Non Specific Neck PainNCT07785219
Comparative Effects of Bowen Therapy and Myofascial Release Technique on Upper Trapezius Tightness in Patients With Non-specific Neck Pain
A study testing Group A ( Bowen therapy) and Group B ( Myofascial release therapy ) in people with Non Specific Neck Pain, run by University of Faisalabad at 1 site in Pakistan.
Trial summary
The randomized clinical trial was involved 32 participants with upper trapezius tightness in patients with non-specific neck pain. A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab… Read more about this study
- Who is it for?
- Ages 20 to 35 years
- Conditions the study is for
- Non Specific Neck Pain
- What is being tested?
- Group A ( Bowen therapy) and Group B ( Myofascial release therapy )
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 1 sitePakistan
- Study dates
- 22 Apr 2025to 15 Dec 2025
- 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 20 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patient aged between 20-35 years was included. Patients of both sexes(male-female) included . Patients with non-specific neck pain along with upper trapezius tightness which will be screened by upper trapezius length test.
- Patients with duration of neck pain from last one month included . According to Numeric Pain Rating Scale, those patients included whose pain intensity lie between moderate-severe range.
- Patients was be willing to give consent to participate.
Who cannot join
- Diagnosed case of disc prolapse. Diagnosed spondylolisthesis case. Neck pain radiating into arms, upper extremity or any neurological impairment. Any diagnosed psychiatric condition. Any infection, wound or injury on neck or shoulder region. Any skin allergy or disease . History of recent trauma or surgery in neck/upper back area
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
OPD of Madinah Teaching Hospital, Aziz Fatimah Hospital and In motion physiotherapy rehab clinic, Faisalabad.
Faisalābad, Punjab Province, 38000
About this study
The randomized clinical trial was involved 32 participants with upper trapezius tightness in patients with non-specific neck pain. A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. Simple random sampling technique was used. Sample size was 32 calculated by statistical software (Open Epi Tool). Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively.
Read the detailed description
Non-specific neck pain is linked with postural or mechanical factors like improper posture and work related activities with no neurological sign or traumatic condition. Upper trapezius (postural muscle) basically involved in neck pain. The aim of this study is to compare the effects of bowen therapy and myofascial release technique on upper trapezius tightness in patients with non-specific neck pain.One technique for mobilizing soft tissues is myofascial release. It uses manual traction and prolonged muscle and fascia stretching to break down adhesions which lessens pain and improve flexibility.Thus it is recommended that this method act as a catalyst to address trapezius problems One technique for mobilizing soft tissues is myofascial release. It uses manual traction and prolonged muscle and fascia stretching to break down adhesions which lessens pain and improve flexibility .Bowen therapy is a form of manual therapy that involves manipulating soft tissues. This technique involves precise sequences of gentle cross-fibrer movements across muscles, tendons, ligaments and fascia with few grams of force which enhance circulation of blood, reduces pain and relieve psychological stress. Having no side effects due to it's gentle characteristics .A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. 20-35 years aged participants both male and female with non-specific neck pain along with trapezius tightness was included. Participants with neurological symptoms was excluded. Written and verbal consent was obtained from participants before including into study. Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively. IBM SPSS version 20 was used for statistically analysis of data.
- Conditions
- Non Specific Neck Pain
- Being tested
- Group A ( Bowen therapy), Group B ( Myofascial release therapy )
- Keywords
- Non-specific neck pain, upper trapezius, bowen therapy, myofascial release technique
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group A ( Bowen therapy)Other
Both groups was received baseline treatment as:
Transcutaneous Electric Nerve Stimulation(TENS) (a high frequency,100 Hz pulse length, 60 seconds, 10 minutes ) and moist hot pack (10 min) was given as a baseline treatment. Treatment session for 15-20 min that includes different body movements .2-3 repetitions of movements .Movements was repeated after 2 min rest interval.
