[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100659639":3},{"organization":4,"outcomesModule":7,"designInfo":21,"detailedDescription":32,"studyPopulation":20,"armGroups":33,"interventions":47,"overallOfficials":63,"centralContacts":70,"locations":79,"responsibleParty":92,"collaborators":20,"id":95,"slug":96,"hasResults":97,"nctId":98,"briefTitle":99,"officialTitle":100,"acronym":101,"eligibilityCriteria":102,"healthyVolunteers":97,"sex":103,"minAge":104,"maxAge":105,"enrollmentInfo":106,"targetDuration":20,"studyType":109,"phases":110,"briefSummary":112,"conditions":113,"keywords":116,"overallStatus":122,"whyStopped":20,"lastUpdateSubmitDate":123,"lastUpdatePostDateStruct":124,"startDateStruct":127,"completionDateStruct":129,"leadSponsor":131,"locationsCount":132},{"fullName":5,"class":6},"King Edward Medical University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":20,"otherOutcomes":20},[9,13,16],{"measure":10,"description":11,"timeFrame":12},"Pain intensity","Pain Intensity Measured Using the Visual Analogue Scale","Baseline, immediately after the first treatment session, and after the sixth treatment session (2 weeks).",{"measure":14,"description":15,"timeFrame":12},"Cervical range of motion","Active cervical range of motion will be measured in degrees using a goniometer. Measurements included flexion, extension, right and left lateral flexion, and right and left rotation. Higher values indicate greater range of motion.",{"measure":17,"description":18,"timeFrame":19},"Neck Related Disability Measured Using the Neck Disability Index","The Neck Disability Index assesses the effect of neck pain on daily activities through 10 items, each scored from 0 to 5. The total raw score ranges from 0 to 50, with higher scores indicating greater disability.","Baseline, immediately after the first treatment session, and after the sixth treatment session (2 weeks)",null,{"allocation":22,"interventionModel":23,"interventionModelDescription":24,"primaryPurpose":25,"observationalModel":20,"timePerspective":20,"maskingInfo":26},"RANDOMIZED","PARALLEL","Participants will be randomly allocated by lottery to two parallel groups, with 38 participants in each group. One group will receive spray-and-stretch plus conventional physiotherapy, while the other will receive sustained pressure plus conventional physiotherapy. Both groups will receive six sessions over two weeks.","TREATMENT",{"masking":27,"maskingDescription":28,"whoMasked":29},"DOUBLE","Participants and outcome assessor will be unaware of the treatment allocation. The treating therapist will be aware of the assigned intervention.",[30,31],"PARTICIPANT","OUTCOMES_ASSESSOR","Mechanical neck pain may be accompanied by upper trapezius trigger points, which are tender muscle spots associated with pain and restricted movement. Spray-and-stretch and sustained-pressure techniques are used to manage these symptoms, but their comparative short-term effects remain uncertain.\n\nThis study will evaluate the additional effects of each technique when combined with the same conventional physiotherapy programme. The comparison will examine both the immediate response to the first treatment session and the response after completion of the two week programme. It will focuse on whether differences between the treatments will be observed across pain, cervical mobility, and neck-related disability.",[34,41],{"label":35,"type":36,"description":37,"interventionNames":38},"Spray-and-Stretch Plus Conventional Physiotherapy","EXPERIMENTAL","Participants received spray-and-stretch treatment targeting upper trapezius trigger points, alongside conventional physiotherapy. A vapocoolant spray will be applied over the affected muscle, followed by stretching. Conventional physiotherapy will include a hot pack, neck isometric and movement exercises, shoulder shrugs, retraction exercises, and neck-care and posture advice. Treatment will consist of six sessions, three times weekly for two weeks.",[39,40],"Other: Spray and Stretch Technique","Other: Conventional Physiotherapy",{"label":42,"type":43,"description":44,"interventionNames":45},"Sustained Pressure Plus Conventional Physiotherapy","ACTIVE_COMPARATOR","Participants will receive sustained pressure applied by a therapist to upper trapezius trigger points, alongside conventional physiotherapy. Conventional physiotherapy will include a hot pack, neck isometric and movement exercises, shoulder shrugs, retraction exercises, and neck-care and posture advice. Treatment will consist of six sessions, three times weekly for two weeks.",[46,40],"Other: Sustained Pressure Technique",[48,52,59],{"type":6,"name":49,"description":50,"armGroupLabels":51,"otherNames":20},"Spray and Stretch Technique","With the participant seated comfortably, a