[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100651403":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":24,"centralContacts":29,"locations":35,"responsibleParty":50,"collaborators":24,"id":53,"slug":54,"hasResults":55,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":55,"sex":61,"minAge":62,"maxAge":63,"enrollmentInfo":64,"targetDuration":24,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":73,"overallStatus":83,"whyStopped":24,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Al-Azhar University - Gaza","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Neck Exercise Program","ACTIVE_COMPARATOR","Participants will receive a supervised neck exercise program consisting of deep cervical flexor training, cervical stabilization exercises, stretching exercises, postural correction, scapular strengthening, and a home exercise program. The intervention will be provided for 6 weeks with 3 supervised sessions per week.",[13],"Other: Neck Exercise Program",{"label":15,"type":16,"description":17,"interventionNames":18},"Neck Exercise Program + Diaphragmatic Intervention","EXPERIMENTAL","Participants will receive the same supervised neck exercise program as the active comparator group, combined with a diaphragm-focused intervention consisting of manual diaphragm release, diaphragmatic myofascial release, release of accessory respiratory muscles, and breathing re-education. Treatment will be provided for 6 weeks with 3 supervised sessions per week.",[13,19],"Other: Diaphragmatic Myofascial Release and Diaphragm-Directed Manual Therapy",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"A supervised neck exercise program including deep cervical flexor training, cervical stabilization exercises, stretching of the upper trapezius, levator scapulae, pectoralis major, and sternocleidomastoid muscles, postural correction exercises, scapular strengthening, and a daily home exercise program. Participants will attend 3 supervised sessions per week for 6 weeks.",[9,15],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Diaphragmatic Myofascial Release and Diaphragm-Directed Manual Therapy","The diaphragm-focused intervention includes manual diaphragm release using gentle sustained traction under the lower costal margin during exhalation; diaphragmatic myofascial release targeting the lower ribs, xiphoid region, costal margins, and related fascial structures; manual release of accessory respiratory muscles including the sternocleidomastoid, scalenes, upper trapezius, and pectoralis minor; and diaphragmatic breathing re-education.",[15],[30],{"name":31,"role":32,"phone":33,"phoneExt":24,"email":34},"Abdelrahman Alghoul, BSc","CONTACT","+970595248697","a.s.alghoul98@gmail.com",[36],{"facility":37,"status":24,"city":38,"state":24,"zip":24,"country":39,"countryCode":24,"cosmosGeoPoint":40,"geoPoint":45,"contacts":46},"Alnos Street","Gaza","Palestinian Territories",{"type":41,"coordinates":42},"Point",[43,44],34.46672,31.50161,{"lat":44,"lon":43},[47],{"name":48,"role":32,"phone":49,"phoneExt":24,"email":34},"Abdelrahman Alghoul","0595248697",{"type":51,"investigatorFullName":48,"investigatorTitle":52,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"SPONSOR_INVESTIGATOR","Master's Researcher in Physical Therapy","100651403","diaphragmatic-myofascial-release-added-to-neck-exercises-for-chronic-neck-pain-100651403",false,"NCT07761793","Diaphragmatic Myofascial Release Added to Neck Exercises for Chronic Neck Pain","Effect of Adding Diaphragmatic Myofascial Release to a Neck Exercise Program on Pain, Disability, Fatigue, and Kinesiophobia Among Patients With Chronic Neck Pain in the Gaza Strip: A Randomized Controlled Trial","DMR-CNP","Inclusion Criteria:\n\n* Men and women aged 25-60 years.\n* Diagnosis of chronic neck pain lasting longer than 3 months.\n* Ability to understand and follow instructions.\n\nExclusion Criteria:\n\n* Previous cervical spine surgery.\n* Cervical radiculopathy or myelopathy.\n* History of fracture, inflammatory disease, malignancy, or neurological disorder.\n* Respiratory diseases such as chronic obstructive pulmonary disease (COPD) or severe asthma.\n* Current vestibular disorder.\n* Pregnancy.\n* Receipt of physical therapy or manual therapy during the previous 3 months.","ALL","25 Years","60 Years",{"count":65,"type":66},60,"ESTIMATED","INTERVENTIONAL",[69],"NA","Chronic neck pain can affect daily activities and may be associated with pain, disability, fear of movement, and fatigue. Exercise is commonly used to manage chronic neck pain, but some people continue to experience symptoms despite exercise treatment.\n\nThis study will investigate whether adding diaphragmatic myofascial release, a hands-on manual therapy directed toward the diaphragm and surrounding tissues, to a neck exercise program provides greater benefits than neck exercises alone in adults with chronic neck pain.\n\nSixty adults aged 25 to 60 years with chronic neck pain lasting more than three months will be randomly assigned to one of two groups. The control group will receive a supervised neck exercise program, while the intervention group will receive the same neck exercise program combined with diaphragmatic myofascial release and related diaphragmatic manual therapy. Both groups will receive treatment for six weeks, with three supervised sessions per week.\n\nPain, neck-related disability, fear of movement, and fatigue will be assessed before treatment, immediately after the six-week intervention, and four weeks after completion of treatment. The study will examine whether adding diaphragmatic myofascial release to neck exercises leads to greater improvements in these outcomes compared with neck exercises alone.",[72],"Chronic Neck Pain",[72,74,75,76,77,78,79,80,81,82],"Diaphragmatic Myofascial Release","Neck Exercise","Manual Therapy","Physical Therapy","Kinesiophobia","Fatigue","Neck Disability","Pain Intensity","Diaphragmatic Breathing","NOT_YET_RECRUITING","2026-08-08",{"date":86,"type":87},"2026-08-12","ACTUAL",{"date":89,"type":66},"2026-10",{"date":91,"type":66},"2027-01",{"name":48,"class":6},1]