Comparison of Different Rehabilitation Approaches in Chronic Neck Pain

NCT ID: NCT07169084

Last Updated: 2025-09-17

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-31

Study Completion Date

2026-01-31

Brief Summary

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Chronic neck pain is a common musculoskeletal disorder that negatively affects daily life and quality of life. Exercise and manual therapy are widely used treatment strategies, but there is limited evidence comparing different rehabilitation approaches. This randomized controlled trial aims to compare the effects of instrument-assisted soft tissue mobilization and manual therapy on pain, functional status, cervical muscle endurance, and range of motion in individuals with chronic neck pain. Twenty-four participants will be randomly assigned to two groups and receive treatment three times per week for four weeks. Assessments will include the Visual Analog Scale, Neck Disability Index, cervical muscle endurance tests, and goniometric range of motion. The results are expected to support evidence-based strategies for managing chronic neck pain.

Detailed Description

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Conditions

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Neck Pain Musculoskeletal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Manual Therapy Group

Participants receive manual therapy interventions, including posterior-anterior mobilizations, lateral glides, suboccipital release, and traction techniques based on Maitland principles.

Group Type EXPERIMENTAL

Manual Therapy

Intervention Type OTHER

Manual mobilization techniques applied to the cervical and upper thoracic regions, 3 sessions/week for 4 weeks.

Instrument-Assisted Soft Tissue Mobilization Group

Participants receive instrument-assisted soft tissue mobilization using specialized tools on the cervical and upper thoracic regions.

Group Type EXPERIMENTAL

Instrument-Assisted Soft Tissue Mobilization (IASTM)

Intervention Type OTHER

Mobilization applied with instruments to cervical and upper thoracic muscles, 3 sessions/week for 4 weeks.

Interventions

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Manual Therapy

Manual mobilization techniques applied to the cervical and upper thoracic regions, 3 sessions/week for 4 weeks.

Intervention Type OTHER

Instrument-Assisted Soft Tissue Mobilization (IASTM)

Mobilization applied with instruments to cervical and upper thoracic muscles, 3 sessions/week for 4 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 18-40 years
* Diagnosis of chronic neck pain (≥12 weeks duration)
* Pain intensity ≥ 3 cm on the Visual Analog Scale (VAS)
* Voluntary participation and signed informed consent

Exclusion Criteria

* Previous cervical spine surgery
* History of acute trauma, fracture, or dislocation in the cervical region
* Presence of neurological deficit, inflammatory disease, or systemic rheumatic condition
* Malignancy, severe cardiovascular or neurological disorder
* Participation in a similar treatment program within the past 6 months
* Current use of corticosteroids
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Atlas University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021 Feb 21;22(1):212. doi: 10.1186/s12891-021-04080-4.

Reference Type BACKGROUND
PMID: 33612123 (View on PubMed)

Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017 Aug 14;358:j3221. doi: 10.1136/bmj.j3221.

Reference Type BACKGROUND
PMID: 28807894 (View on PubMed)

Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016 Jan;30(1):64-72. doi: 10.1177/0269215515575747. Epub 2015 Mar 16.

Reference Type BACKGROUND
PMID: 25780258 (View on PubMed)

Other Identifiers

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PI-DEMIRCIOGLU-2025

Identifier Type: -

Identifier Source: org_study_id

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