Development of Standard Guidelines for Relaxation Exercises in Patients With Chronic Neck Pain and Determination of Their Effectiveness

NCT ID: NCT07048093

Last Updated: 2025-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-22

Study Completion Date

2026-09-01

Brief Summary

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The goal of this observational study is to determine whether relaxation exercises performed before cranio-cervical flexion can reduce superficial neck muscle activation (specifically sternocleidomastoid and upper trapezius) in individuals with neck pain.

The main questions it aims to answer are:

* Does performing relaxation exercises prior to cranio-cervical flexion reduce sternocleidomastoid (SCM) muscle activation?
* Does it reduce upper trapezius muscle activation during the standing?

Researchers will compare the group performing relaxation exercises before cranio-cervical flexion to the group performing only cranio-cervical flexion to see if there is a measurable difference in superficial neck muscle activation.

Participants will:

* Perform cranio-cervical flexion exercises.
* Perform relaxation exercises prior to the cranio-cervical flexion (intervention group only).
* Undergo surface EMG measurements to assess muscle activity.

Detailed Description

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Conditions

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Non Specific Chronic Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Relaxation Exercises Group

This group will do relaxation exercises based on reciprocal inhibition, autogenic inhibition, proprioceptive training and postural training.

Group Type EXPERIMENTAL

Exercise

Intervention Type OTHER

Average of 10 minutes relaxation exercises guided with a standard audio record based on reciprocal and autogenic muscle inhibition, proprioceptive training and postural training.

Just Lie Back Group

This group do nothing but just lie back before and after actual measurements.

Group Type SHAM_COMPARATOR

Sham (No Treatment)

Intervention Type OTHER

This group take no treatment between actual before and after measurements.

Interventions

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Exercise

Average of 10 minutes relaxation exercises guided with a standard audio record based on reciprocal and autogenic muscle inhibition, proprioceptive training and postural training.

Intervention Type OTHER

Sham (No Treatment)

This group take no treatment between actual before and after measurements.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Knowledge of Turkish
* Chronic (at least three months) neck pain
* Neck pain level of 4 or higher on a numerical pain scale

Exclusion Criteria

* Neck pain caused by a tumor, trauma, or rheumatic disease
* History of surgery involving the head, neck, shoulder, or thoracic region
* Root compression
* Regular use of painkillers due to another illness
* Another illness severe enough to interfere with work
Minimum Eligible Age

22 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Balikesir University

OTHER

Sponsor Role lead

Responsible Party

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Utku Berberoğlu

Assistant Proffesor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Health Sciences

Balıkesir, Balıkesir, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Utku Berberoğlu, PhD

Role: CONTACT

+902666121400 ext. 151315

Facility Contacts

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Sibel Ergun, Professor

Role: primary

+902666121400 ext. 151330

Meral Sertel, Professor

Role: backup

+902666121400 ext. 151318

References

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Rota E, Evangelista A, Ceccarelli M, Ferrero L, Milani C, Ugolini A, Mongini F. Efficacy of a workplace relaxation exercise program on muscle tenderness in a working community with headache and neck pain: a longitudinal, controlled study. Eur J Phys Rehabil Med. 2016 Aug;52(4):457-65. Epub 2016 Jan 8.

Reference Type BACKGROUND
PMID: 26745361 (View on PubMed)

Lee BK, Seo DK. The Importance of Optimal Gaze Direction on Deep Neck Flexor Activation in Chronic Neck Pain. Healthcare (Basel). 2020 Nov 1;8(4):449. doi: 10.3390/healthcare8040449.

Reference Type BACKGROUND
PMID: 33139645 (View on PubMed)

Kazeminasab 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.

Reference Type BACKGROUND
PMID: 34980079 (View on PubMed)

Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009 Dec;14(6):696-701. doi: 10.1016/j.math.2009.05.004. Epub 2009 Jul 25.

Reference Type BACKGROUND
PMID: 19632880 (View on PubMed)

Other Identifiers

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G.O. 2024/153

Identifier Type: -

Identifier Source: org_study_id

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