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Myofascial Neck PainNCT07692126

Core Stability vs Scapular Stabilization on Hand Grip Strength in Chronic Myofascial Neck Pain

A study testing Core Stability Exercise Protocol, Scapular stabilization Exercise Protocol and Traditional Physical Therapy Protocol in people with Myofascial Neck Pain and Hand Grip Strength, run by Cairo University at 1 site in Egypt.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Chronic myofascial neck pain (CMNP) is a painful non-articular musculoskeletal neck syndrome that is a persistent and prevalent with a high incidence of recurrence rate range 30-93%.Management of myofascial trigger points were directed at its deactivation, and prevention of its recurrence. Read more about this study

Who is it for?
Ages 25 to 45 years
What is being tested?
Core Stability Exercise Protocol, Scapular stabilization Exercise Protocol and Traditional Physical Therapy Protocol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteEgypt
Study dates
1 Jun 2026to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 25 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients diagnosed with chronic myofascial neck pain depending on referral, and physical examination.
  • Sixty patients diagnosed with chronic myofascial neck pain for more than six months.
  • Patients age range will 25-45 years
  • Patients body mass index (BMI) will be 18.5-24.9 kg/m2
  • Each patient suffering from all active MTrPs in the upper trapezius muscle with painful/ tender nodule.
  • Patients have a constant neck pain with positive jump sign when palpating the upper trapezius muscle.
  • Patients have referred pain, and symptoms of ipsilateral hand muscle weakness.
  • No history of undergoing physiotherapy modalities or corticosteroid injection therapies in the past six months before the study

Who cannot join

  • Presence of signs of severe pathology such as malignancies, mainly of the cervical region.
  • Fracture of the cervical spine.
  • Cervical radiculopathy or myelopathy.
  • Diabetes mellitus.
  • Trauma, cognitive anomalies, and surgery around neck, shoulders, or hand.
  • Fibromyalgia or vascular syndromes such as vertebral basilar insufficiency.
Show all 9Show fewer
  • Pregnancy.
  • Having undergone physical therapy within the past three months before the study.
  • Having corticosteroid injection therapies in the past 3 months before the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Adnan AA Gharib, PHD contact

+201065798861

dradnanpts@gmail.com

Magda Ramadan Zahran, Assistant Professor contact

01065798861

dradnanpts@gmail.com

Egypt1 site, 1 recruiting
  • Cairo University

    Giza, Giza Governorate, 11432

    Adnan AA Gharib, PHD, 01065798861, dradnanpts@gmail.com

    Magda Ramadan Zahran, Assistant Professor, 01065798861, dradnanpts@gmail.com

    Recruiting

Other trials in Egypt

About this study

Official title: Core Stability Exercises Versus Scapular Stabilization Exercises on Hand Grip Strength in Patients With Chronic Myofascial Neck Pain

Chronic myofascial neck pain (CMNP) is a painful non-articular musculoskeletal neck syndrome that is a persistent and prevalent with a high incidence of recurrence rate range 30-93%.Management of myofascial trigger points were directed at its deactivation, and prevention of its recurrence. Based on mechanical kinetic chain, the upper extremity functions as a unique system of connected segments those collaborated in a harmony in order to perform daily life activities. Core stability exercises maximize motor pathways mechanoreceptors' activities, as well scapular stabilization exercises are generally recommended based on reported benefits in terms of chronic neck pain. The relationship between chronic myofascial neck pain, and hand disability is quite strong. From mechanical point of view, core stability exercises improve trunk stability in line to enhance upper extremity efficiency that facilitates hand, and pinch grasping. In addition, scapular stabilization exercises could improve both hand, and pinch grasp strength and dexterity. Therefore, this randomized clinical trial will be conducted in line to clarify the superiority of the therapeutic effects between core stability exercises, scapular stabilization exercises, and conventional physical therapy program on hand grip strength, pinch grip strength, neck pain intensity level, pain pressure threshold, and whole upper extremity functional level in patients with chronic myofascial neck pain.

