[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100646230":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":39,"centralContacts":44,"locations":53,"responsibleParty":72,"collaborators":30,"id":75,"slug":76,"hasResults":77,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":30,"eligibilityCriteria":81,"healthyVolunteers":77,"sex":82,"minAge":83,"maxAge":84,"enrollmentInfo":85,"targetDuration":30,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":101,"overallStatus":55,"whyStopped":30,"lastUpdateSubmitDate":111,"lastUpdatePostDateStruct":112,"startDateStruct":115,"completionDateStruct":117,"leadSponsor":119,"locationsCount":120},{"fullName":5,"class":6},"Cairo University","OTHER",[8,15,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Experimental Group A (Core Stability)","EXPERIMENTAL","consists of 20 participants who receive core stability exercises, plus the traditional physical therapy program in the form of ischemic compression of upper trapezius muscle, strain-counter strain of upper trapezius muscle, and muscle energy technique of upper trapezius muscle, three sessions per week for 6 weeks.",[13,14],"Other: Core Stability Exercise Protocol","Other: Traditional Physical Therapy Protocol",{"label":16,"type":10,"description":17,"interventionNames":18},"Experimental Group B (Scapular Stabilization)","consists of 20 participants who receive scapular stabilization exercise, plus the traditional physical therapy program, three sessions per week for 6 weeks.",[19,14],"Other: Scapular stabilization Exercise Protocol",{"label":21,"type":22,"description":23,"interventionNames":24},"Control Group C (Traditional Physical Therapy Program)","ACTIVE_COMPARATOR","consists of 20 participants who receive the traditional physical therapy program, three sessions per week for 6 weeks, only",[14],[26,31,35],{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":30},"Core Stability Exercise Protocol","The core stability exercise protocol will be conducted to experimental group (A), only. The core stability exercise protocol will be conducted for 40-45 minutes (10 minutes worm-up 'stretch exercises', 25 minutes core stabilization exercises, and 5-10 minutes cool down exercises 'stretch exercises') 3 sections\u002F week for six weeks\n\n1\\. Diaphragm Core '';360 degree expansion breathing, weighted breathing 2. Transverse abdominis 'Abdominal drawing in maneuver, supine vacuum, pelvic tilt'; 3. Multifidus 'quadruped altered leg\u002Farm, bridge with leg extension'; 4. Pelvic Floor muscles\u002FKegel, bridging, and bridging dog, and squat Core stability exercise.",[9],null,{"type":6,"name":32,"description":33,"armGroupLabels":34,"otherNames":30},"Scapular stabilization Exercise Protocol","The scapular stabilization exercise protocol will be conducted to experimental group (B), only. The core scapular stabilization exercise protocol will be conducted for 40-45 minutes (10 minutes worm-up 'stretch exercises', 25 minutes scapular stabilization exercises, and 5-10 minutes cool down exercises 'stretch exercises') 3 sections\u002F week for six weeks\n\na. Open chain stabilization exercises 'scapular elevation\u002Fdepression, upward\u002Fdownward rotation', b. Static closed chain stabilization exercises 'Protected weight bearing through both hands leaning against wall', c. Dynamic closed chain stabilization exercises 'scapular retraction'",[16],{"type":6,"name":36,"description":37,"armGroupLabels":38,"otherNames":30},"Traditional Physical Therapy Protocol","1. Ischemic compression; apply an intermittent ischemic compression on the identified MTrPs within upper trapezius via the researcher thumb for ninety seconds.\n2. Strain-counter strain; apply pressure at MTrPs within stretched upper trapezius, with patient will move the affected shoulder passively to 90° of abduction and external rotation for ninety seconds.\n3. Muscle Energy Technique; patient will do lateral neck flexion to opposite side, and will maintained for 10 seconds, will apply thirty seconds of stretch for ipsilateral affected upper trapezius",[21,9,16],[40],{"name":41,"affiliation":42,"role":43},"Sohair Shehata Rezkallah, Professor","Cairo University; Faculty of Physical Therapy","STUDY_DIRECTOR",[45,50],{"name":46,"role":47,"phone":48,"phoneExt":30,"email":49},"Adnan AA Gharib, PHD","CONTACT","+201065798861","dradnanpts@gmail.com",{"name":51,"role":47,"phone":52,"phoneExt":30,"email":49},"Magda Ramadan Zahran, Assistant Professor","01065798861",[54],{"facility":5,"status":55,"city":56,"state":57,"zip":58,"country":59,"countryCode":60,"cosmosGeoPoint":61,"geoPoint":66,"contacts":67},"RECRUITING","Giza","Giza