Effectiveness of deep cervical flexor training with or without scapular stabilization in cervical spondylosis

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial compares two approaches to treating chronic neck pain due to cervical spondylosis: pressure biofeedback-assisted deep cervical flexor training with scapular stabilization plus standard physiotherapy, versus the same neck training without scapular stabilization plus standard physiotherapy. Forty-four participants aged 40 to 60 with radiologically confirmed cervical spondylosis will be randomly assigned to the two groups and followed for four weeks of treatment, with sessions three times weekly. Outcomes include pain intensity, cervical range of motion, and neck disability, measured at baseline and after the intervention. The study uses sealed envelope randomization and accounts for a 10% dropout rate.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Both genders aged 40-60 years.
* Presence of chronic neck pain for ≥3 months with NPRS ≥3.
* Radiologically confirmed cervical spondylosis, including cervical spine X-ray showing disc space narrowing and/or osteophyte formation.
* Ability to perform active cervical and shoulder movements without neurological deficits.
* Willingness to participate in the study and comply with the intervention protocol.

Exclusion Criteria:

* History of cervical spine surgery or trauma in the past 6 months.
* Severe neurological involvement, including cervical myelopathy or severe radiculopathy with motor weakness, gait disturbance, or bowel/bladder involvement.
* Inflammatory or systemic musculoskeletal disorders, e.g., rheumatoid arthritis or ankylosing spondylitis.
* Current participation in structured neck/shoulder rehabilitation programs.
* Uncontrolled medical conditions contraindicating exercise, e.g., uncontrolled hypertension or cardiovascular disease.

Where it's running

• Hope Physiotherapy Clinic
  Rawalpindi, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Aqsa Anwar
• Email: aqsaanwer.pt@gmail.com
• Phone: 0321-5172551

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.