Read the detailed description

Chronic myofascial neck pain (CMNP) is a painful non-articular musculoskeletal neck syndrome that is a persistent and prevalent with a frequently reported myofascial trigger points (MTrPs) at upper trapezius with a reported prevalence of up to 93.75%. Individuals with upper trapezius MTrPs would have an overall upper extremity muscular strength reduction that ultimately resulting in decline hand grip strength. positive relation between core endurance and hand grip strength. That finding may be explained by the fact that the core region exhibits an anatomical, and biomechanical interconnection with the extremities, characterized by a prominent muscular linkage. Both core and scapular stabilization exercises has been addressed as one of the most evidence-based modalities. core acts as a the central most part of the kinetic chain, or a double walled cylinder with abdominals in front, multifidis as back, diaphragm as a roof, pelvic floor at the bottom. Where upper extremities connect with core, and attached extremities articulations that transfer energy from torso proximally to extremities' parts distally during functional activities . Scapular stability represents a vital role in terms of whole upper extremity functioning. The research gap to answer the question; Are there any significant differences between core stability exercises, scapular stabilization exercises, and conventional physical therapy program on hand grip strength, pinch grip strength, neck pain intensity level, pain pressure threshold, and whole upper extremity functional level in patients with chronic myofascial neck pain?

Being tested
Core Stability Exercise Protocol, Scapular stabilization Exercise Protocol, Traditional Physical Therapy Protocol
Keywords
Core Stability Exercise, Scapular Stabilization Exercises, Hand Grip Strength, Chronic Myofascial neck syndrome, Trigger Points, Upper Trapezius, Pinch Grip Strength, Hand Held Dynamometer, Pressure Pain Threshold, Pressure Algometer, Diability of the Arm, Shoulder, and Hand Questionnaire (Arabic version), (Arabic-Q-DASH)

What participants receive

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

  • Core Stability Exercise ProtocolOther

    The core stability exercise protocol will be conducted to experimental group (A), only. The core stability exercise protocol will be conducted for 40-45 minutes (10 minutes worm-up 'stretch exercises', 25 minutes core stabilization exercises, and 5-10 minutes cool down exercises 'stretch exercises') 3 sections/ week for six weeks

    1. Diaphragm Core '';360 degree expansion breathing, weighted breathing 2. Transverse abdominis 'Abdominal drawing in maneuver, supine vacuum, pelvic tilt'; 3. Multifidus 'quadruped altered leg/arm, bridge with leg extension'; 4. Pelvic Floor muscles/Kegel, bridging, and bridging dog, and squat Core stability exercise.
  • Scapular stabilization Exercise ProtocolOther

    The scapular stabilization exercise protocol will be conducted to experimental group (B), only. The core scapular stabilization exercise protocol will be conducted for 40-45 minutes (10 minutes worm-up 'stretch exercises', 25 minutes scapular stabilization exercises, and 5-10 minutes cool down exercises 'stretch exercises') 3 sections/ week for six weeks

    1. Open chain stabilization exercises 'scapular elevation/depression, upward/downward rotation', b. Static closed chain stabilization exercises 'Protected weight bearing through both hands leaning against wall', c. Dynamic closed chain stabilization exercises 'scapular retraction'
  • Traditional Physical Therapy ProtocolOther

    1. Ischemic compression; apply an intermittent ischemic compression on the identified MTrPs within upper trapezius via the researcher thumb for ninety seconds.
    2. Strain-counter strain; apply pressure at MTrPs within stretched upper trapezius, with patient will move the affected shoulder passively to 90° of abduction and external rotation for ninety seconds.
    3. Muscle Energy Technique; patient will do lateral neck flexion to opposite side, and will maintained for 10 seconds, will apply thirty seconds of stretch for ipsilateral affected upper trapezius
Study groups in NCT07692126
Study groupRoleWhat they receive
Experimental Group A (Core Stability)Experimentalconsists of 20 participants who receive core stability exercises, plus the traditional physical therapy program in the form of ischemic compression of upper trapezius muscle, strain-counter strain of upper trapezius muscle, and muscle energy technique of upper trapezius muscle, three sessions per week for 6 weeks.
Receives: Other: Core Stability Exercise Protocol; Other: Traditional Physical Therapy Protocol
Experimental Group B (Scapular Stabilization)Experimentalconsists of 20 participants who receive scapular stabilization exercise, plus the traditional physical therapy program, three sessions per week for 6 weeks.
Receives: Other: Scapular stabilization Exercise Protocol; Other: Traditional Physical Therapy Protocol
Control Group C (Traditional Physical Therapy Program)Active comparatorconsists of 20 participants who receive the traditional physical therapy program, three sessions per week for 6 weeks, only
Receives: Other: Traditional Physical Therapy Protocol