Governorate","11432","Egypt","EG",{"type":62,"coordinates":63},"Point",[64,65],31.20861,30.00944,{"lat":65,"lon":64},[68,69,70],{"name":46,"role":47,"phone":52,"phoneExt":30,"email":49},{"name":51,"role":47,"phone":52,"phoneExt":30,"email":49},{"name":46,"role":71,"phone":30,"phoneExt":30,"email":30},"PRINCIPAL_INVESTIGATOR",{"type":71,"investigatorFullName":73,"investigatorTitle":74,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"Adnan Abdelkhalik Atwa Gharib","Physical Therapy Specialist","100646230","core-stability-vs-scapular-stabilization-on-hand-grip-strength-in-chronic-myofascial-neck-pain-100646230",false,"NCT07692126","Core Stability vs Scapular Stabilization on Hand Grip Strength in Chronic Myofascial Neck Pain","Core Stability Exercises Versus Scapular Stabilization Exercises on Hand Grip Strength in Patients With Chronic Myofascial Neck Pain","Inclusion Criteria:\n\n1. Patients diagnosed with chronic myofascial neck pain depending on referral, and physical examination.\n2. Sixty patients diagnosed with chronic myofascial neck pain for more than six months.\n3. Patients age range will 25-45 years\n4. Patients body mass index (BMI) will be 18.5-24.9 kg\u002Fm2\n5. Each patient suffering from all active MTrPs in the upper trapezius muscle with painful\u002F tender nodule.\n6. Patients have a constant neck pain with positive jump sign when palpating the upper trapezius muscle.\n7. Patients have referred pain, and symptoms of ipsilateral hand muscle weakness.\n8. No history of undergoing physiotherapy modalities or corticosteroid injection therapies in the past six months before the study\n\nExclusion Criteria:\n\n1. Presence of signs of severe pathology such as malignancies, mainly of the cervical region.\n2. Fracture of the cervical spine.\n3. Cervical radiculopathy or myelopathy.\n4. Diabetes mellitus.\n5. Trauma, cognitive anomalies, and surgery around neck, shoulders, or hand.\n6. Fibromyalgia or vascular syndromes such as vertebral basilar insufficiency.\n7. Pregnancy.\n8. Having undergone physical therapy within the past three months before the study.\n9. Having corticosteroid injection therapies in the past 3 months before the study.","ALL","25 Years","45 Years",{"count":86,"type":87},60,"ESTIMATED","INTERVENTIONAL",[90],"NA","Chronic myofascial neck pain (CMNP) is a painful non-articular musculoskeletal neck syndrome that is a persistent and prevalent with a high incidence of recurrence rate range 30-93%.Management of myofascial trigger points were directed at its deactivation, and prevention of its recurrence. Based on mechanical kinetic chain, the upper extremity functions as a unique system of connected segments those collaborated in a harmony in order to perform daily life activities. Core stability exercises maximize motor pathways mechanoreceptors' activities, as well scapular stabilization exercises are generally recommended based on reported benefits in terms of chronic neck pain. The relationship between chronic myofascial neck pain, and hand disability is quite strong. From mechanical point of view, core stability exercises improve trunk stability in line to enhance upper extremity efficiency that facilitates hand, and pinch grasping. In addition, scapular stabilization exercises could improve both hand, and pinch grasp strength and dexterity. Therefore, this randomized clinical trial will be conducted in line to clarify the superiority of the therapeutic effects between core stability exercises, scapular stabilization exercises, and conventional physical therapy program on hand grip strength, pinch grip strength, neck pain intensity level, pain pressure threshold, and whole upper extremity functional level in patients with chronic myofascial neck pain.",[93,94,95,96,97,98,99,100],"Myofascial Neck Pain","Hand Grip Strength","Pressure Pain Threshold","Trigger Point in Trapezius Muscle","Core Muscle Weakness","Scapular Muscle Endurance","Disability of the Arm, Shoulder, and Hand Questionnaire","Neck Pain Musculoskeletal",[102,103,94,104,105,106,107,108,95,109,110],"Core Stability Exercise","Scapular Stabilization Exercises","Chronic Myofascial neck syndrome","Trigger Points","Upper Trapezius","Pinch Grip Strength","Hand Held Dynamometer","Pressure Algometer","Diability of the Arm, Shoulder, and Hand Questionnaire (Arabic version), (Arabic-Q-DASH)","2026-07-08",{"date":113,"type":114},"2026-07-10","ACTUAL",{"date":116,"type":114},"2026-06-01",{"date":118,"type":87},"2027-06-30",{"name":5,"class":6},1]