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Neck PainNCT06407479

Comparison of Eccentric Muscle Training and Proprioceptive Neuromuscular Facilitation Techniques in Neck Pain

A study testing proprioceptive neuromuscular facilitation technique group and eccentric muscle training technique application group in people with Neck Pain and Musculoskeletal Pain, run by Uskudar University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial compared eccentric exercise training and the proprioceptive neuromuscular facilitation (PNF) technique, each added to a common cervical stretching and stabilisation programme, in individuals with non-specific neck pain. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Neck Pain, Musculoskeletal Pain
What is being tested?
proprioceptive neuromuscular facilitation technique group and eccentric muscle training technique application group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteTurkey (Türkiye)
Study dates
9 May 2024to 10 Jan 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Being between the ages of 18-65
  • Deep cervical flexor endurance time of less than 60 seconds on the modified craniocervical flexor endurance test at screening. Candidates able to hold the test position for 60 seconds or longer were considered to have sufficient deep cervical flexor endurance and were not enrolled.
  • History of neck pain that has persisted for at least 7 days
  • Agreeing to participate in the study
  • Having the ability to read and write Turkish. EXCLUSION CRITERIA
  • Radiculopathy and structural disorder in the cervical region,
Show all 17Show fewer
  • Surgery to the cervical region,
  • Inflammatory disease,
  • Severe psychological illness,
  • Presence of infection in the bone and soft tissue in the cervical spine,
  • Malignancy,
  • Advanced osteoporosis,
  • Those with upper extremity pathologies,
  • Having a neurological disease that will prevent treatment
  • Having previously undergone cervical region and spine surgery
  • Having been included in a physiotherapy program for the neck and back area in the last 6 months,
  • It was defined as the administration of drugs such as NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) and opioids in the last 24 hours.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Uskudar University

    Istanbul

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Eccentric Muscle Training and Proprioceptive Neuromuscular Facilitation Techniques in Individuals With Non-specific Neck Pain

This trial compared eccentric exercise training and the proprioceptive neuromuscular facilitation (PNF) technique, each added to a common cervical stretching and stabilisation programme, in individuals with non-specific neck pain. Outcomes were neck-related disability, multidimensional pain, cervical range of motion, deep cervical flexor endurance, kinesiophobia and health-related quality of life, assessed at baseline and after 6 weeks.

Read the detailed description

The study was planned as a quantitative study. Volunteer individuals with nonspecific neck pain between the ages of 18-65 will be included in the study, and the participants will be randomly distributed into 3 groups. Control group (n=15), proprioceptive neuromuscular facilitation technique application group (n=15), eccentric muscle training technique application group (n=15). People included in the study will be explained in detail and will be asked to sign a voluntary consent form approved by the ethics committee. Demographic information of individuals in all three groups will be recorded first. Participants in all three groups will be evaluated at the beginning and end of the applications. In our study, participants were evaluated with the McGill Pain Questionnaire to evaluate the character and character of pain, their physical fitness with the Deep Neck Flexor Endurance Test, their functionality related to daily living activities with the Neck Disability Index (NDI, and their quality of life with the World Health Organization Short Form of Quality of Life (WHOQOL-BREF) Tampa Kinesiophobia Scale and a goniometer for Cervical Region Joint Range of Motion Measurement will be used to evaluate kinesiophobia, which is the fear of pain and re-injury, as well as anxiety towards activity and physical movement. This study will be planned five times a week for six weeks. Stretching and stabilization exercises will be applied to the control group in 3 sets of 10 repetitions.

Being tested
proprioceptive neuromuscular facilitation technique group, eccentric muscle training technique application group, Control
Medical subject headings
Neck Pain, Musculoskeletal Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • proprioceptive neuromuscular facilitation technique groupOther

    Proprioceptive Neuromuscular Facilitation Technique group; In addition to the exercises applied to the participants and the control group, combined isotonic contractions and dynamic stabilization will be used as facilitation techniques, and hold-relax technique will be used as an inhibition technique.

  • eccentric muscle training technique application groupOther

    Eccentric Muscle Training Technique: Participants will receive eccentric muscle training in addition to the exercises given to the control group. Before the application, 5-minute warm-up exercises will be given to the neck area. Eccentric muscle training will be applied to the muscles of the participants in the cervical region. Eccentric exercise will be strengthened in the cervical region muscles in the direction of movement in each plane, that is, flexion / extension and lateral flexion. The movements will first be explained and demonstrated to the patient.

  • ControlOther

    Cervical stretching and stabilisation exercise programme. Stretching was applied in flexion, extension, rotation and lateral flexion (30-second hold, 10 repetitions). Stabilisation exercises were performed with the participant applying self-resistance from a seated position (10-second contraction, 15-second rest). Both components were performed in 3 sets of 10 repetitions with 1-minute rest between sets, in 45-minute sessions, 5 days per week for 6 weeks. This programme was also delivered as the base programme to both experimental groups.

