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Hands-On neck pain relief: do two techniques beat one?

NCT ID NCT07403279

Symptom relief Sponsor: Riphah International University Source: ClinicalTrials.gov ↗

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study looked at two physical therapy techniques for people with chronic mechanical neck pain lasting over three months. One technique, called Sustained Natural Apophyseal Glides (SNAGs), involves gentle joint movements. The other, Integrated Neuromuscular Inhibition Technique (INIMT), uses pressure and stretching on tight neck muscles. The study compared SNAGs alone versus SNAGs combined with INIMT in 44 adults aged 18 to 45. The goal was to see which approach better reduced pain, improved neck movement, and helped daily function.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Physical therapy techniques: Sustained Natural Apophyseal Glides (SNAGs) and Integrated Neuromuscular Inhibition Technique (INIMT)
What this could lead to
If successful, this could show that combining these two hands-on techniques provides better neck pain relief and mobility than one technique alone.
What could go wrong
This is a small, completed study with only 44 participants. Results may not apply to everyone with neck pain, and the techniques require a trained therapist.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

44 people

The number who actually took part.

Started

Aug 2025

Finished

Nov 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 45 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age ranged from 18 to 45 years and both genders. * Patient having neck-pain symptoms for more than 3 months duration. * Spurling test, distraction test, upper limb tension test and shoulder abduction test negative upon assessment. * The participants should have MTrPs in any one of these following cervical muscles which include levator scapulae, upper trapezius, splenius capitis and sternocleidomastoid muscles which may be active or latent. * A score greater than twenty percent on NDI. * Jump Sign when pressure is applied. * Positive Simons criteria which contains following these 5 characteristics :(1) Pain on palpation (2) pain that is radiating (3) Tightened cord like structure in muscle fiber that is detectable upon palpation(4) Reduced Flexibility of that muscle (5) 'twitching response' on needling. * Participants who described pain which is felt between spinous process of 1st thoracic vertebrae and superior nuchal line in posterior or posterolateral part of neck Exclusion Criteria: * Recent fracture, trauma (whiplash injury) and surgery in and around the shoulder and neck * Neural disorders due to prolapsed intervertebral disc * Carcinoma, Heart diseases, Metabolic disease in bone and joints * Patients having history of osteoporosis, prolong steroid and analgesics use * Unstable spine and open sores, Localized infection in neck * Vertebrobasilar insufficiency. * Cervical radiculopathy and myelopathy

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Conditions

The condition(s) this trial relates to.

Neck Pain

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Chronic mechanical neck pain

Contacts and locations

Locations

  • Lahore General Hospital,Lahore

    Lahore, Punjab Province, Pakistan

More trials for these conditions

Other studies related to the condition(s) this trial covers.