Group B ( Myofascial release therapy )Other
Both groups was received baseline treatment as:
Transcutaneous Electric Nerve Stimulation(TENS) (a high frequency,100 Hz pulse length, 60 seconds, 10 minutes ) and moist hot pack (10 min) was given as a baseline treatment Patients was seated on stools while the therapist stood behind them.The base of neck or the upper scapular region was approached medially as pressure is applied using the forearm or the ulnar side of palm. The patient was instructed to maintain an upright posture while leaning sideways and turning their head in opposite direction throughout this gliding motion. 3-4 times this gliding technique was used .
| Study group | Role | What they receive |
|---|---|---|
| Group A ( Bowen therapy ) | Experimental | Treatment session for 15-20 min . 2-3 repetitions of movements Movements was repeated after 2 min rest interval. Receives: Other: Group A ( Bowen therapy) |
| Group B ( Myofascial Release Technique ) | Active comparator | Patients was seated on stools while the therapist stood behind them. The base of neck or the upper scapular region was approached medially as pressure is applied using the forearm or the ulnar side of palm. The patient was instructed to maintain an upright posture while leaning sideways and turning their head in opposite direction throughout this gliding motion. 3-4 times this gliding technique was used . Receives: Other: Group B ( Myofascial release therapy ) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Non-specific neck pain
The NPRS is a simple, 1-question tool used to measure a person's pain intensity. 0 to 100 = "No pain at all" 10 = "Worst pain imaginable".You can ask it for "pain at rest", "pain with activity", or "average pain over the last 24 hours" depending on what you need.
Measured: At baseline ,At end of 2nd week,At end of 4th week
Secondary outcomes (1)
Cervical Range of Motion Functional disability
The universal goniometer is a handheld tool used to measure joint range of motion (ROM) in degrees .To assess improvement in mobility, document baseline, and track treatment effects.
The NDI is a 10-item self-report questionnaire used to measure neck pain-related disability. Key points:10 sections: Pain intensity, Personal care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping Recreation Scoring: Each item 0-5. Total = 0-50
Measured: At baseline ,At end of 2nd week ,At end of 4th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2026
- Study start22 Apr 2025
- Primary completion15 Nov 2025
- Study completion15 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Non Specific 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
- Model description
- A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. Simple random sampling technique was used. Sample size was 32 calculated by statistical software (Open Epi Tool). 20-35 years aged participants both male and female with non-specific neck pain along with trapezius tightness was included. Participants with neurological symptoms was excluded. Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively. IBM SPSS version 20 was used for statistically analysis of data.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Faisalabad
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Maryam Safdar, University of Faisalabad
- Investigators
- Dr Maryam Safdar, Principal investigator, The University of Faisalabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07785219
- Sponsor's protocol ID
- TUF/IRB/90/2025
- Status last verified
- Dec 2025
- First submitted
- 20 Aug 2026
- Last updated
- 25 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Lee K, Lewis GN. Short term relief of multisite chronicpain with Bowen Therapy: A double-blind, randomized controlled trial. J Bodyw Mov Ther. 2020 Oct;24(4):271-279. doi: 10.1016/j.jbmt.2020.06.025. Epub 2020 Jul 30.
PubMed 33218522Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. doi: 10.1186/s12891-021-04957-4.
PubMed 34980079Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-92. doi: 10.1016/j.berh.2011.01.019.
PubMed 21665126Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.
PubMed 28826164Brandt M, Sundstrup E, Jakobsen MD, Jay K, Colado JC, Wang Y, Zebis MK, Andersen LL. Association between Neck/Shoulder Pain and Trapezius Muscle Tenderness in Office Workers. Pain Res Treat. 2014;2014:352735. doi: 10.1155/2014/352735. Epub 2014 Mar 27.
PubMed 24800070Batool K, Mehmood M, Jafar M, Gull M. Comparative efficacy of muscle energy technique and Bowen technique on hamstrings muscle tightness in chronic low back pain patients. Pak J Med Sci. 2024 Oct;40(9):2080-2084. doi: 10.12669/pjms.40.9.8517.
PubMed 39416609Amjad F, Khalid A. Comparative effects of Bowen therapy and tennis ball technique on pain and functional disability in patients with thoracic myofascial pain syndrome. J Orthop Surg Res. 2023 Nov 24;18(1):895. doi: 10.1186/s13018-023-04379-z.
