Neck PainKFA-KTNCT07729722
Comparison of Chiropractic and Physiotherapy in Chronic Neck Pain
A study testing Physiotherapy and PT+ Chiropractic treatment in people with Neck Pain and Disabilities, run by Istanbul Rumeli University at 1 site in Turkey (Türkiye).
Trial summary
Chronic neck pain will be a common condition that can negatively affect daily activities, mobility, and overall quality of life. This study will aim to investigate whether adding chiropractic treatment to standard physiotherapy will improve outcomes in individuals with long-standing neck pain. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Neck Pain, Disabilities, Chiropractic
- What is being tested?
- Physiotherapy and PT+ Chiropractic treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 25 Jul 2026to 30 Aug 2026
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Being between 18-65 years of age
- Having neck pain that has lasted for least three months
- Having a Visual Analog Scale (VAS) score of at least 3
Who cannot join
- Patients not aged 18-60 years
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Comparison of Conventional Physiotherapy and Conventional Physiotherapy Combined With Chiropractic in Patients With Non-Specific Neck Pain
Chronic neck pain will be a common condition that can negatively affect daily activities, mobility, and overall quality of life. This study will aim to investigate whether adding chiropractic treatment to standard physiotherapy will improve outcomes in individuals with long-standing neck pain.
A total of 40 adults between the ages of 20 and 65 with complaints of neck pain will be included in the study. Participants will be randomly assigned to two groups. One group will receive chiropractic treatment in addition to standard physiotherapy, while the other group will receive only standard physiotherapy. Standard physiotherapy will include TENS, heat therapy, and neck massage.
Read more
The treatments will be administered over a total of 7 sessions, twice a week. Before and after the treatment period, all participants will undergo a series of assessments. These will measure pain levels, neck function, muscle strength, range of motion, and quality of life.
The aim of this study will be to determine whether adding chiropractic treatment to physiotherapy will provide additional benefits in reducing pain and improving function and quality of life in individuals with chronic neck pain.
- Conditions
- Neck Pain, Disabilities, Chiropractic, Physiotherapy
- Being tested
- Physiotherapy, PT+ Chiropractic treatment
- Keywords
- Chiropractic, neck pain, disability
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PhysiotherapyOther
A 20-minute TENS session and a 20-minute hot pack application will be applied twice a week for 7 weeks
PT+ Chiropractic treatmentOther
The group will receive a 20-minute TENS session and a 20-minute hot pack application and neck massage. This will be followed by chiropractic treatment.
| Study group | Role | What they receive |
|---|---|---|
| physiotherapy | Active comparator | The group received 20 minutes of TENS and 20 minutes of hotpack therapy. Receives: Other: Physiotherapy |
| Physiotherapy + Chiropractic Treatment | Active comparator | Not described Receives: Other: PT+ Chiropractic treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain Assessment
The Pain Visual Analog Scale (VAS) is a unidimensional measure of pain intensity. It typically consists of a 10-centimeter horizontal line anchored by two descriptors: "no pain" (0) and "worst imaginable pain" (10). Participants are asked to mark a point on the line that best represents their current level of pain. The distance from the "no pain" anchor to the marked point is measured in centimeters or millimeters and recorded as the pain score, with higher scores indicating greater pain intensity.
Measured: From enrollment and at the end of treatment (at 4 weeks)
Disability Assessment
The Neck Disability Index is the most widely used and most strongly validated tool for assessing self-assessed disability in patients with neck pain. It has been used effectively in both clinical and research settings in the treatment of this very common problem.Each question is scored on a scale of 0-5; the total score is expressed as a percentage between 0-100 (or 0-50 points).
Measured: Baseline and at end of treatment, 4 weeks
Joint Position sense assessment
It is an objective test used to assess the proprioceptive function (position sense) of the neck.
It is used to measure whether cervical proprioception is impaired in individuals with neck pain and the effectiveness of interventions such as manual therapy (Cheng et al., 2010).
Required Materials: Laser pointer or reflective marker. Headband (to secure the laser) Target point or reference frame (A point or circle can be drawn on the wall.) Goniometer or motion analyzer (Optional.)
Measured: Baseline and at end of treatment, 4 weeks
Fear avoidance questionnaire
It aims to comprehensively assess the cognitive, behavioral, and sensory components of fear-avoidance behavior in patients with painful medical conditions. Each item is scored on a 6-point Likert scale from 0, "Strongly disagree," to 5, "Strongly agree." The total score indicates one of several severity levels ranging from 0 to 100. The best score is 0 and the worst score is 100.
