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CompletedNCT04045106RCTUpdated Aug 29, 2019

The Acute Effect of Proprioceptive Neuromuscular Facilitation on Cervical Range of Motion, Strength and Proprioception.

An interventional study of Proprioceptive Neuromuscular Facilitation Patterns and Proprioceptive Neuromuscular Facilitation stretching in Proprioception and Neck, sponsored by Yeditepe University. Completed at 2 sites in Turkey. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-08-29.

Sponsored by Yeditepe University · Not applicable, Interventional, and Screening

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Feb 2019, registered Aug 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

the aim of the study was to investigate the immediate influence of proprioceptive neuromuscular facilitation on cervical range of motion, strength and proprioception

Read the detailed description

the study evaluates the influence of two proprioceptive neuromuscular facilitation techniques (PNF patterns and PNF stretching) on cervical proprioception. PNF techniques are regularly used techniques among physiotherapist. also there is a lack of studies that investigated the effect of PNF on cervical proprioception

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Conditions studied

  • Proprioception
  • Neck

Keywords

  • Proprioception
  • Proprioceptive Neuromuscular Facilitation,
  • Cervical spine
  • stretching
03

In context

Lead sponsor

Yeditepe University is the lead sponsor of 127 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Neck disability index score of 5 or less
  • Able to understand and follow instructions
  • Above 18 years old

Exclusion criteria

Exclusion Criteria:

  • Cervical trauma
  • History of cervical inter-vertebral disc pathology
  • Rheumatic diseases
  • Whiplash syndrome
  • History of surgeries to the neck, face and shoulders
  • History of systemic diseases
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
104 participants (actual)

Study arms

  • Experimental
    PNF pattern

    PNF patterns were performed using Dynamic of reversals technique which is characterized as active motion alternating from one direction (agonist) to the opposite (antagonist) without relaxing. The cervical patterns consisted of 1. Cervical flexion with right rotation followed by extension with left rotation. 2. Cervical flexion with left rotation followed by extension with right rotation.

    Other: Proprioceptive Neuromuscular Facilitation Patterns

  • Experimental
    PNF stretching

    PNF stretching was done using contract-relax-antagonist contract (CRAC) technique for cervical flexors, extensors, right and left lateral flexors, right rotators and left rotators.

    Other: Proprioceptive Neuromuscular Facilitation stretching

  • Sham comparator
    control

    Participants allocated to the control group received ineffective passive ROM.

    Other: Passive range of motion

Interventions

  • OtherProprioceptive Neuromuscular Facilitation Patterns

    The participants were asked to sit on a chair, the therapist performed the pattern of movement himself then passively applied the pattern on the participant then asked the participant to perform the pattern, and the therapist observed and corrected the movement if it was done improperly.Then participants were told that the therapist will resist their movement, they were also told to keep breathing normally and to report any discomfort and/or pain.After mastering the pattern,the therapist placed one hand on the participant's mandibular and the other hand approximately between parietal and occipital bones to apply resistance through out the ROM, each pattern performed for 3 sets of 10 repetitions with 1-2-minute rest between sets.

  • OtherProprioceptive Neuromuscular Facilitation stretching

    was done for 6 repetitions with hold for 6 seconds in position of stretch and sub maximal isometric contraction for 6 seconds, 1-2-minute rest was given before changing the target muscle group

  • OtherPassive range of motion

    ineffective passive ROM for 10 repetitions for flexion, extension, right and left side bending and right and left rotation, it was done from neutral position to the limit of motion without causing any stretch to the muscle.

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What researchers measure

Primary outcomes

  1. Cervical Proprioception: Joint position accuracy method using cervical range of motion instrument.

    Joint position accuracy method using cervical range of motion instrument. Participants were asked to sit and put on the CROM instrument, then they were instructed to start moving their head to one of directions then the assessor stopped them at 30 degrees and told them to feel the amount of movement and muscle tension, this was repeated 3 times as a reference, then they were asked to do the movement with the eyes closed until they reach the target angle, this was repeated for 3 times, this was done for each direction and the assessor recorded the results. Cervical proprioception was done for flexion, extension, right side bending, left side bending, right and left rotation

    Time frame: 1 day

Secondary outcomes

  1. Range Of Motion

    Active Range of motion (AROM) was measured using cervical range of motion instrument. CROM instrument were placed on the participants head, then the assessor asked the participant to move towards the movement direction until they reach the limit.

    Time frame: 1 day

  2. Muscle strength

    The measurement were taken for cervical flexors, extensors, right and left rotators, right and left side benders, each was done in an against gravity position.

    Time frame: 1 day

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Study locations

2 sites
  • Yeditepe University
    Ataşehir, İstanbul 34755, Turkey
  • Bahcesehir University
    Beşiktaş, Istanbul 34353, Turkey
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 25, 2019
  • Informed consent form · Feb 25, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04045106
Lead sponsor
Yeditepe University
Collaborators
Bahçeşehir University
Responsible party
Sponsor
First posted
Aug 5, 2019
Start date
Feb 20, 2019
Primary completion
May 27, 2019
Completion
May 27, 2019
Last update
Aug 29, 2019

Study contacts

SULE DEMIRBASISTANBUL
study director · Yeditepe University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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