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CTRI Number  CTRI/2026/01/102542 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 30/01/2026
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   Comparison between the effect of active release technique and dynamic streching oF upper trapezius in patients with mechanical neck pain 
Scientific Title of Study   Comparison Between the Effect oF Active Release Technique and Dynamic Streching oF Upper Trapezius on Pain Range of Motion and Neck Disability in Patients with Mechanical Neck Pain:RCT 
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 Rutuja Nagorao Ambulgekar 
Designation  Master of musculoskeletal physiotherapy student 
Affiliation  Maharashtra Institute of Physiotherapy Latur 
Address  Department of musculoskeletal physiotherapy, OPD no 15, MIPT college, MIMSR Campus, Ambajogai Road, Latur 413531

Latur
MAHARASHTRA
413531
India 
Phone  7820865688  
Fax    
Email  rutu4917@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Risha Kamble 
Designation  Associate Professor of Musculoskeletal Physiotherapy 
Affiliation  Maharashtra Institute of Physiotherapy Latur 
Address  Department of musculoskeletal physiotherapy, OPD no 15 , MIPT college, MIMSR Campus , Ambajogai Road ,Latur 413531

Latur
MAHARASHTRA
413531
India 
Phone  9730857306  
Fax    
Email  rishakamble9@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Risha Kamble 
Designation  Associate Professor of Musculoskeletal Physiotherapy 
Affiliation  Maharashtra Institute of Physiotherapy Latur 
Address  Department of musculoskeletal physiotherapy, OPD no 15 , MIPT college, MIMSR Campus , Ambajogai Road ,Latur 413531

Latur
MAHARASHTRA
413531
India 
Phone  9730857306  
Fax    
Email  rishakamble9@gmail.com  
 
Source of Monetary or Material Support  
Maharashtra Institute of Physiotherapy Latur Department of musculoskeletal Physiotherapy OPD No 15 MIPT College MIMSR Campus Ambajogai Road Latur 413531 Maharshtra India 
 
Primary Sponsor  
Name  Maharashtra institute of Physiotherapy Latur 
Address  Department of musculoskeletal physiotherapy, OPD no 15 , MIPT college, MIMSR Campus , Ambajogai Road ,Latur 413531 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
Maharashtra university of health sciences Nashik  Dindori road mhasrul Nashik 422004  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rutuja Nagorao Ambulgekar  Maharashtra Institute of physiotherapy Latur 413531 Maharashtra India  Department of Musculoskeletal Physiotherapy OPD No 15 Maharashtra Institute of Physiotherapy Latur MIMSR Campus Ambajogai Road Latur 413531 Maharashtra India
Latur
MAHARASHTRA 
7820865688

rutu4917@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M542||Cervicalgia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  1)Active release technique 2)Conventional therapy   1) Active Release Technique - Alternate days with each Session lasting 20 minutes for a total Duration of 2 weeks repeated 3–5 times 2)Conventional therapy - Moist hot pack, Interferential Therapy,Neck isometrics. 
Comparator Agent  1)Dynamic stretching technique 2)Conventional therapy   1)Dynamic stretching technique - Each on alternate days per week Dosage for active stretch was 9 times repetition held for 10 seconds for each session for two weeks 2)Conventional therapy - Moist hot pack, Interferential Therapy,Neck isometrics. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1)Age between 20 to 55
2)Both genders male and female
3)Clinically diagnosed with neck pain
4)Trapezius tightness (unilateral)
5)Neck pain duration-subacute and chronic
 
 
ExclusionCriteria 
Details  1)Cervical radiculopathy secondary to disc herniation
2)neck and back deformities like torticollis or scoliosis
3)history of trauma or fracture
4)Surgery in the neck or upper back, or shoulder
5)Neck pain with back pain
6)Acute Neck spasm
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Visual anlogue scale (VAS)
2.Range of motion (ROM) by Goniometer
3.Neck Disability Index (NDI)
 
Pre and Post Assessment at baseline and after 2 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   10/02/2026 
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 is Randomized clinical trial

Mechanical neck pain is a common condition that causes pain, stiffness, and difficulty in neck movements, often due to tightness of neck and shoulder muscles, especially the upper trapezius muscle. This problem can affect daily activities and quality of life.

Subject will be included according to inclusion and exclusion criteria. Inclusion criteria includes Age between 20 to 55, Both genders male and female, clinically diagnosed with neck pain, Trapezius tightness (unilateral), Neck pain duration: subacute and chronic. Exclusion criteria includes  Cervical radiculopathy secondary to disc herniation, neck and back deformities like torticollis or scoliosis, history of trauma or fracture, Surgery in the neck or upper back, or shoulder, Neck pain with back pain, Acute Neck spasm

Two commonly used physiotherapy techniques are Active Release Technique (ART), which involves manual pressure and movement to release tight muscles, and dynamic stretching, which uses controlled active movements to improve flexibility and movement.

The purpose of this study is to compare the effectiveness of Active Release Technique and dynamic stretching in reducing pain, improving neck movement, and decreasing neck-related disability in patients with mechanical neck pain.

A total of 44 participants with mechanical neck pain will be randomly divided into two groups. One group will receive Active Release Technique along with conventional physiotherapy, while the other group will receive dynamic stretching along with conventional physiotherapy. Treatment will be given on alternate days for two weeks.

Primary outcomes include visual analogue scale (VAS), Cervical Range of motion and Neck disability index will be assessed before and after treatment. The results of this study may help physiotherapists choose the most effective treatment approach for patients with mechanical neck pain.

 
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