise group BEHAVIORAL

Group C will receive conventional therapy in addition to specific neck exercises. Specific exercises will include: cervical and scapular stabilization exercises.

Group C: specific neck exercise group; Group D : Combined exercise group.

Combined exercise group. BEHAVIORAL

Group D will receive conventional therapy in addition to mindful aerobic exercises, cervical and scapular stabilization exercises.

Group D : Combined exercise group.

Eligibility Criteria

• Age: 50 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged between 50-65 years
• Diagnosis of chronic mechanical neck pain (pain duration ≥ 3 months)
• Pain intensity of at least 3/10 on the NPRS

You may not qualify if:

• History of cervical surgery
• Specific neck conditions (fractures, neoplasm, infection)
• Pregnancy
• Severe cardiopulmonary disease or other systemic illness affecting participation

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculity of Physical Therapy in Cairo University

Cairo, 12613, Egypt

Location

Related Publications (45)

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Related Links

• Clinical Trial Registration Guidance
• CONSORT Guidelines for Randomized Controlled Trials
• Neck Disability Index (NDI) - Rehabilitation Measures Database
• Numeric Pain Rating Scale (NPRS) - Rehabilitation Measures Database

Study Officials

• RAMY I KOMIR, MSc

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

RAMY I KOMIR, MSc

CONTACT

+966553277511; rami33332@yahoo.com

RAMY I KOMIR, MSc

CONTACT

+966566060994; rami33332@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Due to the nature of the exercise interventions, participants and treating therapists cannot be blinded. However, the outcome assessor responsible for measuring pain, cervical range of motion, and neck muscle strength will be blinded to group allocation to reduce measurement bias.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This study is a randomized, parallel-group, controlled clinical trial with four intervention arms. Participants with chronic mechanical neck pain will be randomly allocated into one of four groups receiving different combinations of body-mind exercises, specific neck exercises, and conventional physical therapy.

Study Record Dates

• First Submitted: February 28, 2026
• First Posted: March 17, 2026
• Study Start: March 25, 2026
• Primary Completion: March 30, 2026
• Study Completion: May 31, 2026
• Last Updated: March 17, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)