PubMed 37996838
Study at a glance
From the registry record, last updated by the sponsor on 25 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Bowen Therapy and Myofascial Release Technique on Upper Trapezius Tightness in Patients With Non-specific Neck Pain
- ClinicalTrials.gov ID
- NCT07785219
- Acronym / sponsor ID
- TUF/IRB/90/2025
- Conditions
- Non Specific Neck Pain
- Keywords
- Non-specific neck pain, upper trapezius, bowen therapy, myofascial release technique
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- University of FaisalabadUniversity, hospital or other
- Study start
- 22 Apr 2025 (actual)
- Primary completion
- 15 Nov 2025 (actual)
- Study completion
- 15 Dec 2025 (actual)
- First posted
- 25 Aug 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 randomized clinical trial was involved 32 participants with upper trapezius tightness in patients with non-specific neck pain. A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. Simple random sampling technique was used. Sample size was 32 calculated by statistical software (Open Epi Tool). Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively.
Detailed description
Non-specific neck pain is linked with postural or mechanical factors like improper posture and work related activities with no neurological sign or traumatic condition. Upper trapezius (postural muscle) basically involved in neck pain. The aim of this study is to compare the effects of bowen therapy and myofascial release technique on upper trapezius tightness in patients with non-specific neck pain.One technique for mobilizing soft tissues is myofascial release. It uses manual traction and prolonged muscle and fascia stretching to break down adhesions which lessens pain and improve flexibility.Thus it is recommended that this method act as a catalyst to address trapezius problems One technique for mobilizing soft tissues is myofascial release. It uses manual traction and prolonged muscle and fascia stretching to break down adhesions which lessens pain and improve flexibility .Bowen therapy is a form of manual therapy that involves manipulating soft tissues. This technique involves precise sequences of gentle cross-fibrer movements across muscles, tendons, ligaments and fascia with few grams of force which enhance circulation of blood, reduces pain and relieve psychological stress. Having no side effects due to it's gentle characteristics .A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. 20-35 years aged participants both male and female with non-specific neck pain along with trapezius tightness was included. Participants with neurological symptoms was excluded. Written and verbal consent was obtained from participants before including into study. Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively. IBM SPSS version 20 was used for statistically analysis of data.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- A randomized clinical trial was conducted at the Out Patient Department (OPD) of Madinah Teaching Hospital Faisalabad, Aziz Fatimah Hospital, Faisalabad and In motion physiotherapy rehab clinic, Faisalabad. Simple random sampling technique was used. Sample size was 32 calculated by statistical software (Open Epi Tool). 20-35 years aged participants both male and female with non-specific neck pain along with trapezius tightness was included. Participants with neurological symptoms was excluded. Participants was divided into 2 groups using random number generator method. Bowen therapy was given to group A (n=16) while myofascial release technique was given to group B (n=16).Numeric Pain Rating Scale (NPRS), Universal goniometer and Neck Disability Index (NDI) was used to quantify pain, cervical range of motion and functional disability respectively. IBM SPSS version 20 was used for statistically analysis of data.
| Arm | Type | Receives |
|---|---|---|
| Group A ( Bowen therapy ) | Experimental | Other: Group A ( Bowen therapy)Treatment session for 15-20 min . 2-3 repetitions of movements Movements was repeated after 2 min rest interval. |
| Group B ( Myofascial Release Technique ) | Active comparator | Other: Group B ( Myofascial release therapy )Patients was seated on stools while the therapist stood behind them. The base of neck or the upper scapular region was approached medially as pressure is applied using the forearm or the ulnar side of palm. The patient was instructed to maintain an upright posture while leaning sideways and turning their head in opposite direction throughout this gliding motion. 3-4 times this gliding technique was used . |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Patient aged between 20-35 years was included. Patients of both sexes(male-female) included . Patients with non-specific neck pain along with upper trapezius tightness which will be screened by upper trapezius length test.
- Patients with duration of neck pain from last one month included . According to Numeric Pain Rating Scale, those patients included whose pain intensity lie between moderate-severe range.
- Patients was be willing to give consent to participate.