vapocoolant spray will be applied in 3-5 parallel sweeps over the upper trapezius muscle, followed by stretching of the affected muscle. The procedure will be repeated 2-3 times per session. Participants will receive six sessions, three times weekly for two weeks, alongside conventional physiotherapy.",[35],{"type":6,"name":53,"description":54,"armGroupLabels":55,"otherNames":56},"Sustained Pressure Technique","The therapist will apply sustained manual pressure to upper trapezius trigger points, adjusting the pressure according to the participant's tolerance. Pressure application will be repeated during each session. Participants will receive six sessions, three times weekly for two weeks, alongside conventional physiotherapy.",[42],[57,58],"Sustained Compression","Ischemic Compression",{"type":6,"name":60,"description":61,"armGroupLabels":62,"otherNames":20},"Conventional Physiotherapy","Both groups will receive a hot pack over the upper trapezius for 10 minutes, cervical isometric exercises, active neck movement exercises, shoulder shrugs, retraction exercises, and advice on posture and neck care. Exercises will be progressed during the second week. Conventional physiotherapy will provide during six sessions, three times weekly for two weeks.",[35,42],[64,68],{"name":65,"affiliation":66,"role":67},"Amna Zia, PhD. Scholar","King Edward Medical University, Lahore","PRINCIPAL_INVESTIGATOR",{"name":69,"affiliation":66,"role":67},"Annusha Arshad",[71,76],{"name":72,"role":73,"phone":74,"phoneExt":20,"email":75},"amna zia, PhD. Scholar","CONTACT","+92 324 4686993","amna.zia@kemu.edu.pk",{"name":77,"role":73,"phone":78,"phoneExt":20,"email":20},"Annusha Arshad, DPT","+92 300 2677050",[80],{"facility":81,"status":20,"city":82,"state":20,"zip":83,"country":84,"countryCode":85,"cosmosGeoPoint":86,"geoPoint":91,"contacts":20},"Mayo Hospital, Lahore","Lahore","54000","Pakistan","PK",{"type":87,"coordinates":88},"Point",[89,90],74.35071,31.558,{"lat":90,"lon":89},{"type":67,"investigatorFullName":93,"investigatorTitle":94,"investigatorAffiliation":5,"oldNameTitle":20,"oldOrganization":20},"Amna Zia","Dr. Amna Zia, PT","100659639","comparison-of-suboccipital-release-and-muscle-energy-technique-in-subjects-with-mechanical-neck-pain-and-forward-head-posture-100659639",false,"NCT07868497","Comparison of Suboccipital Release and Muscle Energy Technique in Subjects With Mechanical Neck Pain and Forward Head Posture","Comparative Effectiveness of Suboccipital Release and Muscle Energy Technique to Reduce Pain and Improve Craniovertebral Angle, Cervical Range of Motion and Neck Functional Ability in Subjects With Mechanical Neck Pain and Forward Head Posture","METvsSOR","Inclusion Criteria:Adults aged 20-40 years, of either sex.\n\nChronic mechanical neck pain lasting at least three months.\n\nAt least one upper trapezius trigger point with painful restriction of cervical range of motion.\n\nForward head posture.\n\nPain intensity below 7 on the 0-10 Visual Analogue Scale. -\n\nExclusion Criteria:Fibromyalgia.\n\nPrevious cervical spine surgery.\n\nThoracic outlet syndrome.\n\nCervical radiculopathy.\n\nSkin infection or open wounds in the cervical region.\n\nCervical tumour.\n\nCervical spine fracture.\n\nUse of steroid therapy.\n\n\\-","ALL","20 Years","30 Years",{"count":107,"type":108},76,"ESTIMATED","INTERVENTIONAL",[111],"NA","This study will compare two physiotherapy treatments for adults with long-lasting neck pain and tender muscle spots, called trigger points, in the upper trapezius muscle between the neck and shoulder. The aim is to find out which treatment was more effective in reducing pain, improving neck movement, and reducing difficulty with daily activities.\n\nThe study will includ 76 adults aged 20-40 years at Mayo Hospital, Lahore, Pakistan. Participants will be assigned by chance to one of two treatment groups. One group will receive a cooling spray followed by gentle stretching of the affected muscle. The other group will receive sustained pressure applied by a therapist to the tender muscle spots. Both groups also will receive routine physiotherapy, including heat, exercises, and advice about neck care and posture.\n\nParticipants will receive six treatment sessions over two weeks. Pain, neck movement, and difficulty with daily activities will be assessed before treatment, immediately after the first session, and after the sixth session.",[114,115],"Myofascial Trigger Points","Neck Pain",[117,118,49,53,58,119,120,121],"Chronic Neck Pain","Upper Trapezius","Cervical Range of Motion","Neck Disability","Physiotherapy","NOT_YET_RECRUITING","2026-10-05",{"date":125,"type":126},"2026-10-09","ACTUAL",{"date":128,"type":108},"2026-10-10",{"date":130,"type":108},"2026-12-30",{"name":5,"class":6},1]