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CTRI Number  CTRI/2025/12/099101 [Registered on: 15/12/2025] Trial Registered Prospectively
Last Modified On: 06/12/2025
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   Study on the benefits of understanding pain for pain relief and neck mobility in neck pain 
Scientific Title of Study   Assessing the effectiveness of pain neuroscience education on pain, range of motion, muscle strength and functional ability in cervical spondylosis: An experimental study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Malavika A 
Designation  Student 
Affiliation  Dayananda Sagar University 
Address  Musculoskeletal and sports lab, room number HS208, 2nd floor, Health Sciences Building, College of physiotherapy, Dayananda Sagar University, Devarakaggahalli, Harohalli, kanakapura Road, south bangalore, karnataka - 562112

Bangalore
KARNATAKA
562112
India 
Phone  9844018488  
Fax    
Email  malvika.anand2001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Vinod Kumar K C 
Designation  Associate Professor 
Affiliation  Dayananda Sagar University 
Address  College of Physiotherapy, Dayananda Sagar University, Devarakaggahalli, Harohalli, kanakapura Road Ramanagra Dt

Bangalore
KARNATAKA
562112
India 
Phone  9036200878  
Fax    
Email  vinnyphysio07@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vimarsha Nayak 
Designation  Assistant Professor 
Affiliation  Dayananda Sagar University 
Address  College of Physiotherapy, Dayananda Sagar University, Devarakaggahalli, Harohalli, kanakapura Road Ramanagra Dt

Bangalore
KARNATAKA
562112
India 
Phone  7022248388  
Fax    
Email  vimarsha-physio@dsu.edu.in  
 
Source of Monetary or Material Support  
Dayananda Sagar University,Devarakaggalahalli, Harohalli, Kanakapura road,south bangalore - karnataka - 562112, India 
 
Primary Sponsor  
Name  Dayananda Sagar University College of Physiotherapy 
Address  College of Physiotherapy, Dayananda Sagar University, devarakaggalahalli, Harohalli, Kanakapura, South bangalore , karnataka 562112, India 
Type of Sponsor  Other [Private University] 
 
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 Vinod K C  Dayananda Sagar University  Musculocutaneous and sports lab, Room number- HS208, 2nd floor, Health science builiding,College of Physiotherapy,Dayananda Sagar University, Devarakaggahalli, Harohalli, kanakapura Road, south bangalore, karnataka 562112
Bangalore
KARNATAKA 
9036200878

vinnyphysio07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
College of Physiotherapy, Dayananda Sagar University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M478||Other spondylosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Muscle Energy Techniques, Electrotherapy  Muscle energy techniques is a manual treatment in which a patient produces a contraction in a precisely controlled position and direction against a counterforce applied by manual therapist Set of 3 repetitions is given bilaterally to the upper trapezius, sternocleidomastoid, scalene, and levator scapulae muscles for 3 sessions per week for 6 weeks Electrotherapy is the use of electric currents that delivers electrical impulses to a patients body to promote and facilitate muscle healing and tissue regeneration ,treatment duration is 20 mins per session, 3 sessions per week for 6 weeks 
Intervention  Pain Neuroscience Education, Muscle Energy Techniques, Electrotherapy  Pain neuroscience education (PNE) is an educational approach that explains pain as a neural output emerging from complex biological, psychological, and social interactions. This intervention aims to facilitate change patients conceptualization of pain, educating them about the neurobiology and neurophysiology of pain and the treatment duration is 1 hour per session,3sessions per week for 6 weeks. Muscle energy techniques is a manual treatment in which a patient produces a contraction in a precisely controlled position and direction against a counterforce applied by manual therapist Set of 3 repetitions is given bilaterally to the upper trapezius, sternocleidomastoid, scalene, and levator scapulae muscles for 3 sessions per week for 6 weeks Electrotherapy is the use of electric currents that delivers electrical impulses to a patients body to promote and facilitate muscle healing and tissue regeneration ,treatment duration is 20 mins per session, 3 sessions per week for 6 weeks  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients with cervical-spondylosis grade 2 having neck pain more than 6 months
Pain intensity: 3-7 (NPRS)
Cognitive ability: Able to understand and provide informed consent
Language: Fluent in the language used for data collection and intervention ( kannada and English )
 
 
ExclusionCriteria 
Details  History of previous cervical spine surgery
Cognitive impairment
Contraindications to Muscle Energy Techniques or Electrotherapy like pacemakers, implants
Other condition involving cervical spine(carcinoma of cervical spine, rheumatoid arthritis, acute trauma)
Patients undergoing pharmacological treatment for cervical spondylosis
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
PAIN – Pain Catastrophizing Scale , Revised neurophysiology of pain questionnaire  Day 0, 6 weeks, 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
RANGE OF MOTION – Inclinometer

 
Day 0, 6 weeks, 8 weeks 
MUSCLE STRENGTH – Dynamometer
 
Day 0, 6 weeks,8 weeks 
FUNCTIONAL ABILITY – Neck disability index
 
Day 1, 6 weeks, 8 weeks 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   25/12/2025 
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 Yet Recruiting 
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   TITLE: Assessing the effectiveness of Pain Neuroscience Education ( PNE ) on pain, range of motion, muscle strength and functional ability in cervical spondylosis - An Experimental Study
This study investigated the comparative effectiveness of Pain neuroscience education along with Muscle energy techniques and electrotherapy versus only Muscle energy techniques ( MET) and electrotherapy ( ET ) among cervical spondylosis subjects.
The study involved 36 cervical spondylosis subjects aged 40-60 years both male and female. The participants were divided into two groups: one received Pain neuroscience education along with muscle energy techniques and electrotherapy, the other group received only Muscle energy techniques and electrotherapy. Electrotherapy included transcutaneous electrical stimulation.
Outcome measured were Pain ( Pain Catastrophizing Scale , Revised neurophysiology of pain questionnaire ), Range of motion ( Inclinometer ), Muscle strength ( Dynamometer ), Functional ability ( Neck disability Index ). The intervention lasted 6 weeks, with assessments at baseline, post treatment 6 weeks and 8 weeks.
The study rationale highlighted PNE along with MET and ET benefit in providing pain relief and increasing range of motion, muscle strength and functional ability beyond what muscle energy techniques and electrotherapy alone offer.


 
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