Studying How Mental Practice Affects Neck Awareness, Movement Confidence, and Daily Function in Women with Long-Term Neck Pain

Not yet recruiting

• Conditions: Joint disorder, unspecified,

• Registration Number: CTRI/2025/05/086842
• Lead Sponsor: Jamia Hamdard

Brief Summary

This randomized controlled trial will be conducted at the Rehabilitation Centre, Department of Physiotherapy, Jamia Hamdard, New Delhi, over a duration of six months. A total of 75 female participants (aged 30–50 years) diagnosed with non-specific chronic neck pain (NSCNP) for over three months will be recruited and randomly allocated into three groups:

- **Group A (Control Group):** Neck Stabilization Exercises (NSE)

- **Group B (Motor Imagery Group):** Motor Imagery (MI) Training

- **Group C (Combined Group):** NSE + MI

**Intervention Protocol****Group A (Control Group):**

- Neck stabilization exercises (cervical bracing in different postures)

- Cervical isometrics (10 repetitions, 5-10 sec hold)

- Stretching exercises for upper trapezius, sternocleidomastoid, and levator scapulae (5 reps, 10 sec hold)

- Hot fermentation for 10 minutes

**Group B (Motor Imagery Group):**

- **Weeks 1-2:** Kinesthetic Imagery – Participants imagine performing neck stabilization exercises with verbal guidance.

- **Weeks 3-4:** Internal Visual Imagery – Participants watch recorded videos of exercises and mentally rehearse them.

- **Weeks 5-6:** External Visual Imagery – Participants perform exercises while observing themselves in a mirror.

- Laterality discrimination training with head/neck images (identifying left/right positions).

- MI training duration: 25 minutes, 3 times per week for six weeks.

**Group C (Combined Group):**

- A combination of NSE and MI training following the respective protocols above.

**Outcome Measures**Assessments will be conducted at baseline and post-intervention using:

- **Pain:** Visual Analogue Scale (VAS)

- **Kinesiophobia:** Tampa Scale of Kinesiophobia (TSK)

- **Cervical Proprioception:** Head Repositioning Accuracy Test (HRAT)

- **Disability:** Neck Disability Index (NDI)

**Data Collection & Analysis**

- Data will be recorded using the Nordic Musculoskeletal Questionnaire and manually entered into a pre-planned format.

- Ethical approval will be obtained, and informed consent will be taken from all participants.

- A statistician will analyze the data using appropriate statistical methods.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-05-19
• Last Update Posted: 2025-06-05

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 75

Inclusion Criteria

• 1.Female subjects aged between 30 to 50 years.
• 2.Diagnosed with non specific chronic neck pain for more than three months.
• 3.Chronic neck pain having not less than 3 cms on Visual Analogue Scale causing pain, impairment of function and physical disability.

Exclusion Criteria

• 1.Subjects with a diagnosed cervical radiculopathy or any nerve root involvement.
• 2.Subjects with a history of osteoporosis 3.Subjects having undergone neck surgery during the past twelve months.
• 4.Subjects with uncontrolled diabetes with and without peripheral neuropathy.
• 5.Subjects with diagnosed visual, vestibular & balance impairments.
• 6.Recent history of injury or trauma to the upper limb.
• 7.Subjects having any drug abuse.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Neck Pain, Head Repositioning Accuracy, Kinesiophobia	Baseline, After 4 weeks and after 6 weeks

Secondary Outcome Measures

Name	Time	Method
Neck Disability Index	Baseline, After 4 weeks and after 6 weeks

Trial Locations

Locations (1)

Jamia Hamdard; 🇮🇳 South, DELHI, India

Jamia Hamdard

🇮🇳South, DELHI, India

Dr Zuheb Ahmed Siddiqui

Principal investigator

9810744297

zuhebahmedsiddiqui@jamiahamdard.ac.in