Neuromuscular Re-education on Pain, ROM and Disability in Cervical Radiculopathy

NCT07506200 | Recruiting

• 1 other identifier: REC/RCR & AHS/24/0298
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This study explores the effectiveness of Neuromuscular Re-education compared to conventional therapies in managing pain, range of motion, and disability in patients with Cervical Radiculopathy

Conditions

Cervical Radicular Pain

Keywords

Cervical Radiculopathy; Neuromuscular Re-education; Range of Motion; Pain Management

Outcome Measures

Primary Outcomes (3)

• Goniometer

  A goniometer is used to measure cervical range of motion (ROM) by aligning its fulcrum over a bony landmark (like the C7 vertebrae or external auditory meatus) and its arms with other bony landmarks (such as the nose, acromion, or sternal notch) to measure the angle of movement in degrees.

  8th Week

• NDI (Neck Disability Index)

  The NDI is a 10-item questionnaire that assesses how neck pain affects daily activities(28). The Neck Disability Index (NDI) measures neck-specific disability through a 10-item questionnaire assessing pain and daily activities like personal care, lifting, and concentration. Scores range from 0-50 (or 0-100%), with higher scores indicating greater disability

  8th week

• Numeric Pain Rate Scale

  The Numerical Pain Rating Scale (NPRS) has been used to assess the level of pain patients experience. It can be used to assess pain either verbally or through a self completion questionnaires. Patients are asked to circle a number on a scale that best describes the pain the experience. Patients are asked to recall from the pain scale from 0 to 10. 0 equals No pain, 1-3 equals Mild pain, 4-6 equals Moderate pain, 7-9 equals Severe pain, and 10 equals Very Severe pain. NPRS shows strong test-retest score even in illiterate and literate patients

  8th week

Study Arms (2)

Neuromuscular Re-education Group

EXPERIMENTAL

postural training exercises, proprioceptive tasks, Dynamic control exercises, eye-head coordination tasks

Other: Neuromuscular Re education

Conventional Physical Therapy

ACTIVE COMPARATOR

Electrotherapy, Manual Therapy Techniques

Other: Conventional Physical Therapy

Interventions

Neuromuscular Re education OTHER

A. Postural training and functional task simulation(chin tuck, Shoulder blade squeeze, reaching, carrying, lifting tasks) Proprioceptive tasks( single leg stance with head movement), deep cervical strengthening. 3 sessions per week, 30 minutes per session (10 mint each component),10 repetition per set, 2 set, 10 second Resting interval Resting period: 1 mint to next exercise

Neuromuscular Re-education Group

Conventional Physical Therapy OTHER

* TENS and hot pack for 10 to 15 minutes * Manual therapy techniques (e.g., mobilizations grade II). 5 to 10 repetition * Cervical isometric exercises 10 reps * General education on posture and ergonomics guidelines * Frequency: 3 sessions per week * Duration: 50 minutes per session, 10 mint each component * Repetition: 10 repetition per set, 2 set , 10 second resting interval * Resting period: 1 mint to next exercise

Conventional Physical Therapy

Eligibility Criteria

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

You may qualify if:

• Participants of Age between 30 and 50 years old.
• Participants of both gender included.
• Participants having Unilateral upper extremity pain, paresthesia, or numbness
• Participants with Four positive findings required:
• Positive Spurling's test
• Positive distraction test
• Positive upper limb tension test
• Ipsilateral cervical rotation less than 60 degrees
• Participants must have experienced pain for at least 3 months.
• Participants must have a pain score of 4 to 6 on the 0-10 scale

You may not qualify if:

• Participants having prior cervical spine surgery.
• Participants with Cervical vertebral fracture
• Participants with severe osteoporosis, rheumatic disease, shoulder disease, or infection will be excluded.
• Participants with vertebro-basilar artery insufficiency and diabetic neuropathy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

National hospital sialkot

Sialkot, Punjab Province, 54500, Pakistan

RECRUITING

MeSH Terms

Conditions

Radiculopathy; Agnosia

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Javeria Ghazal, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Munaab Khan, PhD

CONTACT

+923367993611; muneeb.khan@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 23, 2026
• First Posted: April 1, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): June 16, 2026
• Study Completion (Estimated): July 15, 2026
• Last Updated: June 10, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)