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CompletedNCT05684809Updated Mar 24, 2023

Efficacy of Mobilization With Post- Isometric Relaxation in Neck Pain Associated With Myofascial Trigger Points

An interventional study of Post Isometric relaxation Technique (PIR) and Cervical Mobilization (CM) in Mechanical Neck Pain, sponsored by Najran University. Completed at 2 sites in Saudi Arabia. Open to participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2023-03-24.

Sponsored by Najran University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
All
01

Study summary

purpose of the study: to determine the effectiveness of cervical mobilization with PIR in reducing pain and improving neck ROM and function in people with mechanical neck pain associated with MTrPs

Read the detailed description

This study will be based on a randomized controlled design which will be comparative in nature. Participants will be recruited using the convenience sampling method and will be randomly divided into two groups A and B respectively. Thirty participants of mechanical neck pain associated with upper Trapezius trigger point pain will be recruited from the Physiotherapy department, at the Najran University, Saudi Arabia. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly assigned into two equal groups A and B.

Group A will be receiving the hot pack, active Stretching, isometric exercise intervention, and PIR technique while group B will receive the hot pack, active Stretching, isometric exercise intervention, and cervical Mobilization.

02

Conditions studied

  • Mechanical Neck Pain

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03

In context

Neck Pain

1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.

This study's enrollment of 33 is below the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Najran University is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • age 20-40 years,
  • having mechanical neck pain located in the neck or scapular regions along with 1-2 MTrPs which,
  • on palpation replicated their chief complaints in the upper Trapezius muscle (unilateral).

Exclusion criteria

Exclusion Criteria:

  • known cases of fibromyalgia syndrome,
  • cervical radiculopathy or myelopathy,
  • history of cervical spine surgery,
  • congenital or acquired postural deformity, presence of MTrPs in bilateral upper Trapezius muscles,
  • patients who received any treatment for their pain one month prior to the study.
05

Study design

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

Study arms

  • Experimental
    Group A

    in addition to Conventional treatment, PIR and cervical mobilization were given

    Other: Post Isometric relaxation Technique (PIR) · Other: Cervical Mobilization (CM) · Other: conventional treatment

  • Active comparator
    Group B

    in addition to Conventional treatment, PIR were given

    Other: Post Isometric relaxation Technique (PIR) · Other: conventional treatment

Interventions

  • OtherPost Isometric relaxation Technique (PIR)

    In PIR intervention, the patients were requested to lie down in a supine position and their neck was in a lateral flexion to the opposite side so that the target upper Trapezius muscle fibers would be in a lengthened position. The therapist performed a moderate isometric contraction (approximately 75% of maximal) of upper Trapezius muscles, held it for 5 seconds, then relaxed for 3 seconds before moving the cervical spine into the new barrier. In each session, this technique was repeated for four times, on alternate days for three weeks.

  • OtherCervical Mobilization (CM)

    Cervical Mobilization was delivered in prone lying with their foreheads resting comfortably on his hands, and the chin was tucked in.The treatment session was done on alternate days (3 days a week) for 3 weeks, hence the total number of sessions were 9.

  • Otherconventional treatment

    Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10-second relaxation) were given, and isometric exercise of the neck((10 repetitions of two sets with 10 seconds hold) alternate days for three weeks.

06

What researchers measure

Primary outcomes

  1. Pain intensity

    The pain intensity was assessed Using a numeric pain rating scale (NPRS), Its a 11 point scale, where zero indicates no pain and 10 indicates severe pain

    Time frame: 3 Weeks

  2. Neck Disability Index

    The Neck Disability was assessed using a neck disability index (NDI) questionnaire, the minimum value 0- and the maximum value is 50

    Time frame: 3 Weeks

  3. Range of Motion

    The Neck Side Flexion range of motion was assessed using cervical range of motion(CROM) device

    Time frame: 3 Weeks

  4. Pain Pressure Threshold

    The Pain Pressure Threshold (PPT) was assessed using an algometer algometer

    Time frame: 3 Weeks

07

Study locations

2 sites
  • Hashim Ahmed
    Najrān, Najran 1988, Saudi Arabia
  • Hashim Ahmed
    Najrān, Najran 66262, Saudi Arabia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05684809
Lead sponsor
Najran University
Responsible party
Hashim Ahmed (Assistant Professor, Najran University) — Principal investigator
First posted
Jan 13, 2023
Start date
Oct 30, 2022
Primary completion
Jan 28, 2023
Completion
Feb 15, 2023
Last update
Mar 24, 2023

Study contacts

Hashim Ahmed, PhD
principal investigator · Najran University

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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