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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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) |
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| 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) |
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| 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. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical stabilization exercise and Integrated Neuromuscular Inhibition | Device | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Pain threshold | Measured by using Pressure algometer | One month |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | Measured by using Visual Analog Scale | One month |
| Range of Motion | Measured by using mobile application clinometer | One month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| huda adel mohammed, assistant lecturer | Contact | +201283866669 | huda.dahy@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Hytham mohammed elhafez, PhD | Cairo University | Study Chair |
| rania reda mohammed, PhD | Cairo univeristy | Study Director |
| heba ahmed elgyar, PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fuclty of Physical Therapy | Cairo | Egypt |
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| Integrated neuromuscular inhibition technique | Device | 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 group | Other | 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. |
|
| Neck function | Measured by using neck disability index | One month |
| Neck proprioception | Measured by using mobile application clinometer | One month |
| Cairo University |
| Study Director |