Low Back PainNEPALNCT07573722
Neck Exercises for Improving Pelvic Alignment and Low Back Pain
A study testing Three-Dimensional Nuchal Exercise Program in people with Low Back Pain and Pelvic Malalignment, run by Yuanpei University of Medical Technology at 1 site in Taiwan.
Trial summary
This study aimed to investigate whether a three-dimensional nuchal exercise program is associated with changes in pelvic alignment and low back pain in adults. Thirty participants with low back pain performed a structured cervical exercise program for four weeks, including horizontal, sagittal, and diagonal movements. Read more about this study
- Who is it for?
- Ages 30 to 60 years
- Conditions the study is for
- Low Back Pain, Pelvic Malalignment, Postural Imbalance
- What is being tested?
- Three-Dimensional Nuchal Exercise Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteTaiwan
- Study dates
- 1 Sep 2018to 31 Dec 2018
- 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 30 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Adults aged 30 to 60 years
- Individuals who reported experiencing low back pain within the previous 6 months
- Ability to stand independently and perform exercise tasks
- Willingness to participate and provide written informed consent-
Who cannot join
- - History of severe head or neck injury
- Previous spinal surgery
- Active infectious disease or uncontrolled malignancy
- Cognitive impairment affecting the ability to follow instructions
- Any condition affecting the ability to stand or walk independently
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of a Three-Dimensional Nuchal Exercise Program on Pelvic Alignment and Low Back Pain in Adults
This study aimed to investigate whether a three-dimensional nuchal exercise program is associated with changes in pelvic alignment and low back pain in adults.
Thirty participants with low back pain performed a structured cervical exercise program for four weeks, including horizontal, sagittal, and diagonal movements. Pelvic tilt angle and pain intensity were measured before and after the intervention.
The findings of this study may provide preliminary evidence supporting a potential relationship between cervical movement and pelvic alignment, contributing to the understanding of regional interdependence in musculoskeletal rehabilitation.
Read the detailed description
Low back pain is a common musculoskeletal condition that can lead to functional limitation and reduced quality of life. Traditional rehabilitation approaches often focus on the lumbar and pelvic regions; however, emerging evidence suggests that different body regions may be functionally interconnected.
The concept of regional interdependence proposes that impairments in one anatomical region may contribute to dysfunction in another. The cervical spine plays an important role in postural control due to its rich proprioceptive input and its interaction with visual and vestibular systems. Therefore, cervical movement may influence postural alignment and neuromuscular control throughout the body.
This study was designed as a single-group, pre-post interventional study to explore the effects of a three-dimensional nuchal exercise program on pelvic alignment and pain intensity. Participants with low back pain were instructed to perform a structured exercise program consisting of horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements.
Pelvic alignment was assessed using photographic analysis, and pain intensity was measured using a visual analog scale (VAS). Measurements were conducted before and after the intervention period.
This study is considered a preliminary (pilot) investigation. The results may provide initial evidence for cervico-pelvic interaction and inform the design of future controlled trials.
- Conditions
- Low Back Pain, Pelvic Malalignment, Postural Imbalance
- Being tested
- Three-Dimensional Nuchal Exercise Program
- Medical subject headings
- Low Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Three-Dimensional Nuchal Exercise ProgramBehavioural
A structured cervical exercise program consisting of three components: horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) movements. Participants performed 20 repetitions for each movement while maintaining an upright posture. The program was performed over a four-week period.
| Study group | Role | What they receive |
|---|---|---|
| Three-Dimensional Nuchal Exercise Group | Experimental | Participants performed a structured three-dimensional nuchal exercise program for four weeks. The program included horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements. All participants received the same intervention without a comparison group. Receives: Behavioral: Three-Dimensional Nuchal Exercise Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pelvic Tilt Angle
Pelvic alignment was assessed by measuring the pelvic tilt angle using digital photographic analysis. The angle was defined as the deviation from horizontal alignment based on anatomical landmarks.
Measured: Baseline and after 4 weeks of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 May 2026
- Study start1 Sep 2018
- Primary completion31 Dec 2018
- Study completion31 Dec 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Low Back PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Model description
- This is a single-group, pre-post interventional study in which all participants received the same three-dimensional nuchal exercise program. Outcomes were assessed before and after the intervention.