Study groups in NCT06407479
Study groupRoleWhat they receive
proprioceptiveExperimentalproprioceptive neuromuscular facilitation technique application
Receives: Other: proprioceptive neuromuscular facilitation technique group
eccentricExperimentaleccentric muscle training technique application
Receives: Other: eccentric muscle training technique application group
ControlActive comparatorParticipants performed a cervical stretching and stabilisation exercise programme only, without any additional technique.
Receives: Other: Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cervical Deep Flexor Muscle Endurance Test

    Patients were asked to lie in a supine position with knees flexed at 90° and hands on the abdomen in a hook position. A 0.5 kilogram (kg) weight was placed on the forehead with the help of a band passed over the ears. The patients were asked to first perform cervical retraction and then 10° cervical flexion, and the degree of flexion was determined with the help of a goniometer. The patients were asked to maintain this position and the time was determined with a stopwatch and recorded in seconds. Patients must be able to maintain this position for 60 seconds (sec) in order to have sufficient muscle endurance. Those below this period have insufficient muscle endurance. Cervical flexion for 60 seconds. Patients holding it above were considered to have sufficient endurance and were not included in the study.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.

  2. World Health Organization Quality of Life Survey Short Form

    The scale measures 28 general health, physical, psychological, social and environmental well-being and consists of 26 questions. Turkey version consists of 27 questions. The 27th question is the national question that determines the Environmental Score. Since each domain expresses the quality of life in its own field independently of each other, domain scores are calculated between 4-20. As the score increases, the quality of life increases.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.

  3. Neck Disability Index

    Neck Disability Index will be used to evaluate the disability specific to neck pain. The Neck Disability Index has been modified from the Oswestry Disability Index. It consists of 10 sections: pain intensity, personal care, weight bearing, reading, headache, concentration, working, driving, sleep and recreational activities. Each section consists of 6 answers and is scored from 0, no disability, to 5, representing total disability. According to total score; 0-4: no limitation, 5-14: mild limitation, 15-24: moderate limitation, 25-34: severe limitation, 34 and above: completely limited.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.

  4. Tampa Kinesiophobia Scale

    Tampa Kinesiophobia Scale was used to evaluate kinesiophobia, which is a state of anxiety that develops against activity and physical movement due to fear of pain and re-injury. It was developed to differentiate between non-excessive fear and phobia in patients with chronic musculoskeletal pain. It is frequently used in the literature to evaluate movement-related fear and anxiety. The scale is a 17-item scale that includes parameters of injury, re-injury and fear-avoidance in work-related activities. As the score increases, it is accepted that the kinesiophobia of the individual with pain increases.Results consist of a total raw score (range between 17 and 68) A low score indicates low kinesiophobia.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.

  5. Cervical joint goniometric measurements

    Goniometric measurements in the neck are methods used to evaluate and record neck joint range of motion. These measurements are important to evaluate the patient's condition during the treatment process, follow the progress and create the treatment plan.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.

Secondary outcomes (1)
  1. McGill Pain Questionnaire (long form)

    The long-form McGill Pain Questionnaire was used to characterise the multidimensional quality of pain, including pain localisation, the sensory, affective and evaluative word-descriptor dimensions, the number of words chosen, the pain-time relationship, and present pain intensity. Higher scores indicate greater pain.

    Measured: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2024
  2. Study start9 May 2024
  3. Primary completion30 Jul 2024
  4. Study completion10 Jan 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06407479
Sponsor's protocol ID
Uskudar4
Status last verified
Aug 2026
First submitted
6 May 2024
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Holmgren T, Bjornsson Hallgren H, Oberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ. 2012 Feb 20;344:e787. doi: 10.1136/bmj.e787.

    PubMed 22349588
  • Heredia-Rizo AM, Petersen KK, Madeleine P, Arendt-Nielsen L. Clinical Outcomes and Central Pain Mechanisms are Improved After Upper Trapezius Eccentric Training in Female Computer Users With Chronic Neck/Shoulder Pain. Clin J Pain. 2019 Jan;35(1):65-76. doi: 10.1097/AJP.0000000000000656.

    PubMed 30222615
  • Espi-Lopez GV, Aguilar-Rodriguez M, Zarzoso M, Serra-Ano P, Martinez DE LA Fuente JM, Ingles M, Marques-Sule E. Efficacy of a proprioceptive exercise program in patients with nonspecific neck pain: a randomized controlled trial. Eur J Phys Rehabil Med. 2021 Jun;57(3):397-405. doi: 10.23736/S1973-9087.20.06302-9. Epub 2020 Oct 13.

    PubMed 33047944
  • Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

    PubMed 28826164
  • Gillani SN, Ain Q-, Rehman SU, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. J Pak Med Assoc. 2020 Mar;70(3):394-398. doi: 10.5455/JPMA.300417.

    PubMed 32207413

Questions about this trial

What is this clinical trial studying?

A study testing proprioceptive neuromuscular facilitation technique group and eccentric muscle training technique application group in people with Neck Pain and Musculoskeletal Pain, run by Uskudar University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cervical Deep Flexor Muscle Endurance Test (time frame: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06407479, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2026.

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