Key exclusion criteria (1 listed)
- Diagnosed case of disc prolapse. Diagnosed spondylolisthesis case. Neck pain radiating into arms, upper extremity or any neurological impairment. Any diagnosed psychiatric condition. Any infection, wound or injury on neck or shoulder region. Any skin allergy or disease . History of recent trauma or surgery in neck/upper back area
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 |
|---|---|---|
| Group A ( Bowen therapy)Both groups was received baseline treatment as: Transcutaneous Electric Nerve Stimulation(TENS) (a high frequency,100 Hz pulse length, 60 seconds, 10 minutes ) and moist hot pack (10 min) was given as a baseline treatment. Treatment session for 15-20 min that includes different body movements .2-3 repetitions of movements .Movements was repeated after 2 min rest interval. | Other | Group A ( Bowen therapy ) |
| Group B ( Myofascial release therapy )Both groups was received baseline treatment as: Transcutaneous Electric Nerve Stimulation(TENS) (a high frequency,100 Hz pulse length, 60 seconds, 10 minutes ) and moist hot pack (10 min) was given as a baseline treatment Patients was seated on stools while the therapist stood behind them.The base of neck or the upper scapular region was approached medially as pressure is applied using the forearm or the ulnar side of palm. The patient was instructed to maintain an upright posture while leaning sideways and turning their head in opposite direction throughout this gliding motion. 3-4 times this gliding technique was used . | Other | Group B ( Myofascial Release Technique ) |
Primary outcome
Non-specific neck pain
Time frame: At baseline ,At end of 2nd week,At end of 4th week
The NPRS is a simple, 1-question tool used to measure a person's pain intensity. 0 to 100 = "No pain at all" 10 = "Worst pain imaginable".You can ask it for "pain at rest", "pain with activity", or "average pain over the last 24 hours" depending on what you need.
1 secondary outcome
Cervical Range of Motion Functional disability
Time frame: At baseline ,At end of 2nd week ,At end of 4th week
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 25 Aug 2026.
- Background: PubMed 33218522Lee K, Lewis GN. Short term relief of multisite chronicpain with Bowen Therapy: A double-blind, randomized controlled trial. J Bodyw Mov Ther. 2020 Oct;24(4):271-279. doi: 10.1016/j.jbmt.2020.06.025. Epub 2020 Jul 30.
- Background: PubMed 34980079Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. doi: 10.1186/s12891-021-04957-4.
- Background: PubMed 21665126Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-92. doi: 10.1016/j.berh.2011.01.019.
- Background: PubMed 28826164Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.
- Background: PubMed 24800070Brandt M, Sundstrup E, Jakobsen MD, Jay K, Colado JC, Wang Y, Zebis MK, Andersen LL. Association between Neck/Shoulder Pain and Trapezius Muscle Tenderness in Office Workers. Pain Res Treat. 2014;2014:352735. doi: 10.1155/2014/352735. Epub 2014 Mar 27.
- Background: PubMed 39416609Batool K, Mehmood M, Jafar M, Gull M. Comparative efficacy of muscle energy technique and Bowen technique on hamstrings muscle tightness in chronic low back pain patients. Pak J Med Sci. 2024 Oct;40(9):2080-2084. doi: 10.12669/pjms.40.9.8517.
- Background: PubMed 37996838Amjad F, Khalid A. Comparative effects of Bowen therapy and tennis ball technique on pain and functional disability in patients with thoracic myofascial pain syndrome. J Orthop Surg Res. 2023 Nov 24;18(1):895. doi: 10.1186/s13018-023-04379-z.
- Individual participant dataSharing planned: No
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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.
Dr Maryam Safdar principal investigator
The University of Faisalabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Group A ( Bowen therapy) and Group B ( Myofascial release therapy ) in people with Non Specific Neck Pain, run by University of Faisalabad at 1 site in Pakistan.
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: finished, as of the sponsor's last update on 25 Aug 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 Pakistan. 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?
Non-specific neck pain (time frame: At baseline ,At end of 2nd week,At end of 4th week). 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 NCT07785219, which also lists 7 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 25 Aug 2026.