Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain

NCT07699458 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006463
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

the goal of this clinical trial is to study the Impact of adding integrated neuromuscular inhibition technique to cervical stabilization exercise in chronic mechanical neck pain

Conditions

Mechanical Neck Pain

Outcome Measures

Primary Outcomes (1)

• Pain threshold

  Measured by using Pressure algometer

  One month

Secondary Outcomes (4)

• pain intensity

  One month

• Range of Motion

  One month

• Neck function

  One month

• Neck proprioception

  One month

Study Arms (3)

cervical stabilization exercise plus integrated neuromuscular inhibition technique

EXPERIMENTAL

this group will recive cervical stablization exercise whice starting with cervical isometric exercises performed in the supine position. The head will be supported on a pillow with a towel roll placed under the cervical spine to ensure proper alignment. Additional cervical isometric exercises will be conducted in the seated position by applying manual resistance at the forehead to perform cervical flexion, extension, rotation, and side-bending movements. and integrated Neuromuscular Inhibition be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)

Device: Cervical stabilization exercise and Integrated Neuromuscular Inhibition

integrated neuromuscular inhibition technique

EXPERIMENTAL

this group integrated Neuromuscular Inhibition be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice)

Device: Integrated neuromuscular inhibition technique

conventional treatment

ACTIVE COMPARATOR

Participants in this group will receive conventional physical therapy only in the form of: (superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) for 3 sessions/week over 4 weeks' periods.

Other: Conventional Treatment group

Interventions

Cervical stabilization exercise and Integrated Neuromuscular Inhibition DEVICE

cervical stablization exercise starting with cervical isometric exercises performed in the supine position. The head will be supported on a pillow with a towel roll placed under the cervical spine to ensure proper alignment. Additional cervical isometric exercises will be conducted in the seated position by applying manual resistance at the forehead to perform cervical flexion, extension, rotation, and side-bending movements. The Integrated Neuromuscular Inhibition will be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique

cervical stabilization exercise plus integrated neuromuscular inhibition technique

Integrated neuromuscular inhibition technique DEVICE

Integrated Neuromuscular Inhibition will be applied to the upper trapezius muscle to deactivate myofascial trigger points and reduce muscle tension. The technique will consist of three sequential components: intermittent ischemic compression, strain counterstain, and muscle energy technique

integrated neuromuscular inhibition technique

Conventional Treatment group OTHER

Participants in this group will receive conventional physical therapy only in the form of superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice for 3 sessions/week over 4 weeks' periods.

conventional treatment

Eligibility Criteria

• Age: 18 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age from 18-44 year
• Their body mass index will be ranging from (18-25) Kg/m2
• All patient has active cervical trigger point of the upper fiber of the Trapezius detected by pincer palpation
• Subjects must have characteristics of trigger points hardened, thickened taut bands in MPS patients.

You may not qualify if:

• Individuals with a recent history of neck or back surgery.
• Individuals with recent history of trauma or fracture.
• Individuals with congenital and pathological disorders of the cervical spine.
• Individuals with any psychiatric diseases

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Fuclty of Physical Therapy

Cairo, Egypt

Location

Study Officials

• Hytham mohammed elhafez, PhD

  Cairo University

  STUDY CHAIR

• rania reda mohammed, PhD

  Cairo univeristy

  STUDY DIRECTOR

• heba ahmed elgyar, PhD

  Cairo University

  STUDY DIRECTOR

Central Study Contacts

huda adel mohammed, assistant lecturer

CONTACT

+201283866669; huda.dahy@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: May 20, 2026
• First Posted: July 13, 2026
• Study Start (Estimated): August 25, 2026
• Primary Completion (Estimated): December 10, 2026
• Study Completion (Estimated): January 25, 2027
• Last Updated: July 13, 2026

Record last verified: 2026-07

Locations

EG (1)