[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100655617":3},{"organization":4,"outcomesModule":7,"designInfo":25,"detailedDescription":33,"studyPopulation":24,"armGroups":34,"interventions":46,"overallOfficials":24,"centralContacts":59,"locations":65,"responsibleParty":84,"collaborators":24,"id":86,"slug":87,"hasResults":88,"nctId":89,"briefTitle":90,"officialTitle":90,"acronym":24,"eligibilityCriteria":91,"healthyVolunteers":88,"sex":92,"minAge":93,"maxAge":94,"enrollmentInfo":95,"targetDuration":24,"studyType":98,"phases":99,"briefSummary":101,"conditions":102,"keywords":24,"overallStatus":68,"whyStopped":24,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"Ibadat International University, Islamabad","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":20,"otherOutcomes":24},[9,13,17],{"measure":10,"description":11,"timeFrame":12},"Neck Disability - Neck Disability Index (NDI)","Measure: Functional disability related to neck pain measured using the Neck Disability Index.","Baseline and after 4 weeks of treatment.",{"measure":14,"description":15,"timeFrame":16},"Pain Intensity - Numeric Pain Rating Scale (NPRS)","Neck pain intensity measured using the 0-10 Numeric Pain Rating Scale","Baseline and after 4 weeks of treatment",{"measure":18,"description":19,"timeFrame":12},"Universal Goniometer","Measure Cervical Range of Motion - Cervical flexion, extension, right\u002Fleft lateral flexion and right\u002Fleft rotation",[21],{"measure":22,"description":23,"timeFrame":16},"The Neck Flexor Endurance Test","Measure cervical flexor muscle endurance",null,{"allocation":26,"interventionModel":27,"interventionModelDescription":24,"primaryPurpose":28,"observationalModel":24,"timePerspective":24,"maskingInfo":29},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":30,"maskingDescription":24,"whoMasked":31},"SINGLE",[32],"OUTCOMES_ASSESSOR","Participants with radiologically confirmed cervical spondylosis will be recruited according to predefined inclusion and exclusion criteria. A total of 44 participants will be recruited, with 22 participants allocated to each group after accounting for an anticipated 10% loss to follow-up.\n\nParticipants will be randomly allocated using the sealed envelope method into two groups. Group A will receive pressure biofeedback-assisted deep cervical flexor training combined with scapular stabilization exercises and standard physiotherapy. Group B will receive pressure biofeedback-assisted deep cervical flexor training without scapular stabilization exercises, along with standard physiotherapy.\n\nTreatment will be provided three times per week for four weeks, with each session lasting approximately 30-40 minutes. Outcomes will be assessed at baseline and after completion of the four-week intervention.",[35,42],{"label":36,"type":37,"description":24,"interventionNames":38},"Group A: Pressure Biofeedback-Assisted Deep Cervical Flexor Training + Scapular Stabilization Exerci","EXPERIMENTAL",[39,40,41],"Other: Pressure Biofeedback-Assisted Deep Cervical Flexor Training","Other: Scapular Stabilization Exercises","Other: Standard Physiotherapy",{"label":43,"type":44,"description":24,"interventionNames":45},"Group B: Pressure Biofeedback-Assisted Deep Cervical Flexor Training + Standard Physiotherapy","ACTIVE_COMPARATOR",[39,41],[47,51,55],{"type":6,"name":48,"description":49,"armGroupLabels":50,"otherNames":24},"Pressure Biofeedback-Assisted Deep Cervical Flexor Training","Deep cervical flexor training will be performed using a pressure biofeedback unit to facilitate selective activation and improve the strength and endurance of the deep cervical flexor muscles, particularly the longus colli and longus capitis. The participant will be positioned in supine lying with the hips and knees comfortably flexed, and the pressure biofeedback cuff will be placed beneath the cervical spine at approximately the C4-C5 level. The cuff will be inflated to a baseline pressure of 20 mmHg. The participant will be instructed to perform a gentle cranio-cervical flexion movement by slowly nodding the head and drawing the chin inward while maintaining contact of the head with the treatment surface. The pressure will be gradually increased to the prescribed target while avoiding head lifting, excessive cervical flexion, jaw clenching, shoulder elevation, or compensatory activation of the superficial cervical muscles. The target pressure will be 22 mmHg during the first week, 2",[36,43],{"type":6,"name":52,"description":53,"armGroupLabels":54,"otherNames":24},"Scapular Stabilization Exercises","Scapular stabilization exercises will be performed progressively to improve scapular control, postural