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RecruitingNCT07920978Updated Nov 6, 2026

Strain Counter Strain and Conventional Stretching in School-aged Children With Mechanical Neck Pain Due to Prolong Screen Use

An interventional study of Strain Counter Strain and Conventional Stretching in Mechanical Neck Pain, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 8 Years to 14 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

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

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jul 2026, registered Nov 2026).
  • Started Jul 2026; still recruiting 4 months later.
Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
8 Years to 14 Years
Sex
All
01

Study summary

To compare the effectiveness of strain counter strain and conventional stretching on pain intensity and cervical range of motion in school-aged children with mechanical neck pain related to prolonged screen use.

02

Conditions studied

  • Mechanical Neck Pain

Browse trials for

03

In context

Neck Pain

1,360 studies on the registry are indexed under Neck Pain; 299 are open to participants now.

This study's planned enrollment of 50 is close to the median of 50 across 1,116 interventional studies indexed under Neck Pain.

Browse Neck Pain 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
8 Years to 14 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

  • Children aged 8-14 years
  • Mechanical neck pain associated with prolonged screen use
  • Screen time of more than 3 hours per day.

Exclusion criteria

Exclusion Criteria:

  • Congenital cervical deformities.
  • Neurological disorders.
  • Musculoskeletal disorders affecting neck
  • History of cervical spine surgery
  • Screen time of less than 3 hours per day.
05

Study design

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

Study arms

  • Experimental
    Strain Counter Strain

    Strain counter strain effect on pain intensity and cervical range of motion in school aged children with mechanical neck pain.

    Other: Strain Counter Strain

  • Active comparator
    Conventional Stretching

    Conventional stretching effect on pain intensity and cervical range of motion in school aged children with mechanical neck pain.

    Other: Conventional Stretching

Interventions

  • OtherStrain Counter Strain

    Head and neck held in position of easy for 90 seconds and gentle ROMs. Sessions will be conducted 3 times per week for 6 weeks (total 18 sessions).

  • OtherConventional Stretching

    Static stretching of upper trapezius, levator scapulae, sternocledidomastoid muscles. Each stretch held for 20-30 seconds, repeated 3 times per muscle. Sessions will be conducted 3 times per week for 6 weeks (total 18 sessions).

06

What researchers measure

Primary outcomes

  1. Change in pain intensity as measured by Numeric Pain Rating Scale (NPRS)

    It is used to assess intensity of neck pain. It ranges on a scale from 0 ( no pain) to 10 ( severe pain). Pain will be measured at baseline (week 0), mid intervention ( week 3) and post intervention (week 6).

    Time frame: Week 0 , Week 3, Week 6

Secondary outcomes

  1. Neck Disability Index (NDI)

    It is used to asses neck pain related functional disability. It consists of 10 (5 parts) sections. At the end, score is calculated by dividing total score by 50 and multiplied by 100. As the driving section is not required in children, total score considered is 45 instead of 50. It will be measured at baseline (week 0), mid intervention ( week 3) and post intervention (week 6).

    Time frame: Week 0 , Week 3, Week 6

  2. Pediatric Quality of Life (Peds QL)

    It is used to assess health related quality of life in children including; physical, emotional, social and school functioning. It has total 23 items, evaluated on a scale ranging from 0 (never a problem) to 4 (almost always a problem). It will be measured at baseline (week 0), mid intervention ( week 3) and post intervention (week 6).

    Time frame: Week 0 , Week 3, Week 6

07

Study locations

1 of 1 sites recruiting
  • Fz International Hospital
    Islamabad, 47000, Pakistan
    Recruiting
08

References and documents

Publications

  • L. C. Positional Release Techniques Elsevier Health Sciences; 2015 Nov 12.
  • Manipis MD RR, Bernal JB, Canilas LM. Effectiveness Of Self-Management Neck Stretching Exercises Among Students Of Uph-Djgtmu Experiencing Musculoskeletal Neck Pain. Journal of Physical Therapy 2023;1(1):1-. 2023.
  • Lertsinthai P DT. Effect of exercise for non-specific neck pain and mechanical neck pain: from research to practice. 2017.
  • El-Khateeb YS, Mahmoud AG, Mohamed MH, Abd El-Azeim AS. Influence of adding strain-counterstrain to standard therapy on axioscapular muscles amplitude and fatigue in mechanical neck pain: a single-blind, randomized trial. Eur J Phys Rehabil Med. 2022 Aug;58(4):621-629. doi: 10.23736/S1973-9087.22.07194-5. Epub 2022 Jun 6. PubMed 35666489 ↗
  • Kang D, Yim J. A Study of 45 Patients with Chronic Neck Pain to Compare the Effects on Pain and Disability of 4 Weeks of Physical Therapy with the Active Release Technique and Strain-Counterstrain Manipulation with Massage Alone, Before and After Treatment. Med Sci Monit. 2023 Nov 28;29:e942027. doi: 10.12659/MSM.942027. PubMed 38013400 ↗
  • Wong CK. Strain counterstrain: current concepts and clinical evidence. Man Ther. 2012 Feb;17(1):2-8. doi: 10.1016/j.math.2011.10.001. Epub 2011 Oct 24. PubMed 22030379 ↗
  • Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016 Apr 14;35:5-11. doi: 10.1016/j.hkpj.2015.12.002. eCollection 2016 Dec. PubMed 30931028 ↗
  • Azadvari M, Sarzaeim M, Rajabi S, Yahyaee A, Razavi SZE, Haghparast A, Biderafsh A, Nakhostin-Ansari A, Hosseini M, Ghahvechi M. Associations between exposure to common technology devices and reported neck pain among Iranian school-age adolescents: a cross sectional study. BMC Musculoskelet Disord. 2023 Nov 13;24(1):883. doi: 10.1186/s12891-023-07010-8. PubMed 37957607 ↗
  • Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-92. doi: 10.1016/j.berh.2011.01.019. PubMed 21665126 ↗
  • Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015 Aug 22;386(9995):743-800. doi: 10.1016/S0140-6736(15)60692-4. Epub 2015 Jun 7. PubMed 26063472 ↗
  • Baradaran Mahdavi S, Mazaheri-Tehrani S, Riahi R, Vahdatpour B, Kelishadi R. Sedentary behavior and neck pain in children and adolescents; a systematic review and meta-analysis. Health Promot Perspect. 2022 Dec 10;12(3):240-248. doi: 10.34172/hpp.2022.31. eCollection 2022. PubMed 36686056 ↗
  • Abdel-Aziem AA, Abdel-Ghafar MA, Ali OI, Abdelraouf OR. Effects of smartphone screen viewing duration and body position on head and neck posture in elementary school children. J Back Musculoskelet Rehabil. 2022;35(1):185-193. doi: 10.3233/BMR-200334. PubMed 34092602 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update 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 Jul 2026 (actual). Primary completion is estimated for Mar 2027, 8 months after the start.

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 8 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.

Registered
Nov 2, 2026
First posted
Nov 6, 2026
StartActual
Jul 1, 2026
Primary completionEst.
Mar 2027
CompletionEst.
Mar 2027
Last update
Nov 6, 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.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07920978
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Jul 1, 2026
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Qamar Mehmood
Contact
qamar.mehmood@riphah.edu.pk
0333 5151063
Qamar Mehmood, 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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