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Neck Pain MusculoskeletalBME-SNENCT07477145

Effect of Body Mind Exercises and Specific Neck Exercises in Chronic Mechanical Neck Pain

A study testing Conventional physical therapy group., Body mind exercises group (mindful aerobic exercises) and specific neck exercise group in people with Neck Pain Musculoskeletal, run by Cairo University at 1 site in Egypt.

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

To investigate the effect of body mind exercise and specific neck exercises in chronic mechanical neck pain on neck pain severity, functional disability, neck flexion range of motion, isometric neck muscle strength and quality of life. Read more about this study

Who is it for?
Ages 50 to 65 years
Conditions the study is for
Neck Pain Musculoskeletal
What is being tested?
Conventional physical therapy group., Body mind exercises group (mindful aerobic exercises) and specific neck exercise group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteEgypt
Study dates
25 Mar 2026to 30 Jul 2026
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 50 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged between 50-65 years
  • Diagnosis of chronic mechanical neck pain (pain duration ≥ 3 months)
  • Pain intensity of at least 3/10 on the NPRS

Who cannot join

  • History of cervical surgery
  • Specific neck conditions (fractures, neoplasm, infection)
  • Pregnancy
  • Severe cardiopulmonary disease or other systemic illness affecting participation

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Faculity of Physical Therapy in Cairo University

    Cairo, 12613

Other trials in Egypt

About this study

To investigate the effect of body mind exercise and specific neck exercises in chronic mechanical neck pain on neck pain severity, functional disability, neck flexion range of motion, isometric neck muscle strength and quality of life.

Read the detailed description

Chronic mechanical neck pain is one of the most common musculoskeletal disorders affecting middle-aged and older adults and is associated with pain, reduced cervical mobility, functional disability, and decreased quality of life. Exercise therapy is widely recommended as a first-line conservative treatment for chronic neck pain. Previous studies have shown that both specific neck exercises and general physical activity can reduce pain and improve functional outcomes.

Body-mind exercises, which combine physical movement with focused attention and breathing control, may provide additional benefits by improving both physical and psychological aspects of chronic pain. However, the comparative effectiveness of body-mind exercises and specific neck exercises when combined with conventional physical therapy remains unclear.

The aim of this randomized controlled trial is to investigate the effect of body-mind exercises and specific neck exercises on pain intensity, functional disability, cervical range of motion, isometric neck muscle strength, and quality of life in individuals with chronic mechanical neck pain.

A total of 80 participants aged 50 to 65 years with chronic mechanical neck pain will be recruited and randomly allocated into four groups using a parallel-group design. Group A will receive conventional physical therapy alone. Group B will receive conventional physical therapy combined with body-mind exercises in the form of mindful aerobic treadmill walking. Group C will receive conventional physical therapy combined with specific cervical and scapular stabilization exercises. Group D will receive a combination of conventional physical therapy, body-mind exercises, and specific neck exercises.

All interventions will be performed over a treatment period of six weeks. Outcome measures will include pain intensity measured by the Numeric Pain Rating Scale (NPRS), functional disability assessed by the Neck Disability Index (NDI), cervical range of motion measured using a Cervical Range of Motion (CROM) device, isometric neck muscle strength measured using a handheld dynamometer, and quality of life assessed using the RAND-36 Health Survey. Measurements will be taken before the intervention and after completion of the six-week treatment period.

The results of this study will help determine the most effective exercise approach for improving clinical outcomes in patients with chronic mechanical neck pain and may provide evidence to guide physical therapy practice.

Being tested
Conventional physical therapy group., Body mind exercises group (mindful aerobic exercises), specific neck exercise group, Combined exercise group.

What participants receive

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

  • Conventional physical therapy group.Behavioural

    conventional therapy which includes: heat therapy (infrared) for 10 minutes, massage therapy 10 min, stretching of neck (Scalene, SCM, UFT, Levator scapulae) and pectoral muscles 20 min.

  • Body mind exercises group (mindful aerobic exercises)Behavioural

    Group B will receive conventional physical therapy (infrared, massage, and neck stretching) in addition to Body mind exercises (mindful aerobic exercises). The aerobic exercise will be performed at an intensity of at least 60% of maximal oxygen consumption (VO₂ max) to effectively improve cardiorespiratory fitness. The program will include treadmill walking 30 minutes.

