Cervical High-Intensity Resistive Exercises: The patient will wear a neck harness, and a weight equivalent to 90% of the patient's measured maximum voluntary isometric contraction (MVIC) will be attached to it.
Conventional physical therapy: Conventional physical therapy consisting of TENS for pain control, soft tissue release for the cervical and associated muscles, activation and strengthening exercises for the deep neck flexors, extensors, and scapular muscles, as well as diaphragmatic breathing exercises.
Study summary
Purposes of the study
To investigate the effect of adding Cervical High-Intensity Resistive Exercises to conventional physical therapy in patients with Chronic Non-Specific Neck Pain
Eligibility
Sex
ALL
Min age
20 Years
Max age
40 Years
Healthy volunteers
No
Inclusion Criteria:
1. Thirty-four patients diagnosed CNSNP.
2. Age of the patients between 20-40 years.
3. Non-specific neck pain started more than 3 months.
4. Reduce ventilatory function; FVC \>= 70% from predicted.
5. Waist to height ratio (WtHR)\> 60 %.
6. Positive craniocervical flexion test.
7. Positive neck flexor endurance test.
8. Pain at neck after prolonged static weight bearing positions.
9. Pain with palpation of the neck paraspinal or suboccipital or trapezius muscles.
Exclusion Criteria:
1. History of whiplash injury.
2. Clinical sign of cervical radiculopathy.
3. Clinical signs of cervical myelopathy.
4. Rheumatoid Arthritis or any other autoimmune diseases.
5. Any respiratory disorders.
6. Tumors.
7. vertebrobasilar insufficiency VBI.
Primary outcome measure(s)
Disability — Change from Baseline Disability at 6 weeks Neck disability index (NDI)
Diaphragm thickness — Change from Baseline Diaphragm thickness at 6 weeks Ultrasound
Forced vital capacity (FVC) — Change from Baseline Forced vital capacity (FVC) at 6 weeks Spirometry
maximum voluntary ventilation (MVV) — Change from maximum voluntary ventilation (MVV) at 6 weeks Spirometry
Trial sites (1)
Facility
City
Region
Status
outpatient clinic, Faculty of Physical Therapy, Cairo University
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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