Integrated Neuromuscular Inhibition Technique Versus Instrument-Assisted Soft Tissue Mobilization On Neck Disability, Endurance, and Proprioception Of Nonspecific Chronic Neck Pain
CNP
1 other identifier
interventional
60
0 countries
N/A
Brief Summary
this study will be conducted to compare INIT versus IASTM on neck disability, cervical muscle endurance and proprioception, cervical alignment, pain intensity, pressure pain threshold in patients with neck pain
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2026
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 14, 2026
CompletedFirst Posted
Study publicly available on registry
May 20, 2026
CompletedStudy Start
First participant enrolled
May 25, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
May 25, 2027
Study Completion
Last participant's last visit for all outcomes
May 25, 2027
May 20, 2026
May 1, 2026
1 year
May 14, 2026
May 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
neck disability
The arabic version of Neck Disability Index (NDI) will be used. it is a 10-item, self-administered questionnaire measuring neck pain-related disability, with scores ranging from 0-50 or 0-100%. Higher scores indicate greater disability.
up to four weeks
Secondary Outcomes (9)
pain intensity
up to four weeks
cervical range of motion
up to four weeks
joint position error (cervical proprioception)
up to four weeks
pressure pain threshold
up to four weeks
The Absolute Rotation Angle (ARA) C2-C7
up to four weeks
- +4 more secondary outcomes
Study Arms (3)
Integrated Neuromuscular Inhibition Technique
EXPERIMENTALtwenty patients will receive the integrated neuromuscular inhibition technique plus traditional therapy three times a week for four weeks
Instrument-Assisted Soft Tissue Mobilization
EXPERIMENTALtwenty patients will receive instrument-assisted soft tissue mobilization plus traditional therapy three times a week for four weeks
traditional therapy
ACTIVE COMPARATORtwenty patients will receive traditional therapy three times a week for four weeks
Interventions
For the integrated neuromuscular inhibition technique, the participant will be in a supine lying position. During the PPT evaluation process, the site of the TrP will be determined and will be marked. First, intermittent IC will be initiated by using the thumb and index finger to apply a pincer grip to the TrP in the middle of the UT. Second, applying pressure to the trigger point and asking the participants how much pain they will experience. The participants' heads will passively flexed laterally to the affected side. The therapist then will hold the participant's forearm and passively will move the shoulder to about 90° of abduction while monitoring the discomfort induced by the TrP, and then will ask the patient about the intensity of pain. If the pain will decrease by 70% from the start, the position will be held for 30 seconds and repeated 2 to 3 times. Then muscle energy technique is applied plus tradional therapy.
For IASTM, the M2T blade will be used to identify specific parts of the limitation on the right UT. After that, treatment planes 1-2-3 will be used. Prior to treatment, Vaseline will be applied as a lubricant to the skin around the neck area, and an alcohol pad will be used to clean the instrument. Then, using an M2T blade at a 45° angle, long, slow strokes over the muscle will be performed, beginning at its insertion and ending at its origin, for 2 to 3 minutes . If the participant felt a burning sensation, it will be instructed to apply an ice pack plus tradional therapy.
the patients will receive tradional therapy in the form of 10 minutes of moist heat (hot pack) isometric strengthening exercises for all cervical muscles by applying manual resistance on the side of the head for side bending, the occiput for extension, and the forehead for flexion.The resistance will be sustained for 10 seconds and repeated 10 to 15 times, then they will receive stretching exercises for extensor muscles for 30 seconds and repeated 3 times in every session. Finally, active ROM exercises for the neck and chin will be performed
Eligibility Criteria
You may qualify if:
- All participants ages will range from 18 to 50 years.
- BMI ranged from 18.5 to 30.
- have TrPs in their UT muscle, pain at rest, a jump sign when pressure is applied, limited range of motion (ROM), and referred pain.
- The participants will report pain in the posterior or posterior lateral aspect of the neck in the previous 3 months
You may not qualify if:
- Participants of cervical spine disorders (cervical disc disease, cervical spondylitis, cervical myelopathy.
- Participants with musculoskeletal conditions.
- Pregnant women.
- Participants with congenital postural deformities.
- Participants who had a definite visual disability.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
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 : nabil mahmoud ismail
Study Record Dates
First Submitted
May 14, 2026
First Posted
May 20, 2026
Study Start (Estimated)
May 25, 2026
Primary Completion (Estimated)
May 25, 2027
Study Completion (Estimated)
May 25, 2027
Last Updated
May 20, 2026
Record last verified: 2026-05