  • specific neck exercise groupBehavioural

    Group C will receive conventional therapy in addition to specific neck exercises. Specific exercises will include: cervical and scapular stabilization exercises.

  • Combined exercise group.Behavioural

    Group D will receive conventional therapy in addition to mindful aerobic exercises, cervical and scapular stabilization exercises.

Study groups in NCT07477145
Study groupRoleWhat they receive
Group A: Conventional physical therapy group (Control group)ExperimentalGroup A will receive conventional therapy which includes: heat therapy (infrared) for 10 minutes, massage therapy 10 min, stretching of neck (Scalene, SCM, UFT, Levator scapulae) and pectoral muscles 20 min.
Receives: Behavioral: Conventional physical therapy group.
Group B: Body mind exercises group (mindful aerobic exercises)ExperimentalGroup B will receive conventional physical therapy (infrared, massage, and neck stretching) in addition to Body mind exercises (mindful aerobic exercises). The aerobic exercise will be performed at an intensity of at least 60% of maximal oxygen consumption (VO₂ max) to effectively improve cardiorespiratory fitness. The program will include treadmill walking 30 minutes.
Receives: Behavioral: Conventional physical therapy group.; Behavioral: Body mind exercises group (mindful aerobic exercises)
Group C: specific neck exercise groupExperimentalGroup C will receive conventional therapy in addition to specific neck exercises. Specific exercises will include: cervical and scapular stabilization exercises.
Receives: Behavioral: Conventional physical therapy group.; Behavioral: specific neck exercise group
Group D : Combined exercise group.ExperimentalGroup D will receive conventional therapy in addition to mindful aerobic exercises, cervical and scapular stabilization.
Receives: Behavioral: Conventional physical therapy group.; Behavioral: Body mind exercises group (mindful aerobic exercises); Behavioral: specific neck exercise group; Behavioral: Combined exercise group.

What is being measured

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

  1. Pain Intensity

    Numeric Pain Rating Scale (NPRS, Arabic version) 0-10 scale; validated for Arabic-speaking populations (Alghadir et al., 2016)

    Measured: (pre-intervention) and after 6 weeks (post-intervention).

  2. Quality of Life Measured by RAND-36 Health Survey

    Measures physical, emotional, and social functioning .

    Measured: (pre-intervention) and after 6 weeks (post-intervention).

  3. Functional Disability

    Neck Disability Index (NDI, Arabic version) 10-item questionnaire.

    Measured: (pre-intervention) and after 6 weeks (post-intervention).

  4. Cervical ROM

    CROM device. Measures flexion, extension, lateral flexion, rotation; 3 repetitions per movement (Kiatkulanusorn et al., 2023).

    Measured: (pre-intervention) and after 6 weeks (post-intervention).

  5. Isometric Neck Strength

    Handheld dynamometer (HHD) Flexion (forehead), Extension (occiput), 3 maximal contractions of 5 sec each, average recorded (Ghamkhar et al., 2011)

    Measured: (pre-intervention) and after 6 weeks (post-intervention).

Timeline

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

  1. First posted17 Mar 2026
  2. Study start25 Mar 2026
  3. Primary completion29 Jun 2026
  4. Study completion30 Jul 2026

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
Model description
This study is a randomized, parallel-group, controlled clinical trial with four intervention arms. Participants with chronic mechanical neck pain will be randomly allocated into one of four groups receiving different combinations of body-mind exercises, specific neck exercises, and conventional physical therapy.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07477145
Sponsor's protocol ID
P.T.REC/012/006226.
Acronym
BME-SNE
Status last verified
Oct 2026
First submitted
28 Feb 2026
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: sensitive patient data.

Publications

  • Kisner, C., & Colby, L. A. (2017). Therapeutic Exercise: Foundations and Techniques (7th ed.). F.A. Davis Company.

  • IBRAHIM M. ELNAGGAR, Ph.D., H. S. E. M., & Sh. ABDELSALAM, Ph.D., M. (2022). Cervical Stabilization Exercises Versus Scapular Stabilization Exercises in Treatment of Chronic Mechanical Neck Pain. The Medical Journal of Cairo University, 90(9), 1729-1735. doi: 10.21608/mjcu.2022.272095

  • Wewege MA, Jones MD. Exercise-Induced Hypoalgesia in Healthy Individuals and People With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. J Pain. 2021 Jan;22(1):21-31. doi: 10.1016/j.jpain.2020.04.003. Epub 2020 Jun 26.

