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CTRI Number  CTRI/2025/07/090776 [Registered on: 11/07/2025] Trial Registered Prospectively
Last Modified On: 11/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study on Neck Muscle Activity and Fatigue During Theraband Exercises in People with Chronic Neck Pain 
Scientific Title of Study   Analysis of Cervical Muscle Activity and Fatigue in Response to Moderate Intensity Theraband Exercises in Patients with Persistent Neck Pain 
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 Mohammad Sidiq 
Designation  Associate Professor 
Affiliation  GALGOTIAS UNIVERSITY 
Address  Room No. B-319, Department of Physiotherapy, School of Allied Health Sciences, Plot No. 2, Yamuna Expy, opposite Buddha International Circuit,

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  06006204628  
Fax    
Email  sidufatima@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mohammad Sidiq 
Designation  Associate Professor 
Affiliation  GALGOTIAS UNIVERSITY 
Address  Room No. B-319, Department of Physiotherapy, School of Allied Health Sciences, Plot No. 2, Yamuna Expy, opposite Buddha International Circuit,


UTTAR PRADESH
203201
India 
Phone  06006204628  
Fax    
Email  sidufatima@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jyoti Sharma 
Designation  Professor 
Affiliation  Galgotias University 
Address  Room No B 316, Department of Physiotherapy, School of Allied Health Sciences,Galgotias University, Sector 17A, Opp. Yamuna Expressway, Greater Noida, Gautam Buddh Nagar, Uttar Pradesh 201306

Gautam Buddha Nagar
UTTAR PRADESH
201306
India 
Phone  09717161626  
Fax    
Email  jyoti.sharma@galgotiasuniversity.edu.in  
 
Source of Monetary or Material Support  
Research & Development Cell, Galgotias University, Plot No 2, Sector 17A, opposite Buddha International Circuit, Greater Noida, Gautam Buddha Nagar, Uttar Pradesh, India, 203201 
 
Primary Sponsor  
Name  Galgotias University 
Address  Plot No 2, Sector 17A, Opposite Buddha International Circuit, Greater Noida, Gautam Buddha Nagar, Uttar pradesh, India, 203201 
Type of Sponsor  Research institution 
 
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 Mohammad Sidiq  Room No 217, Ai Block Galgotias University  Plot No 2, Sector 17A, Opposite Buddha International Circuit, Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH 
6006204628

sidufatima@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Galgotias University Human Research Ethics Committee (GUHREC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Moderate Intensity TheraBand training  Participants in the intervention group will perform a structured, moderate-intensity Theraband exercise protocol targeting both deep and superficial cervical muscles. The exercise regimen will include resisted cervical flexion, extension, lateral flexion (left and right), and scapular stabilization exercises using Therabands of standardized moderate resistance based on color-coded levels. Each session will last approximately 30 minutes and will be conducted three times per week for a duration of 6 weeks. All exercises will be supervised by a qualified physiotherapist to ensure correct technique, progression, and safety. Resistance will be adjusted as needed to maintain moderate intensity, and participants will be instructed to report any discomfort. This protocol aims to improve cervical muscle strength, reduce fatigue, and enhance neuromuscular control in individuals with persistent neck pain.  
Comparator Agent  Standard Physiotherapy Care  Participants in the control group will receive a conventional physiotherapy program consisting of moist heat therapy for 15 minutes applied to the posterior neck to reduce pain and stiffness, followed by cervical isometric exercises in all directions (flexion, extension, lateral flexion, and rotation) with 10 repetitions and 5-second holds. Cervical range of motion (ROM) exercises will also be included to maintain mobility, with 10 slow, pain-free repetitions in each direction. Scapular stabilization exercises such as shoulder shrugs and blade squeezes (10 reps × 2 sets) will be performed to enhance postural support. Additionally, participants will receive education on correct posture and ergonomic modifications for daily activities. A home exercise program comprising basic ROM and isometric exercises will be prescribed for daily practice. The intervention will be administered twice weekly for 6 weeks under the supervision of a licensed physiotherapist, with continuous monitoring of pain and fatigue levels.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Individuals diagnosed with persistent non-specific Neck Pain for more than 3 months duration.
Neck Disability Index score indicating mild to moderate disability
Able to perform basic neck movements without severe restriction.
Willingness to participate and provide informed written consent.Able to understand and follow instructions for exercise protocol and assessments.

 
 
ExclusionCriteria 
Details  History of neck surgery or trauma in the past 6 months.
Specific neck pathology (e.g., cervical radiculopathy, myelopathy, disc herniation, inflammatory arthritis, tumor).
Neurological disorders affecting muscle function (e.g., stroke, multiple sclerosis, Parkinson’s disease).
Pregnancy, due to potential risk during exercise.
Current physiotherapy treatment for neck pain or recent participation in a neck strengthening program (within last 3 months).
Use of muscle relaxants or corticosteroids during the study period.
Systemic illnesses such as uncontrolled diabetes, hypertension, or thyroid disorders affecting fatigue or musculoskeletal function.Cognitive impairments or psychiatric conditions that hinder understanding of instructions or participation.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Surface EMG Muscle Activity
Pressure pain threshold
NPRS for pain 
At Baseline, 8 weeks after 26 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Fatigue Severity Scale  At Baseline, 8 weeks after 26 weeks 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
Final Enrollment numbers achieved (Total)= "55"
Final Enrollment numbers achieved (India)="55" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   07/08/2025 
Date of Study Completion (India) 25/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
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 aims to evaluate the effects of moderate-intensity Theraband exercises on cervical muscle activity and fatigue in individuals with persistent neck pain. Persistent neck pain is a prevalent musculoskeletal disorder associated with reduced cervical muscle function, endurance, and quality of life. The study will include adult participants diagnosed with non-specific neck pain lasting for more than 3 months. Participants will be randomly assigned into two groups: an intervention group receiving a structured, moderate-intensity Theraband exercise program and a control group receiving conventional physiotherapy. The intervention will consist of cervical flexion, extension, lateral flexion, and scapular stabilization exercises using Therabands, performed three times per week for six weeks under physiotherapist supervision. The control group will receive moist heat therapy, cervical isometric exercises, range of motion exercises, and postural training twice a week for six weeks. Primary outcomes include cervical muscle activity assessed via surface electromyography (sEMG) and fatigue levels measured through standardized fatigue scales. Secondary outcomes include pain intensity and functional disability. This study seeks to provide evidence on the efficacy of resistance-based rehabilitation in managing cervical neuromuscular dysfunction, potentially offering a cost-effective, scalable intervention for physiotherapy management of persistent neck pain.

 
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