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yuanpei University of Medical Technology
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- YU-AN CHEN, PT, PhD, Principal investigator, Yuanpei University of Medical Technology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07573722
- Sponsor's protocol ID
- YPUIRB1080223
- Acronym
- NEPAL
- Status last verified
- Apr 2026
- First submitted
- 30 Apr 2026
- Last updated
- 7 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a Three-Dimensional Nuchal Exercise Program on Pelvic Alignment and Low Back Pain in Adults
- ClinicalTrials.gov ID
- NCT07573722
- Acronym / sponsor ID
- NEPAL / YPUIRB1080223
- Conditions
- Low Back Pain, Pelvic Malalignment, Postural Imbalance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Yuanpei University of Medical TechnologyUniversity, hospital or other
- Study start
- 1 Sep 2018 (actual)
- Primary completion
- 31 Dec 2018 (actual)
- Study completion
- 31 Dec 2018 (actual)
- First posted
- 7 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to investigate whether a three-dimensional nuchal exercise program is associated with changes in pelvic alignment and low back pain in adults.
Thirty participants with low back pain performed a structured cervical exercise program for four weeks, including horizontal, sagittal, and diagonal movements. Pelvic tilt angle and pain intensity were measured before and after the intervention.
The findings of this study may provide preliminary evidence supporting a potential relationship between cervical movement and pelvic alignment, contributing to the understanding of regional interdependence in musculoskeletal rehabilitation.
Detailed description
Low back pain is a common musculoskeletal condition that can lead to functional limitation and reduced quality of life. Traditional rehabilitation approaches often focus on the lumbar and pelvic regions; however, emerging evidence suggests that different body regions may be functionally interconnected.
The concept of regional interdependence proposes that impairments in one anatomical region may contribute to dysfunction in another. The cervical spine plays an important role in postural control due to its rich proprioceptive input and its interaction with visual and vestibular systems. Therefore, cervical movement may influence postural alignment and neuromuscular control throughout the body.
This study was designed as a single-group, pre-post interventional study to explore the effects of a three-dimensional nuchal exercise program on pelvic alignment and pain intensity. Participants with low back pain were instructed to perform a structured exercise program consisting of horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements.
Pelvic alignment was assessed using photographic analysis, and pain intensity was measured using a visual analog scale (VAS). Measurements were conducted before and after the intervention period.
This study is considered a preliminary (pilot) investigation. The results may provide initial evidence for cervico-pelvic interaction and inform the design of future controlled trials.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This is a single-group, pre-post interventional study in which all participants received the same three-dimensional nuchal exercise program. Outcomes were assessed before and after the intervention.
| Arm | Type | Receives |
|---|---|---|
| Three-Dimensional Nuchal Exercise Group | Experimental | Behavioral: Three-Dimensional Nuchal Exercise ProgramParticipants performed a structured three-dimensional nuchal exercise program for four weeks. The program included horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements. All participants received the same intervention without a comparison group. |
Who may qualify
- Ages
- 30 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Adults aged 30 to 60 years
- Individuals who reported experiencing low back pain within the previous 6 months
- Ability to stand independently and perform exercise tasks
- Willingness to participate and provide written informed consent-
Key exclusion criteria (5 listed)
- - History of severe head or neck injury
- Previous spinal surgery
- Active infectious disease or uncontrolled malignancy
- Cognitive impairment affecting the ability to follow instructions
- Any condition affecting the ability to stand or walk independently
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Three-Dimensional Nuchal Exercise ProgramA structured cervical exercise program consisting of three components: horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) movements. Participants performed 20 repetitions for each movement while maintaining an upright posture. The program was performed over a four-week period. | Behavioural | Three-Dimensional Nuchal Exercise Group |
Primary outcome
Pelvic Tilt Angle
Time frame: Baseline and after 4 weeks of intervention
Pelvic alignment was assessed by measuring the pelvic tilt angle using digital photographic analysis. The angle was defined as the deviation from horizontal alignment based on anatomical landmarks.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
YU-AN CHEN, PT, PhD principal investigator
Yuanpei University of Medical Technology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Three-Dimensional Nuchal Exercise Program in people with Low Back Pain and Pelvic Malalignment, run by Yuanpei University of Medical Technology at 1 site in Taiwan.
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 4 inclusion and 5 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 7 May 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 Taiwan. 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?
Pelvic Tilt Angle (time frame: Baseline and after 4 weeks of intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 7 May 2026.