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CTRI Number  CTRI/2025/09/094540 [Registered on: 10/09/2025] Trial Registered Prospectively
Last Modified On: 09/09/2025
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   Improving chronic neck pain through action observation therapy and pain neuroscience education 
Scientific Title of Study   The effects of action observation therapy and pain neuroscience education in individuals with chronic 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  Nidhi Nain 
Designation  Post Graduate Student 
Affiliation  Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences 
Address  Department of Physiotherapy, E-Block, PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  7217640397  
Fax    
Email  nidhinain912@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhawna Verma 
Designation  Associate Professor 
Affiliation  Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences 
Address  Faculty room,Department of Physiotherapy, E-Block, PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  9992822644  
Fax    
Email  Bhawna_pt@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Nidhi Nain 
Designation  Post Graduate Student 
Affiliation  Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences 
Address  Department of Physiotherapy, E-Block, PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  7217640397  
Fax    
Email  nidhinain912@gmail.com  
 
Source of Monetary or Material Support  
College of Physiotherapy, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak 124001 
 
Primary Sponsor  
Name  College of Physiotherapy, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences 
Address  Faculty room, E-Block, College of Physiotherapy, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, UHS, Rohtak, Haryana-124001, India 
Type of Sponsor  Government medical college 
 
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 
Nidhi Nain  Pt. B.D. Sharma, PGIMS  Room no. 28, 29, 30,39, 42 Ortho OPD and Physiotherapy OPD, Physiotherapy Department, E-Block, College of Physiotherapy, Pt. B.D. Sharma, PGIMS
Rohtak
HARYANA 
7217640397

nidhinain912@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical research ethics commitee  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  Pain Neuroscience Education and Action Observation therapy  Pain Neuroscience Education will be delivered through PPT and Action Observation therapy will be given in form of video (11 minutes: 4 minutes of observing clips of exercise, followed by 3 minutes of rest and repetition of 4 minutes of video clip) at the end of the session. There will be 4 sessions of both Pain Neuroscience Education and Action Observation therapy. 2 sessions twice a week for 2 weeks. 
Comparator Agent  Pain Neuroscience Education and Natural Landscape Observation  Pain Neuroscience Education will be delivered through PPT and Natural Landscape Observation therapy (11 minutes: 4 minutes of video of natural landscape, followed by 3 minutes interval with completely black screen and another 4 minutes of video of different natural landscape) will be given in form of video at the end of the session. There will be 4 sessions of both Pain Neuroscience Education and Natural Landscape Observation therapy. 2 sessions twice a week for 2 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Visual Analog Scale (VAS) score (range: 1-10) greater than 3 and less than 8 in the last 24 h
History of neck pain (at least 12 weeks and 3 days a week)
 
 
ExclusionCriteria 
Details  Subjects with cervical fracture and subluxation
Subjects with vestibular pathology
Subjects with rheumatic autoimmune diseases
Subjects with severe cervical trauma (i.e. automobile accident that had affected the cervical area; whiplash)
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pain
Disability
Fear of movement
Pain catastrophizing
Sleep quality 
Day 0 (Pre-intervention)
After 2 weeks (Post-intervention) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   22/09/2025 
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="1"
Months="0"
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   This study aims to evaluate the effect of combining action observation therapy with pain neuroscience education in comparison to pain neuroscience education in individuals with chronic neck pain. A total of 30 subjects will be included in the study as per inclusion and exclusion criteria by using screening proforma. A comprehensive description of study will be given to participants and participants will be requested to sign an informed consent. Then subject will be randomly allocated to each group. In Group A (Experimental Group), Pain Neuroscience Education will be delivered through PPT and Action Observation therapy will be given in the form of video at the end of the session. Participants will be asked to observe a video of a person performing specific therapeutic neck exercises. In Group B (Control Group), Pain Neuroscience Education will be delivered through PPT and Natural Landscape Observation therapy will be given at the end of the session. Participants will be asked to observe a video of natural landscapes. Outcomes measures will be taken pre and post intervention. 
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