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NCT Number: NCT07506200

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

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

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Key information

Conditions

Cervical Radicular Pain Agnosia Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Neuromuscular Diseases Pathological Conditions, Signs and Symptoms Perceptual Disorders Peripheral Nervous System Diseases Radiculopathy Signs and Symptoms

Age range

30 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

National hospital sialkot

Sialkot, Punjab Province, 54500, Pakistan

Location status: Recruiting

Location contact

Javeria Ghazal, MS

CONTACT

[email protected]

03335154664

Sofia Rehman, MS

PRINCIPAL_INVESTIGATOR

About this study

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

Who can participate

Healthy volunteers accepted: No

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

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

  • 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

Treatment and study plan

Neuromuscular Re education

Other

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

Conventional physical therapy

Other
  • 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

Primary outcomes

  1. Goniometer

    Time frame: 8th Week

    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.

  2. NDI (Neck Disability Index)

    Time frame: 8th week

    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

  3. Numeric Pain Rate Scale

    Time frame: 8th week

    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

Study contacts

Contact information is provided by the study sponsor or research team.

Munaab Khan, PhD

CONTACT

[email protected]

+923367993611

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Neuromuscular Re-education on Pain, Range of Motion and Disability in Patients With Cervical Radiculopathy

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 1, 2026
Registry last updated
Jun 10, 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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