Measured: Baseline and at end of treatment, 4 weeks
Secondary outcomes (1)
Quality of life assessment
The SF-36 measures eight scales: physical function, physical role, bodily pain, general health, vitality, social function, sensory role, and mental health. Component analyses showed that there are two distinct concepts measured by the SF-36: a physical dimension represented by the Physical Component Summary and a dimension represented by the Mental Component Summary. All scales contribute to the scoring of both physical and mental measures at different rates. The SF-36 comprises eight subscales (physical functioning, physical role functioning, emotional role functioning, energy, mental health, social functioning, body pain, and general health), and a separate score is calculated for each subscale. The scores for the subscales range from 0 to 100. Higher scores on the scale indicate an improvement in quality of life, whilst lower scores indicate a decline in quality of life
Measured: Baseline and at end of treatment, 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2026
- Study start25 Jul 2026 (estimated)
- Primary completion25 Aug 2026 (estimated)
- Study completion30 Aug 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neck 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istanbul Rumeli University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ozden Baskan, Istanbul Rumeli University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07729722
- Sponsor's protocol ID
- 2026/3
- Acronym
- KFA-KT
- Status last verified
- Jul 2026
- First submitted
- 21 Apr 2026
- Last updated
- 27 Jul 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 27 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Conventional Physiotherapy and Conventional Physiotherapy Combined With Chiropractic in Patients With Non-Specific Neck Pain
- ClinicalTrials.gov ID
- NCT07729722
- Acronym / sponsor ID
- KFA-KT / 2026/3
- Conditions
- Neck Pain, Disabilities, Chiropractic, Physiotherapy
- Keywords
- Chiropractic, neck pain, disability
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Istanbul Rumeli UniversityUniversity, hospital or other
- Study start
- 25 Jul 2026 (estimated)
- Primary completion
- 25 Aug 2026 (estimated)
- Study completion
- 30 Aug 2026 (estimated)
- First posted
- 27 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.
Chronic neck pain will be a common condition that can negatively affect daily activities, mobility, and overall quality of life. This study will aim to investigate whether adding chiropractic treatment to standard physiotherapy will improve outcomes in individuals with long-standing neck pain.
A total of 40 adults between the ages of 20 and 65 with complaints of neck pain will be included in the study. Participants will be randomly assigned to two groups. One group will receive chiropractic treatment in addition to standard physiotherapy, while the other group will receive only standard physiotherapy. Standard physiotherapy will include TENS, heat therapy, and neck massage.
The treatments will be administered over a total of 7 sessions, twice a week. Before and after the treatment period, all participants will undergo a series of assessments. These will measure pain levels, neck function, muscle strength, range of motion, and quality of life.
The aim of this study will be to determine whether adding chiropractic treatment to physiotherapy will provide additional benefits in reducing pain and improving function and quality of life in individuals with chronic neck pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| physiotherapy | Active comparator | Other: PhysiotherapyThe group received 20 minutes of TENS and 20 minutes of hotpack therapy. |
| Physiotherapy + Chiropractic Treatment | Active comparator | Other: PT+ Chiropractic treatment |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Being between 18-65 years of age
- Having neck pain that has lasted for least three months
- Having a Visual Analog Scale (VAS) score of at least 3
Key exclusion criteria (1 listed)
- Patients not aged 18-60 years
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 |
|---|---|---|
| PhysiotherapyA 20-minute TENS session and a 20-minute hot pack application will be applied twice a week for 7 weeks | Other | physiotherapy |
| PT+ Chiropractic treatmentThe group will receive a 20-minute TENS session and a 20-minute hot pack application and neck massage. This will be followed by chiropractic treatment. | Other | Physiotherapy + Chiropractic Treatment |
Primary outcome
Pain Assessment
Time frame: From enrollment and at the end of treatment (at 4 weeks)
The Pain Visual Analog Scale (VAS) is a unidimensional measure of pain intensity. It typically consists of a 10-centimeter horizontal line anchored by two descriptors: "no pain" (0) and "worst imaginable pain" (10). Participants are asked to mark a point on the line that best represents their current level of pain. The distance from the "no pain" anchor to the marked point is measured in centimeters or millimeters and recorded as the pain score, with higher scores indicating greater pain intensity.
Disability Assessment
Time frame: Baseline and at end of treatment, 4 weeks
The Neck Disability Index is the most widely used and most strongly validated tool for assessing self-assessed disability in patients with neck pain. It has been used effectively in both clinical and research settings in the treatment of this very common problem.Each question is scored on a scale of 0-5; the total score is expressed as a percentage between 0-100 (or 0-50 points).
Joint Position sense assessment
Time frame: Baseline and at end of treatment, 4 weeks
It is an objective test used to assess the proprioceptive function (position sense) of the neck. It is used to measure whether cervical proprioception is impaired in individuals with neck pain and the effectiveness of interventions such as manual therapy (Cheng et al., 2010). Required Materials: Laser pointer or reflective marker. Headband (to secure the laser) Target point or reference frame (A point or circle can be drawn on the wall.) Goniometer or motion analyzer (Optional.)
Fear avoidance questionnaire
Time frame: Baseline and at end of treatment, 4 weeks
It aims to comprehensively assess the cognitive, behavioral, and sensory components of fear-avoidance behavior in patients with painful medical conditions. Each item is scored on a 6-point Likert scale from 0, "Strongly disagree," to 5, "Strongly agree." The total score indicates one of several severity levels ranging from 0 to 100. The best score is 0 and the worst score is 100.
1 secondary outcome
Quality of life assessment
Time frame: Baseline and at end of treatment, 4 weeks
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 27 Jul 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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Physiotherapy and PT+ Chiropractic treatment in people with Neck Pain and Disabilities, run by Istanbul Rumeli 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 3 inclusion and 1 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: enrolling by invitation, as of the sponsor's last update on 27 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 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?
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?
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 Assessment (time frame: From enrollment and at the end of treatment (at 4 weeks)). The study lists 4 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 27 Jul 2026.