What is being measured

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

  1. Hand Grip Strength

    Hand-held Dynamometer (SAMMONS PRESTON, INC. Bolingbrook, IL604404989) will be used to measure it. The patient will sit on a standard height chair with no armrest with his/ her forearm in a neutral position, and shoulder in adducted and neutral rotation, with elbow flexed 90 degrees (°). The patient will be requested to squeeze the ipsilateral hand on the hand grip dynamometer handle accordingly to the ordered verbs 'i.e., one, two, three, squeeze…harder, harder'. Three measures will be conducted with one minute a break in between, then the average will be recorded in value score.

    Measured: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).

  2. Pinch Grip Strength

    The pinch gauge (FEI, White plains, NY 10602, USA) will be used to measure the pinch grip strength, it is a valid and reliable tool. The patient will sit on a standard height chair with no armrest with his/ her shoulder, elbow, forearm, and wrist in a neutral position. The patient will be requested to squeeze the thumb pad as firm as possible against the lateral aspect of index fingers' middle phalanx, while the examiner will hold the distal end of the pinch gauge. Three measures will be conducted with one minute a break in between, then the average will be recorded in a score value.

    Measured: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).

Secondary outcomes (3)
  1. Chronic Myofascial Neck Pain Intensity assessment using Numerical Pain Rating Scale:

    Numerical Pain Rating Scale will be used to assess chronic myofascial neck pain intensity, The patient will be in a relaxed position then will be given the appendix which contains numerical pain rating scale. It involves a 0-10 scale, where 0 represents "no pain" and 10 represents "the worst pain imaginable" The patient will be instructed to place a vertical mark on the line to indicate his/her pain.

    Measured: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).

  2. Pressure Pain Threshold using electronic pressure algometer

    The electronic pressure algometer 'force one gauge model FDI' (Wagner instruments, Greenwash, CT, USA) will be used to measure it, it is a valid and reliable tool. Over trigger point recognized via jump sign clinically, a dial-style pressure algometry will be installed while a steady vertical pressure will be applied. When the patient reported only mild pain, the patient will be asked to raise hand to indicate it. Three measures will be conducted with one minute a break in between, then average will be recorded in value.

    Measured: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).

  3. Whole Upper Extremity Functional Level using Arabic-Q-DASH scale

    The whole upper extremity functional level will be evaluated using Arabic-Q-DASH it is a valid and reliable tool. The Arabic-Q-DASH is like the original questionnaire. Items have a rating scale ranged from 1 to 5. The patient will be instructed to place a score that the examiner will transform it into a value between 0 and 100. The high score indicates better hand function outcomes with exception of pain, where high value indicates more intense pain score.

    Measured: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).

Timeline

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

  1. First posted9 Jul 2026
  2. Study start1 Jun 2026
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion30 Jun 2027 (estimated)

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
A double- blind, pretest-posttest randomized clinical controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07692126
Sponsor's protocol ID
P.T.REC/012/006550
Status last verified
Jul 2026
First submitted
29 Jun 2026
Last updated
10 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Core Stability Exercise Protocol, Scapular stabilization Exercise Protocol and Traditional Physical Therapy Protocol in people with Myofascial Neck Pain and Hand Grip Strength, 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 8 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 10 Jul 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Adnan AA Gharib, PHD (+201065798861, dradnanpts@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hand Grip Strength (time frame: 1. At Baseline (Pre-procedure), 2. Post-treatment (Post 6 weeks of treatment program).). The study lists 2 primary outcomes in all. 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 10 Jul 2026.

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