New physical therapy technique targets hidden muscle chains to ease pain
NCT ID NCT07710079
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study investigates whether a specialized mobilization technique called posterior oblique sling mobilization by 3-D release can reduce pain and improve movement in people with layered syndrome, a condition involving interconnected pain in the neck, shoulder, and lower back. Participants receive either this technique plus standard physical therapy or standard therapy alone over 12 sessions. The researchers measure changes in pain, range of motion, and disability using questionnaires and physical tests.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a physical therapy technique called posterior oblique sling mobilization by 3-D release
- What this could lead to
- If effective, this technique could offer a new, non-drug way to reduce pain and improve daily function for people with layered syndrome affecting the neck, shoulder, and lower back.
- What could go wrong
- This is a small, early-stage trial with only 44 participants, so results may not apply widely. The technique is compared to standard physical therapy, and the added benefit may be modest.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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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
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44 people
The number who actually took part.
- Started
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Dec 2025
- Finished
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May 2026
- Lead sponsor
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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
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20 to 40 years
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: * \+ Craniocervical flexion test * \+ Fleshe test (Occiput to wall distance) * \+ Thomas test * \+ Straight leg raise (SLR) * +Push Up test * +Trunk Curl Up test Exclusion Criteria: * Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region). * Presence of medical conditions such as cardiac disease, infections, coagulation disorder. * The participants with any musculoskeletal injuries in the past 6 months * Cervical dysfunctions affecting upper limbs * Lumbar Dysfunctions * Any fracture or other injury * Any systemic illness * Any neurological disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Imran Idrees teachingHospital
Sialkot, Punjab Province, 51310, Pakistan
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