alignment, and the strength and endurance of the scapular stabilizing muscles. During the first week, scapular retraction and depression exercises will be performed in sitting for 3 sets of 10 repetitions with a 5-second hold and 60 seconds rest between sets. During the second week, scapular retraction will be progressed using light TheraBand resistance for 3 sets of 10 repetitions with controlled movement and 60 seconds rest between sets. During the third week, wall slides and prone Y and T raises will be introduced and performed for 3 sets of 8-10 repetitions with controlled movement and 30-60 seconds rest between sets. During the fourth week, scapular stabilization exercises will be progressed with shoulder flexion and abduction while maintaining appropriate scapular control, performed for 3 sets of 10 repetitions with 30-60 seconds rest between sets. All exercises will be performe",[36],{"type":6,"name":56,"description":57,"armGroupLabels":58,"otherNames":24},"Standard Physiotherapy","Standard physiotherapy will include therapeutic exercises and postural management techniques aimed at reducing pain, improving cervical mobility, flexibility, and functional performance. Cervical range-of-motion exercises including flexion, extension, lateral flexion, and rotation will be performed within a pain-free range for 10 repetitions in each direction. Stretching exercises for the upper trapezius, levator scapulae, and pectoral muscles will be performed for 20-30 seconds for 3 repetitions. Cervical isometric strengthening exercises including flexion, extension, and lateral flexion will be performed with a 5-10-second hold for 10 repetitions. Postural education and ergonomic advice will also be provided, including instructions regarding proper sitting posture, appropriate head and neck positioning, and avoidance of prolonged static postures. Standard physiotherapy will be provided for approximately 10-15 minutes per session, three times weekly for four consecutive weeks.",[36,43],[60],{"name":61,"role":62,"phone":63,"phoneExt":24,"email":64},"Aqsa Anwar","CONTACT","0321-5172551","aqsaanwer.pt@gmail.com",[66],{"facility":67,"status":68,"city":69,"state":70,"zip":24,"country":71,"countryCode":72,"cosmosGeoPoint":73,"geoPoint":78,"contacts":79},"Hope Physiotherapy Clinic","RECRUITING","Rawalpindi","Punjab Province","Pakistan","PK",{"type":74,"coordinates":75},"Point",[76,77],73.0479,33.59733,{"lat":77,"lon":76},[80],{"name":81,"role":62,"phone":82,"phoneExt":24,"email":83},"Nida Khan","0331-0404000","knida816@gmail.com",{"type":85,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100655617","effectiveness-of-pressure-biofeedback-assisted-deep-cervical-flexor-training-with-and-without-scapular-stabilization-exercises-on-pain-range-of-motion-and-neck-disability-in-cervical-spondylosis-100655617",false,"NCT07814833","Effectiveness of Pressure Biofeedback-Assisted Deep Cervical Flexor Training With and Without Scapular Stabilization Exercises on Pain, Range of Motion and Neck Disability in Cervical Spondylosis","Inclusion Criteria:\n\n* Both genders aged 40-60 years.\n* Presence of chronic neck pain for ≥3 months with NPRS ≥3.\n* Radiologically confirmed cervical spondylosis, including cervical spine X-ray showing disc space narrowing and\u002For osteophyte formation.\n* Ability to perform active cervical and shoulder movements without neurological deficits.\n* Willingness to participate in the study and comply with the intervention protocol.\n\nExclusion Criteria:\n\n* History of cervical spine surgery or trauma in the past 6 months.\n* Severe neurological involvement, including cervical myelopathy or severe radiculopathy with motor weakness, gait disturbance, or bowel\u002Fbladder involvement.\n* Inflammatory or systemic musculoskeletal disorders, e.g., rheumatoid arthritis or ankylosing spondylitis.\n* Current participation in structured neck\u002Fshoulder rehabilitation programs.\n* Uncontrolled medical conditions contraindicating exercise, e.g., uncontrolled hypertension or cardiovascular disease.","ALL","40 Years","60 Years",{"count":96,"type":97},44,"ESTIMATED","INTERVENTIONAL",[100],"NA","This randomized controlled trial will evaluate the effectiveness of pressure biofeedback-assisted deep cervical flexor training with and without scapular stabilization exercises in patients with cervical spondylosis. The study will compare the effects of the two treatment approaches on pain intensity, cervical range of motion and neck disability.",[103],"Cervical Spondylosis","2026-09-07",{"date":106,"type":107},"2026-09-11","ACTUAL",{"date":109,"type":107},"2026-06-03",{"date":111,"type":97},"2026-09-24",{"name":5,"class":6},1]