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RecruitingNCT07506200Updated Jun 10, 2026

Neuromuscular Re-education on Pain, ROM and Disability in Cervical Radiculopathy

An interventional study of Neuromuscular Re education and Conventional Physical Therapy in Cervical Radicular Pain, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 30 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-06-10.

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

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Mar 2026; still recruiting 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
30 Years to 50 Years
Sex
All
01

Study summary

This study explores the effectiveness of Neuromuscular Re-education compared to conventional therapies in managing pain, range of motion, and disability in patients with Cervical Radiculopathy

Read the detailed description

The study identifies a gap in the current literature surrounding the effectiveness of neuromuscular re-education interventions in targeting pain reduction, disability improvement, and enhancement of range of motion for CR patients. Previous studies emphasize conventional methods, such as proprioceptive neuromuscular facilitation and manual therapy, with a general focus on motor control and postural re-education. However, the precise benefits of structured NMR exercises tailored to CR symptoms, particularly targeting proprioceptive training and functional task simulation, are less explored, especially compared to traditional interventions like heat/cold application or general strengthening

02

Conditions studied

  • Cervical Radicular Pain

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Keywords

  • Cervical Radiculopathy
  • Neuromuscular Re-education
  • Range of Motion
  • Pain Management
03

In context

Radiculopathy

483 studies on the registry are indexed under Radiculopathy; 145 are open to participants now.

This study's planned enrollment of 52 is below the median of 60 across 373 interventional studies indexed under Radiculopathy.

Browse Radiculopathy studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants of Age between 30 and 50 years old.
  • Participants of both gender included.
  • Participants having Unilateral upper extremity pain, paresthesia, or numbness
  • Participants with Four positive findings required:
  • Positive Spurling's test
  • Positive distraction test
  • Positive upper limb tension test
  • Ipsilateral cervical rotation less than 60 degrees
  • Participants must have experienced pain for at least 3 months.
  • Participants must have a pain score of 4 to 6 on the 0-10 scale

Exclusion criteria

Exclusion Criteria:

  • Participants having prior cervical spine surgery.
  • Participants with Cervical vertebral fracture
  • Participants with severe osteoporosis, rheumatic disease, shoulder disease, or infection will be excluded.
  • Participants with vertebro-basilar artery insufficiency and diabetic neuropathy
05

Study design

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

Study arms

  • Experimental
    Neuromuscular Re-education Group

    postural training exercises, proprioceptive tasks, Dynamic control exercises, eye-head coordination tasks

    Other: Neuromuscular Re education

  • Active comparator
    Conventional Physical Therapy

    Electrotherapy, Manual Therapy Techniques

    Other: Conventional Physical Therapy

Interventions

  • OtherNeuromuscular Re education

    A. Postural training and functional task simulation(chin tuck, Shoulder blade squeeze, reaching, carrying, lifting tasks) Proprioceptive tasks( single leg stance with head movement), deep cervical strengthening. 3 sessions per week, 30 minutes per session (10 mint each component),10 repetition per set, 2 set, 10 second Resting interval Resting period: 1 mint to next exercise

  • OtherConventional Physical Therapy

    * TENS and hot pack for 10 to 15 minutes * Manual therapy techniques (e.g., mobilizations grade II). 5 to 10 repetition * Cervical isometric exercises 10 reps * General education on posture and ergonomics guidelines * Frequency: 3 sessions per week * Duration: 50 minutes per session, 10 mint each component * Repetition: 10 repetition per set, 2 set , 10 second resting interval * Resting period: 1 mint to next exercise

06

What researchers measure

Primary outcomes

  1. Goniometer

    A goniometer is used to measure cervical range of motion (ROM) by aligning its fulcrum over a bony landmark (like the C7 vertebrae or external auditory meatus) and its arms with other bony landmarks (such as the nose, acromion, or sternal notch) to measure the angle of movement in degrees.

    Time frame: 8th Week

  2. NDI (Neck Disability Index)

    The NDI is a 10-item questionnaire that assesses how neck pain affects daily activities(28). The Neck Disability Index (NDI) measures neck-specific disability through a 10-item questionnaire assessing pain and daily activities like personal care, lifting, and concentration. Scores range from 0-50 (or 0-100%), with higher scores indicating greater disability

    Time frame: 8th week

  3. Numeric Pain Rate Scale

    The Numerical Pain Rating Scale (NPRS) has been used to assess the level of pain patients experience. It can be used to assess pain either verbally or through a self completion questionnaires. Patients are asked to circle a number on a scale that best describes the pain the experience. Patients are asked to recall from the pain scale from 0 to 10. 0 equals No pain, 1-3 equals Mild pain, 4-6 equals Moderate pain, 7-9 equals Severe pain, and 10 equals Very Severe pain. NPRS shows strong test-retest score even in illiterate and literate patients

    Time frame: 8th week

07

Study locations

1 of 1 sites recruiting
  • National hospital sialkot
    Sialkot, Punjab Province 54500, Pakistan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Jun 2026, 3 months after the start.

Of 203 non-industry interventional studies with no phase under Radiculopathy, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 30. This study's planned 3 months is below that.

Counting every sponsor, half of 215 studies reached it within 12 months; a quarter within 5 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 23, 2026
First posted
Apr 1, 2026
StartActual
Mar 1, 2026
Primary completionEst.
Jun 16, 2026
CompletionEst.
Jul 15, 2026
Last update
Jun 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07506200
Responsible party
Sponsor
First posted
Apr 1, 2026
Start date
Mar 1, 2026
Primary completion
Jun 16, 2026 (estimated)
Completion
Jul 15, 2026 (estimated)
Last update
Jun 10, 2026

Study contacts

Munaab Khan, PhD
Contact
muneeb.khan@riphah.edu.pk
+923367993611
Javeria Ghazal, 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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