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CTRI Number  CTRI/2025/03/083035 [Registered on: 21/03/2025] Trial Registered Prospectively
Last Modified On: 19/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Impact of Cervical Stabilization and Motor Control Exercises on Pain Disability and Mobility in Chronic Neck Pain 
Scientific Title of Study   Effectiveness of cervical stabilization and motor control exercises on pain neck disability and range of motion in subjects with chronic neck Pain-A comparative Study  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Rohit Ravi Arakeri 
Designation  PG Student 
Affiliation  RV College of Physiotherapy 
Address  No CA 2 83 3 9th Main Rd 4th T Block East 4th Block Jayanagar Bengaluru Karnataka 560011
No CA 2 83 3 9th Main Rd 4th T Block East 4th Block Jayanagar Bengaluru Karnataka 560011
Bangalore
KARNATAKA
560011
India 
Phone  8904892539  
Fax    
Email  rohitarakeri5399@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr.Paul Daniel Vk 
Designation  Professor  
Affiliation  RV COLLEGE OF PHYSIOTHERAPY 
Address  No CA 2 83 3 9th Main 4th Block Jayanagar Bengaluru Karnataka

Bangalore
KARNATAKA
560011
India 
Phone  9008173167  
Fax    
Email  pauldanielvk.rvcp@rvei.edu.in  
 
Details of Contact Person
Public Query  
Name  Dr.Paul Daniel Vk 
Designation  Professor  
Affiliation  RV COLLEGE OF PHYSIOTHERAPY 
Address  No CA 2/83-3 9th Main 4th Block Jayanagar Bengaluru Karnataka

Bangalore
KARNATAKA
560011
India 
Phone  9008173167  
Fax    
Email  pauldanielvk.rvcp@rvei.edu.in  
 
Source of Monetary or Material Support  
RV College of Physiotherapy No CA 2 83 3 9th Main 4th Block Jayanagar Bengaluru Karnataka 560011 
 
Primary Sponsor  
Name  nil 
Address  nil 
Type of Sponsor  Other [nil] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrPaul Daniel Vk  RV college of physiotherapy  Department of Musculoskeletal Sciences room no 3
Bangalore
KARNATAKA 		 9008173167

pauldanielvk.rvcp@rvei.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RV INSTITUTION OF PHYSIOTHERAPY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Cervical stabilization exercises  Subjects with neck pain tend to exhibit impaired cervical flexor muscle motor control and strength. According to studies, those with neck pain have lower activation of the deep cervical flexors, a smaller range of CCF range of motion, and a greater EMG amplitude of the superficial sternocleidomastoid and anterior scalene muscles when compared to people without neck pain. Neck stabilization exercises will be given thrice a week for 4 weeks 30mins a session Each session is comprised of 5 min warm up,20 min cervical stabilization Page 13 of 29 exercises, and 5 min cooldown The cervical bracing technique will performed in neurodevelopment stages, and then extremity range-of-motion exercises will given. Cervical dynamic isometric exercises will be performed directly forward, obliquely, toward right and left, and directly backward by maintaining a stable spine with elastic resistive bands. Functional training with elastic resistance and exercise balls on unstable surfaces was performed in combination with cervical bracing. 
Intervention  Motor control exercises  Cranio-cervical flexor training will be given 3 times a week for 4 weeks The pressure biofeedback device is placed on the back of the head, and the visual input that is collected through the devices dials is used to validate the flattened cervical lordosis. The pressure biofeedback beneath the subjects neck is first inflated to 20 mm Hg. Next, the subject applies pressure at an incremental level using the sensor dial. i.e 2 mm Hg up to 30 mmHg The subjects will be asked to gently nod their head as if they were saying yes contraction continued for ten to fifteen seconds. With 3-5 rest intervals in between each repetition, this was done ten times.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Subjects who are willing to participate as volunteers and sign the written
informed consent form
2. Subject of age group 25-50 years
3. Subjects diagnosed with Chronic neck pain
4. Subjects with a neck disability index (NDI) score of at least 10, indicating mild
to moderate disability  
 
ExclusionCriteria 
Details  1. Subjects with acute neck pain.
2. Subjects with specific neck pathologies requiring surgical intervention (e.g.,
cervical spine fracture, tumors).
3. Subjects with a history of recent neck trauma (e.g., whiplash injury within the
last 6 months).
4. Subjects with neurological deficits in the upper extremities.
5. Subjects with inflammatory or infectious conditions affecting the neck.
6. Subjects with severe osteoporosis or other severe systemic diseases affecting
the neck.
7. Subjects who have undergone neck surgery in the past year.
8. Subjects with recent shoulder surgery.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
NPRS NDI   base line and after 4 week 
 
Secondary Outcome  
Outcome  TimePoints 
NIL   
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The study titled "Effectiveness of Cervical Stabilization and Motor Control Exercises on Pain, Neck Disability, and Range of Motion in Subjects with Chronic Neck Pain – A Comparative Study" aims to evaluate and compare the effects of two exercise interventions on chronic neck pain patients. Chronic neck pain is a prevalent condition that impacts daily function and quality of life. The research highlights that neck pain is associated with reduced cervical muscle strength, poor motor control, and functional impairments. Cervical stabilization exercises focus on activating deep cervical flexors to enhance stability and control, whereas motor control exercises target improving neuromuscular coordination. This study, conducted at RV College of Physiotherapy, Bengaluru, follows a non-randomized comparative parallel design with 70 participants divided into two groups receiving either cervical stabilization or motor control exercises over four weeks. Outcome measures include pain (NPRS), neck disability (NDI), and range of motion (ROM), analyzed using statistical methods. The study intends to provide insights into the most effective intervention for reducing pain and improving function in individuals with chronic neck pain, potentially guiding physiotherapy management strategies.

 
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