CClinicalTrials.gg
CompletedNCT07438548Updated Feb 27, 2026

Eye-cervical Re-education and Motor Control Training Program in Chronic Neck Pain

An interventional study of Eye-cervical Re-education Program and Motor Control Training Program in Chronic Neck Pain, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jan 2025, registered Feb 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The study was conducted to determine the comparative effects of an eye-cervical re-education and motor control training program on pain, range of motion and functional disability in chronic neck pain

02

Conditions studied

  • Chronic Neck Pain

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Keywords

  • Chronic Neck Pain
  • Neck Ache
  • Eye-cervical Re-education
  • Motor Control Training Program
  • Functional Disability
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 52 is close to the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Neck pain for minimum 3 months
  • Pain intensity on NPRS between 4 to 7
  • Limited neck range of motion
  • Medical diagnosis (Grade-II Neck pain) as per classification by "Bone and Joint Decade 2000-2010"
  • Cervical discomfort resulting from repetitive motion or prolonged postures.

Exclusion criteria

Exclusion Criteria:

  • History of neck trauma/Fracture/Surgery/ Whiplash Injury
  • Systemic illness, rheumatic conditions, inflammatory joint disease
  • Other spine pathologies Cervical myelopathy / Fibromyalgia / Multiple Sclerosis/ Cervical radiculopathy
  • Tumor symptoms like high temperature, shivering, night pain
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    Eye-cervical Re-education Program

    Other: Eye-cervical Re-education Program · Other: Standardized Physiotherapy Treatment

  • Active comparator
    Motor Control Training Program

    Other: Motor Control Training Program · Other: Standardized Physiotherapy Treatment

Interventions

  • OtherEye-cervical Re-education Program

    Eye-cervical Re-education program was carried out consisting of 10 proprioceptive reprogramming intervention steps : Activation of eye muscles, Passive cervical mobilization with fixed gaze, Active cervical mobility with directed gaze , Global cervical motion exercise , Neck mobility with the trunk , Head reposition exercise (Active), Head reposition exercise (Passive), Free coordination exercise, Manual resistance coordination exercise and Oculo-cervical coordination with soft stimuli. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.

  • OtherMotor Control Training Program

    Motor Control Training Program was performed in supine position. It consisted of four parts, which include the cranio-cervical flexor exercise; co-contraction of neck flexors and extensors; the cranio-cervical extensor exercise; and the scapular re-education exercises. An air-filled cuff was put behind the neck and the patient tried to make five progressive positions with an increase in ROM i.e. to make improvements in pressure of 22, 24, 26, 28 and eventually 30 mmHg on pressure gauge. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.

  • OtherStandardized Physiotherapy Treatment

    Electric Hot pack and TENS having (200 µs pulse-width, 1Hz frequency) were applied for 10 minutes.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale

    Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively

    Time frame: From enrollment to the end of treatment at 8 weeks

  2. Neck Disability Index in Urdu language

    Neck pain disability index is used for the disability of the neck or the impact of neck pain on a person. It consists of 10 questions on pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Performance in each item is described in 6 stages, from 0 to 5 points. The total of 0-4 points indicate no disability, 5-14 points indicate mild disability, 15-24 points indicate moderate disability, 25-34 points indicate severe disability and 35-50 points indicate complete disability

    Time frame: From enrollment to the end of treatment at 8 weeks

  3. ROM Cervical spine (Flexion)

    Changes in cervical spine flexion ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

  4. ROM Cervical Spine (Extension)

    Changes in cervical spine extension ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

  5. ROM Cervical Spine (Lateral Flexion) Left Side

    Changes in cervical spine lateral flexion on left side ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

  6. ROM Cervical Spine (Lateral Flexion) Right Side

    Changes in cervical spine lateral flexion on right side ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

  7. ROM Cervical Spine (Rotation) Left Side

    Changes in cervical spine rotation on left side ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

  8. ROM Cervical Spine (Rotation) Right Side

    Changes in cervical spine rotation on right side ROM at baseline and 8th week of intervention was measured using goniometer.

    Time frame: From enrollment to the end of treatment at 8 weeks

07

Study locations

1 site
  • Rafiq Medical Center
    Lahore, Punjab Province 05412, Pakistan
08

References and documents

Publications

  • Agrawal M, Borkar P. Journal of Population Therapeutics & Clinical Pharmacology. 2010.
  • Aal NMA, Elkeblawy MA, Amine RAM. Effectiveness of eye-cervical re-education versus motor imagery therapy on chronic neck pain: A randomized controlled trial. Sport TK: revista euroamericana de ciencias del deporte. 2024(13):6.
  • Bhende R, Shinde S, Jain P. Effect of Integrated Postural Training in Individuals with TextNeck Syndrome. J Kinesiol Exerc Sci. 2024;108:1-18.
  • Mendes Fernandes T, Mendez-Sanchez R, Puente-Gonzalez AS, Martin-Vallejo FJ, Falla D, Vila-Cha C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. Eur J Phys Rehabil Med. 2023 Feb;59(1):42-53. doi: 10.23736/S1973-9087.22.07554-2. Epub 2023 Jan 4. PubMed 36598342 ↗
  • Canli K, Demirkiran G, Can F. The efficiency of tactile discrimination training and oculomotor exercises in people with chronic neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2025 May 27;26(1):519. doi: 10.1186/s12891-025-08755-0. PubMed 40420069 ↗
  • Goudarzi L, Ghomashchi H, Vahedi M, Kahlaee AH. Investigating the Effect of Addition of Cervical Proprioceptive Training to Conventional Physiotherapy on Visual, Vestibular and Proprioceptive Dependency of Postural Control in Patients with Chronic Non-Specific Neck Pain: A Randomized Controlled Clinical Trial. Arch Bone Jt Surg. 2024;12(1):36-50. doi: 10.22038/ABJS.2023.74763.3462. PubMed 38318308 ↗
  • Majcen Rosker Z, Vodicar M, Kristjansson E. Relationship between Cervicocephalic Kinesthetic Sensibility Measured during Dynamic Unpredictable Head Movements and Eye Movement Control or Postural Balance in Neck Pain Patients. Int J Environ Res Public Health. 2022 Jul 9;19(14):8405. doi: 10.3390/ijerph19148405. PubMed 35886255 ↗
  • Gumuscu BH, Kisa EP, Kara Kaya B, Muammer R. Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study. Korean J Pain. 2023 Apr 1;36(2):242-252. doi: 10.3344/kjp.22371. Epub 2023 Mar 21. PubMed 36941087 ↗
  • Perez-Cabezas V, Ruiz-Molinero C, Jimenez-Rejano JJ, Chamorro-Moriana G, Gonzalez-Medina G, Chillon-Martinez R. Effectiveness of an Eye-Cervical Re-Education Program in Chronic Neck Pain: A Randomized Clinical Trial. Evid Based Complement Alternat Med. 2020 Feb 26;2020:2760413. doi: 10.1155/2020/2760413. eCollection 2020. PubMed 32184889 ↗
  • Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. J Pain Res. 2019 Mar 7;12:915-925. doi: 10.2147/JPR.S190125. eCollection 2019. PubMed 30881101 ↗

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 Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07438548
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Jan 13, 2025
Primary completion
May 31, 2025
Completion
Oct 31, 2025
Last update
Feb 27, 2026

Study contacts

Ali Raza, MS
principal investigator · Riphah International 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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