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CTRI Number  CTRI/2025/05/086842 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 06/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Studying How Mental Practice Affects Neck Awareness, Movement Confidence, and Daily Function in Women with Long-Term Neck Pain 
Scientific Title of Study   Impact of Motor Imagery Intervention on Cervical Proprioceptive Accuracy and Kinesiophobia and Disability in Females with Chronic Non-Specific Neck Pain: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shumaila Khan 
Designation  Post Graduate Scholar 
Affiliation  Jamia Hamdard 
Address  Room No.8, Rehabilitation Centre, Department of Physiotherapy, Jamia Hamdard, Hamdard Nagar, New Delhi

South
DELHI
110062
India 
Phone  6388246009  
Fax    
Email  770shumailakhan@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Zuheb Ahmed Siddiqui 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Room No. 534, 5th Floor, Central Library Building, Department of Physiotherapy, Jamia Hamdard, Hamdard Nagar, New Delhi

South
DELHI
110062
India 
Phone  9810744297  
Fax    
Email  zuhebahmedsiddiqui@jamiahamdard.ac.in  
 
Details of Contact Person
Public Query  
Name  Zuheb Ahmed Siddiqui 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Room No. 534, 5th Floor, Central Library Building, Department of Physiotherapy, Jamia Hamdard, Hamdard Nagar, New Delhi


DELHI
110062
India 
Phone  9810744297  
Fax    
Email  zuhebahmedsiddiqui@jamiahamdard.ac.in  
 
Source of Monetary or Material Support  
Jamia Hamdard, Hamdard Nagar, New Delhi - 110062 
 
Primary Sponsor  
Name  Jamia Hamdard 
Address  Hamdard Nagar, New Delhi - 110062 
Type of Sponsor  Research institution and hospital 
 
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 
Dr Zuheb Ahmed Siddiqui  Jamia Hamdard  Room No.8, Rehabilitation Centre,Jamia Hamdard, Hamdard Nagar, New Delhi - 110062
South
DELHI 		 9810744297

zuhebahmedsiddiqui@jamiahamdard.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Jamia Hamdard Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M259||Joint disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Exercises  • Traditional intervention [Neck stabilization exercises]. • The cervical bracing technique will be performed [24]. The exercises would include workouts using the bracing technique in the neurodevelopment phase (prone, supine, bipedal, quadrupedal) for the cervical spine. • The contraction will be 10 seconds in each position, with 8 repetitions. • Then, cervical isometric exercises will be implemented with 10 repetitions and a hold time of 6 to 10 seconds each [24]. NSE will be performed once a day (three days per week, for six weeks)  
Intervention  Motor Imagery Exercises  • The three phases of the motor imagery intervention will be implemented one after the other, in order, for 6 weeks: a) kinesthetic imagery (first and the second week); b) internal visual imagery (third and fourth weeks); and c) external visual imagery along with laterality discrimination (fifth and sixth week). The motor imagery training will be given for a maximum of 25 min, 3 days a week for 6 weeks. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  1.Female subjects aged between 30 to 50 years.
2.Diagnosed with non specific chronic neck pain for more than three months.
3.Chronic neck pain having not less than 3 cms on Visual Analogue Scale causing pain, impairment of function and physical disability.
 
 
ExclusionCriteria 
Details  1.Subjects with a diagnosed cervical radiculopathy or any nerve root involvement.
2.Subjects with a history of osteoporosis
3.Subjects having undergone neck surgery during the past twelve months.
4.Subjects with uncontrolled diabetes with and without peripheral neuropathy.
5.Subjects with diagnosed visual, vestibular & balance impairments.
6.Recent history of injury or trauma to the upper limb.
7.Subjects having any drug abuse.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Neck Pain, Head Repositioning Accuracy, Kinesiophobia  Baseline, After 4 weeks and after 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Neck Disability Index  Baseline, After 4 weeks and after 6 weeks 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   19/05/2025 
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="15" 
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  

This randomized controlled trial will be conducted at the Rehabilitation Centre, Department of Physiotherapy, Jamia Hamdard, New Delhi, over a duration of six months. A total of 75 female participants (aged 30–50 years) diagnosed with non-specific chronic neck pain (NSCNP) for over three months will be recruited and randomly allocated into three groups:

  • Group A (Control Group): Neck Stabilization Exercises (NSE)

  • Group B (Motor Imagery Group): Motor Imagery (MI) Training

  • Group C (Combined Group): NSE + MI

Intervention Protocol

Group A (Control Group):

  • Neck stabilization exercises (cervical bracing in different postures)

  • Cervical isometrics (10 repetitions, 5-10 sec hold)

  • Stretching exercises for upper trapezius, sternocleidomastoid, and levator scapulae (5 reps, 10 sec hold)

  • Hot fermentation for 10 minutes

Group B (Motor Imagery Group):

  • Weeks 1-2: Kinesthetic Imagery – Participants imagine performing neck stabilization exercises with verbal guidance.

  • Weeks 3-4: Internal Visual Imagery – Participants watch recorded videos of exercises and mentally rehearse them.

  • Weeks 5-6: External Visual Imagery – Participants perform exercises while observing themselves in a mirror.

  • Laterality discrimination training with head/neck images (identifying left/right positions).

  • MI training duration: 25 minutes, 3 times per week for six weeks.

Group C (Combined Group):

  • A combination of NSE and MI training following the respective protocols above.

Outcome Measures

Assessments will be conducted at baseline and post-intervention using:

  • Pain: Visual Analogue Scale (VAS)

  • Kinesiophobia: Tampa Scale of Kinesiophobia (TSK)

  • Cervical Proprioception: Head Repositioning Accuracy Test (HRAT)

  • Disability: Neck Disability Index (NDI)

Data Collection & Analysis

  • Data will be recorded using the Nordic Musculoskeletal Questionnaire and manually entered into a pre-planned format.

  • Ethical approval will be obtained, and informed consent will be taken from all participants.

  • A statistician will analyze the data using appropriate statistical methods.

 
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