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NCT07724470

Overview

NCT ID: NCT07724470
Lead Sponsor: Lahore University of Biological and Applied SciencesOTHER
Official Title: Effects of Myokinetic Stretching Technique and Post Facilitation Stretching on Pain, Range of Motion, and Functional Disability in Patients With Cervical Radicular Pain
Brief Summary: Cervical radicular pain (CRP) is a musculoskeletal condition characterized by neck pain radiating to the upper limb due to compression or irritation of cervical nerve roots. It significantly affects daily activities, cervical mobility, and overall quality of life. Conventional physical therapy focuses on reducing pain and improving function; however, there is limited evidence comparing the effectiveness of different stretching techniques used in clinical practice.

This randomized controlled trial aims to compare the effectiveness of Myokinetic Stretching Technique (MST) and Post Facilitation Stretching (PFS) on pain intensity, cervical range of motion, and functional disability in patients with cervical radicular pain.

A total of 70 participants with cervical radicular pain (>4 weeks) will be randomly allocated into two groups:

Group A (Myokinetic Stretching Technique Group) - receiving MST along with conventional therapy including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction.

Group B (Post Facilitation Stretching Group) - receiving Post Facilitation Stretching along with the same conventional therapy.

The intervention will be conducted for 4 weeks, with 3 sessions per week on alternate days, each session lasting approximately 45 minutes.

Outcome measures will include:

Pain intensity assessed using the Visual Analogue Scale (VAS) Cervical range of motion measured using a goniometer Functional disability assessed using the Neck Disability Index (NDI)

This study aims to determine the more effective stretching technique for reducing pain, improving cervical mobility, and enhancing functional outcomes, thereby supporting evidence-based physiotherapy practice in managing cervical radicular pain.

Status and Timeline

Status: Recruiting
Last Update Posted: Jul 24, 2026Actual
Start Date: Jun 29, 2026Actual
Primary Completion Date: Jul 30, 2026Estimated
Completion Date

Participation Criteria

Ages Eligible for Study: Adult (18-64)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Both male and female gender

Age 30 to 60 years with a +ve spurling test and radiating arm pain for more than 4 weeks

Unilateral cervical radicular pain

+ve upper limb tension test and neck disability index <50%

Exclusion Criteria:

History of cervical spinal surgery

Severe facet joint osteoarthritis

History of fracture in the head and neck region

Patient with cognitive dysfunction or mental illness, severe cardiovascular, cerebrovascular, liver, or kidney dysfunction

History of dizziness, vertigo, and vomiting

Osteoporosis and prolonged use of steroids

Cervical myelopathy, tumor, or infectious disease

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 40Estimated
Primary Purpose: Treatment
Allocation: Randomized
Interventional Model: Parallel Assignment
Masking: Single

Contacts and Locations

Central Contacts: Dr.Tariq Shafi, MSPTContact
muhammad.tariq@ubas.edu.pk03454190056

Similar Studies

Participant Group/Arms

Myokinetic Stretching TechniqueExperimental

Participants in this group will receive Myokinetic Stretching Technique (MST) along with conventional physiotherapy, including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction. The intervention will be conducted for 4 weeks, with 3 sessions per week, each lasting approximately 45 minutes. MST will be applied to the cervical muscles, particularly the trapezius, using controlled stretching and myofascial release techniques.

Other: Myokinetic Stretching Technique

post Facilitation stretchingActive Comparator

Participants in this group will receive Post Facilitation Stretching (PFS) along with conventional physiotherapy, including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction. The intervention will be conducted for 4 weeks, with 3 sessions per week, each lasting approximately 45 minutes. PFS will be applied to the cervical muscles, particularly the trapezius, using a sequence of strong voluntary contraction followed by rapid passive stretching to improve muscle flexibility and reduce pain.

Other: Post facilitation stretching