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Completed

NCT Number: NCT07438548

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

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

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Key information

Conditions

Chronic Neck Pain Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Rafiq Medical Center

Lahore, Punjab Province, 05412, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

  • 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

Treatment and study plan

EYE-CERVICAL RE-EDUCATION PROGRAM

Other

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.

Motor Control Training Program

Other

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.

Standardized Physiotherapy Treatment

Other

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

Primary outcomes

  1. Numeric Pain Rating Scale

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

    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

  2. Neck Disability Index in Urdu language

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

    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

  3. ROM Cervical spine (Flexion)

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

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

  4. ROM Cervical Spine (Extension)

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

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

  5. ROM Cervical Spine (Lateral Flexion) Left Side

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

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

  6. ROM Cervical Spine (Lateral Flexion) Right Side

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

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

  7. ROM Cervical Spine (Rotation) Left Side

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

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

  8. ROM Cervical Spine (Rotation) Right Side

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

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

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

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

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 27, 2026
Registry last updated
Feb 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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