    PubMed 32599154
  • Rosa MABMV, Bastos RM, Vieira Rosa DK, Scola LFC, Albertini R, Yi LC. General exercises are not superior to specific exercises for pain and functional disability in individuals with chronic nonspecific neck pain. A systematic review and meta-analysis. J Bodyw Mov Ther. 2024 Oct;40:1957-1966. doi: 10.1016/j.jbmt.2024.10.013. Epub 2024 Oct 18.

    PubMed 39593550
  • Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15.

    PubMed 1834753
  • Valenza-Pena G, Martin-Nunez J, Heredia-Ciuro A, Navas-Otero A, Lopez-Lopez L, Valenza MC, Cabrera-Martos I. Effectiveness of Self-Care Education for Chronic Neck Pain: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2023 Dec 13;11(24):3161. doi: 10.3390/healthcare11243161.

    PubMed 38132051
  • Yu LJ, Yan X, Kim TH. Effects of combined jaw and cervicoscapular exercises on mouth opening and muscle properties in cervical extension type. Sci Rep. 2025 May 30;15(1):19049. doi: 10.1038/s41598-025-03846-3.

    PubMed 40447683
  • Suh JH, Kim H, Jung GP, Ko JY, Ryu JS. The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine (Baltimore). 2019 Jun;98(26):e16173. doi: 10.1097/MD.0000000000016173.

    PubMed 31261549
  • Arsovski D. Effectiveness of Medical Massage in Reducing Neck Pain Among Multiple Occupational Groups: A Longitudinal Study. Int J Ther Massage Bodywork. 2024 Sep 12;17(3):23-30. doi: 10.3822/ijtmb.v17i3.993. eCollection 2024 Sep.

    PubMed 39267898
  • Sakinepoor A, Cheragh ZA, Degens H, Mazidi M. Neck stabilization exercise and dynamic neuromuscular stabilization reduce pain intensity, forward head angle and muscle activity of employees with chronic non-specific neck pain: A retrospective study. J Exp Orthop. 2025 Feb 28;12(1):e70188. doi: 10.1002/jeo2.70188. eCollection 2025 Jan.

    PubMed 40028418
  • Price J, Rushton A, Tyros I, Tyros V, Heneghan NR. Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis. PLoS One. 2020 Jun 10;15(6):e0234511. doi: 10.1371/journal.pone.0234511. eCollection 2020.

    PubMed 32520970
  • Paraskevopoulos E, Koumantakis GA, Papandreou M. A Systematic Review of the Aerobic Exercise Program Variables for Patients with Non-Specific Neck Pain: Effectiveness and Clinical Applications. Healthcare (Basel). 2023 Jan 24;11(3):339. doi: 10.3390/healthcare11030339.

    PubMed 36766914
  • Oz HE, Duran G, Bayraktar D, Kara M, Solmaz D, Akar S. Effect of cervical stabilization exercises on cervical position error in patients with axial spondyloarthritis: a randomized controlled pilot study. Z Rheumatol. 2024 Feb;83(Suppl 1):48-54. doi: 10.1007/s00393-022-01295-1. Epub 2022 Dec 2.

    PubMed 36459172
  • Senarath ID, Weerasekara I, Humphries M, Chen KK, Farrell SF, de Zoete RMJ. Physical exercise therapy for chronic non-specific neck pain: protocol for a meta-analysis of individual participant data. Syst Rev. 2025 Feb 17;14(1):43. doi: 10.1186/s13643-025-02789-0.

    PubMed 39962626
  • Misailidou V, Malliou P, Beneka A, Karagiannidis A, Godolias G. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med. 2010 Jun;9(2):49-59. doi: 10.1016/j.jcm.2010.03.002.

    PubMed 21629550

Questions about this trial

What is this clinical trial studying?

A study testing Conventional physical therapy group., Body mind exercises group (mindful aerobic exercises) and specific neck exercise group in people with Neck Pain Musculoskeletal, run by Cairo University at 1 site in Egypt.

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 3 inclusion and 4 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 23 Oct 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 Egypt. 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?

Pain Intensity (time frame: (pre-intervention) and after 6 weeks (post-intervention).). 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 NCT07477145, which also lists 45 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 23 Oct 2026.

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