Mechanical Neck PainNCT07699458
Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain
A study testing Cervical stabilization exercise and Integrated Neuromuscular Inhibition, Integrated neuromuscular inhibition technique and Conventional Treatment group in people with Mechanical Neck Pain, run by Cairo University at 1 site in Egypt.
Trial 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 Read more about this study
- Who is it for?
- Ages 18 to 44 years
- Conditions the study is for
- Mechanical Neck Pain
- What is being tested?
- Cervical stabilization exercise and Integrated Neuromuscular Inhibition, Integrated neuromuscular inhibition technique and Conventional Treatment group
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 1 siteEgypt
- Study dates
- 25 Aug 2026to 25 Jan 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 18 to 44 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age from 18-44 year
- Their body mass index will be ranging from (18-25) Kg/m2
- All patient has active cervical trigger point of the upper fiber of the Trapezius detected by pincer palpation
- Subjects must have characteristics of trigger points hardened, thickened taut bands in MPS patients.
Who cannot join
- Individuals with a recent history of neck or back surgery.
- Individuals with recent history of trauma or fracture.
- Individuals with congenital and pathological disorders of the cervical spine.
- Individuals with any psychiatric diseases
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt1 site
Fuclty of Physical Therapy
Cairo
huda adel mohammed, +201022951242, huda.dahy@cu.edu.eg
About this study
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
- Conditions
- Mechanical Neck Pain
- Being tested
- Cervical stabilization exercise and Integrated Neuromuscular Inhibition, Integrated neuromuscular inhibition technique, Conventional Treatment group
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cervical stabilization exercise and Integrated Neuromuscular InhibitionDevice
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
Integrated neuromuscular inhibition techniqueDevice
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
Conventional Treatment groupOther
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 group | Role | What they receive |
|---|---|---|
| cervical stabilization exercise plus integrated neuromuscular inhibition technique | Experimental | this group will recive cervical stablization exercise whice 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. and integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) Receives: Device: Cervical stabilization exercise and Integrated Neuromuscular Inhibition |
| integrated neuromuscular inhibition technique | Experimental | this group integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) Receives: Device: Integrated neuromuscular inhibition technique |
| conventional treatment | Active comparator | 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. Receives: Other: Conventional Treatment group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain threshold
Measured by using Pressure algometer
Measured: One month
Secondary outcomes (4)
pain intensity
Measured by using Visual Analog Scale
Measured: One month
Range of Motion
Measured by using mobile application clinometer
Measured: One month
Neck function
Measured by using neck disability index
Measured: One month
Neck proprioception
Measured by using mobile application clinometer
Measured: One month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2026
- Study start25 Aug 2026 (estimated)
- Primary completion10 Dec 2026 (estimated)
- Study completion25 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mechanical Neck PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 63 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Huda Adel Mohammed Hassan, Cairo University
- Investigators
- Hytham mohammed elhafez, PhD, Study chair, Cairo Universityrania reda mohammed, PhD, Study director, Cairo univeristyheba ahmed elgyar, PhD, Study director, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07699458
- Sponsor's protocol ID
- P.T.REC/012/006463
- Status last verified
- Jul 2026
- First submitted
- 20 May 2026
- Last updated
- 13 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Adding Integrated Neuromuscular Inhibition Technique to Cervical Stabilization Exercise in Chronic Mechanical Neck Pain
- ClinicalTrials.gov ID
- NCT07699458
- Acronym / sponsor ID
- P.T.REC/012/006463
- Conditions
- Mechanical Neck Pain
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 63 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 25 Aug 2026 (estimated)
- Primary completion
- 10 Dec 2026 (estimated)
- Study completion
- 25 Jan 2027 (estimated)
- First posted
- 13 Jul 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.
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| cervical stabilization exercise plus integrated neuromuscular inhibition technique | Experimental | Device: Cervical stabilization exercise and Integrated Neuromuscular Inhibitionthis group will recive cervical stablization exercise whice 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. and integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) |
| integrated neuromuscular inhibition technique | Experimental | Device: Integrated neuromuscular inhibition techniquethis group integrated Neuromuscular Inhibition 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.and conventional physical therapy(superficial heat using hot pack for 10 minutes, stretching exercise, isometric neck exercise and posture advice) |
| conventional treatment | Active comparator | Other: Conventional Treatment groupParticipants 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. |
Who may qualify
- Ages
- 18 to 44 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Age from 18-44 year
- Their body mass index will be ranging from (18-25) Kg/m2
- All patient has active cervical trigger point of the upper fiber of the Trapezius detected by pincer palpation
- Subjects must have characteristics of trigger points hardened, thickened taut bands in MPS patients.
Key exclusion criteria (4 listed)
- Individuals with a recent history of neck or back surgery.
- Individuals with recent history of trauma or fracture.
- Individuals with congenital and pathological disorders of the cervical spine.
- Individuals with any psychiatric diseases
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 |
|---|---|---|
| Cervical stabilization exercise and Integrated Neuromuscular Inhibitioncervical 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 | Device | cervical stabilization exercise plus integrated neuromuscular inhibition technique |
| Integrated neuromuscular inhibition techniqueIntegrated 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 | Device | integrated neuromuscular inhibition technique |
| Conventional Treatment groupParticipants 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. | Other | conventional treatment |
Primary outcome
Pain threshold
Time frame: One month
Measured by using Pressure algometer
4 secondary outcomes
pain intensity
Time frame: One month
Range of Motion
Time frame: One month
Neck function
Time frame: One month
Neck proprioception
Time frame: One month
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2026.
- Individual participant dataSharing planned: Undecided
Related trials for Mechanical Neck Pain
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Strain Counter Strain and Conventional Stretching in School-aged Children With Mechanical Neck Pain Due to Prolong Screen Use
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Relationship of Forward Head Posture With Burnout and Quality of Life
Forward Head Posture
RecruitingObservational study
The Association Between Smartphone Overuse and Mechanical Neck Pain Among Galala University Students
Mechanical Neck Pain, Forward Head Posture (FHP)
Not yet recruiting
Effects of Mobilization With and Without Suboccipital Muscle Release on Pain, Range of Motion, and Disability in Mechanical Neck Pain
Mechanical Neck Pain
Not yet recruiting
Comparison of Suboccipital Release and Muscle Energy Technique in Subjects With Mechanical Neck Pain and Forward Head Posture
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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.
Hytham mohammed elhafez, PhD study chair
Cairo University
rania reda mohammed, PhD study director
Cairo univeristy
heba ahmed elgyar, PhD study director
Cairo University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cervical stabilization exercise and Integrated Neuromuscular Inhibition, Integrated neuromuscular inhibition technique and Conventional Treatment group in people with Mechanical Neck Pain, 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 4 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: opening soon, as of the sponsor's last update on 13 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 huda adel mohammed, assistant lecturer (+201283866669, huda.dahy@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain threshold (time frame: One month). 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 13 Jul 2026.