An interventional study of Bruegger's Relief Exercise + Conventional Physical Therapy and Conventional Treatment in Chronic Mechanical Neck Pain, sponsored by Riphah International University. Not yet recruiting at 1 site in Pakistan. Open to participants aged 20 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-08-28.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
Among 123 studies in Neck Pain by Riphah International University — 31 open to participants now, 31 under way, none of them phase 3. Neck Pain · Riphah International University.
Among the 123 studies in Neck Pain by Riphah International University, this one is the 39th largest by planned enrollment of the 117 interventional ones, is one of 14 that started in 2026, is one of 117 with no phase, reaches primary completion later than 30 of the 30 other live ones, and was the 120th registered.
1,360 studies on the registry are indexed under Neck Pain; 299 are open to participants now.
This study's planned enrollment of 44 is below the median of 50 across 1,116 interventional studies indexed under Neck Pain.
Browse Neck Pain studies →31 of the 123 studies in Neck Pain by Riphah International University are open now, in 1 country. Each count lists the studies.
Of the 155 Neck Pain studies recruiting now, 25 (16%) set no upper age limit and 117 (75%) stop at 75 or younger; 8 take children under 18; 26 take healthy volunteers.
This study: 20 Years to 50 Years · all sexes · no healthy volunteers.
The full table on the hub →123 studies; the count open now beside each. This study's row is marked.
First in 2018; this study’s year is marked. 14 started in 2026.
Median enrollment 40 across the 117 interventional studies, 114 across the 6 observational. Of the 86 that completed or were terminated, 0 (0%) have results posted.
Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.
5 of the studies in Neck Pain by Riphah International University that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07791706Riphah International UniversityApplication Based Behavior Nudging Active Breaks Versus Conventional Ergonomic Education for Thoracic Mobility and Neck Pain in Office Workers | 2026-11-17 |
| NCT07573527Riphah International UniversityEffectiveness of Tele-Rehabilitation in Managing Rhomboid Trigger Points in Patients With Myofascial Pain Syndrome | 2026-12 |
| NCT07921004Riphah International UniversityEffects of Alexander Technique Versus Feldenkrais Somatic Training in Patients With Text Neck Syndrome | 2026-12-01 |
| NCT07920978Riphah International UniversityStrain Counter Strain and Conventional Stretching in School-aged Children With Mechanical Neck Pain Due to Prolong Screen Use | 2027-03 |
| NCT07791680Riphah International UniversityBruegger's Relief Exercise in Chronic Mechanical Neck Pain | 2027-08-01 |
Among the 123 studies in Neck Pain by Riphah International University, from their registry updates:
The aim of this randomized controlled trial is to determine the effect of Bruegger's Relief Exercise combined with conventional physical therapy on pain intensity, functional disability, cervical range of motion, and craniovertebral angle in patients with chronic mechanical neck pain
Neck pain is the second most prevalent musculoskeletal disorder worldwide. Neck pain persisting for more than three months is classified as chronic neck pain (CNP). Individuals with chronic mechanical neck pain (CMNP) exhibit distinct neuromuscular and epidemiological characteristics This imbalance contributes to impaired cervical stability and altered movement control.According to the Global Burden of Disease 2019 report, the global age-standardized prevalence of neck pain was approximately 2,696.5 per 100,000 population (≈2.7%), with an incidence rate of 579.1 per 100,000 population (≈0.58%). In Pakistan, musculoskeletal pain among young adults has been reported to range between 55-60%, with neck pain representing a major complaint Forward head posture (FHP) is a common postural deviation associated with chronic mechanical neck pain. It is highly prevalent, affecting approximately 62% of young adults in Pakistan and nearly 64% globally. FHP is characterized by anterior translation of the head, lower cervical flexion, and often increased upper cervical extension. The craniovertebral angle (CVA), defined as the angle formed between a horizontal line through the C7 spinous process and a line connecting the tragus of the ear to C7, is commonly used to quantify forward head posture. A reduced CVA indicates greater forward head translation and has been associated with increased pain intensity and reduced endurance of the deep cervical flexor muscles. Postural deviation and neuromuscular imbalance contribute to mechanical stress on cervical structures, functional limitations, and persistent symptoms in individuals with CMNP.
Given the high prevalence of forward head posture and its association with chronic mechanical neck pain, interventions targeting postural correction and neuromuscular re-education may be clinically beneficial.
This randomized controlled trial aims to evaluate the effect of Bruegger's Relief Exercise combined with conventional physical therapy on pain intensity, functional disability, cervical range of motion, and craniovertebral angle in individuals with chronic mechanical neck pain.
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.
Participants falling in this category would be recruited into the study.
Exclusion Criteria:
Participants falling in this category would be excluded from the study.
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Bruegger's Relief Exercise + Conventional Physical Therapy
Other: Bruegger's Relief Exercise + Conventional Physical Therapy
Conventional Physical Therapy
Other: Conventional Treatment
Bruegger's Relief Exercise. High sitting neutral posture with feet flat on the floor and a light resistance band held across the thighs. 1A gentle chin tuck is performed to maintain cervical alignment. The movement includes 2 shoulder abduction and external rotation 3. Elbow extension 4. Forearm supination 5. Wrist extension 6. Finger and thumb abduction, coordinated with diaphragmatic breathing. (Hold duration: 10-30 seconds with progression of 2 seconds per session). 12 repetitions per session with 30-second rest interval between holds. Total duration is 3 sessions per week for 4 consecutive weeks.
Conventional PT including 1- Cervical ROM exercises (flexion, extension, rotation, lateral flexion) 2- Stretching of upper trapezius and levator scapulae (30 sec hold × 3 repetitions) 3- Cervical isometric strengthening in all directions 4- Scapular stabilization exercises (elevation-depression, protraction-retraction) (Dosage: 2-3 sets of 10-15 repetitions). Total duration is 3 sessions per week for 4 consecutive weeks.
Numeric Pain Rating Scale
An 11-point scale (0-10) used to assess pain intensity. 0 indicates no pain and 10 indicates worst imaginable pain. Participants verbally report their pain score
Time frame: Baseline, Week 2, Week 4
Neck Disability Index
The NDI is a 10-item questionnaire assessing functional disability related to neck pain. Each item is scored 0-5 with total score range 0-50. Higher scores indicate greater disability.
Time frame: Baseline, Week 2, Week 4
Cervical Range of Motion
A universal goniometer will be used to measure cervical flexion, extension, lateral flexion, and rotation
Time frame: Baseline, Week 2, Week 4
Craniovertebral Angle
CVA will be measured using the Angle - Video Goniometer mobile application via lateral photographic analysis. A smaller angle indicates greater forward head posture.
Time frame: Baseline, Week 2, Week
Plan to share: No
No publications or documents are linked to this record.
Start is estimated for Sep 2026; primary completion for Aug 2027, 11 months later.
Of 763 non-industry interventional studies with no phase under Neck Pain, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 15. This study's planned 11 months is above that.
Counting every sponsor, half of 772 studies reached it within 7 months; a quarter within 3 and three quarters within 15.
How these figures are worked out, and which studies are left out of them.
This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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