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

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07699458

Enrollment

Registered

2026-07-13

Start date

2026-08-25

Completion date

2027-01-25

Last updated

2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mechanical Neck Pain

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

Interventions

DEVICECervical stabilization exercise and Integrated Neuromuscular Inhibition

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

DEVICEIntegrated neuromuscular inhibition technique

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

OTHERConventional Treatment group

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.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 44 Years

Healthy volunteers

Inclusion criteria

1. Age from 18-44 year 2. Their body mass index will be ranging from (18-25) Kg/m2 3. All patient has active cervical trigger point of the upper fiber of the Trapezius detected by pincer palpation 4. Subjects must have characteristics of trigger points hardened, thickened taut bands in MPS patients.

Exclusion criteria

1. Individuals with a recent history of neck or back surgery. 2. Individuals with recent history of trauma or fracture. 3. Individuals with congenital and pathological disorders of the cervical spine. 4. Individuals with any psychiatric diseases

Design outcomes

Primary

Measure	Time frame	Description
Pain threshold	One month	Measured by using Pressure algometer

Secondary

Measure	Time frame	Description
pain intensity	One month	Measured by using Visual Analog Scale
Range of Motion	One month	Measured by using mobile application clinometer
Neck function	One month	Measured by using neck disability index
Neck proprioception	One month	Measured by using mobile application clinometer

Countries

Egypt

Contacts

CONTACThuda adel mohammed, assistant lecturer

huda.dahy@gmail.com+201283866669

STUDY_CHAIRHytham mohammed elhafez, PhD

Cairo University

STUDY_DIRECTORrania reda mohammed, PhD

Cairo univeristy

STUDY_DIRECTORheba ahmed elgyar, PhD