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CTRI Number  CTRI/2026/02/103312 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 07/02/2026
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   special technique of stretching of the muscles which are the shorten one exercise which is working on tissue and muscles with instrument which is used for release of the shorten muscles in patient who are suffering from neck pain 
Scientific Title of Study   “Comparative Effects of Integrated Neuromuscular Inhibition Technique (INIT) and Instrument-Assisted Soft Tissue Manipulation (IASTM) on Pain, Cervical Range of Motion and Functional Disability Among College Students with Upper Trapezius Myofacial Trigger Points : 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  Dr Sanket Parekh 
Designation  Associate Professor 
Affiliation  k m Patel Institute of Physiotherapy 
Address  Dept No 152 Physiotherapy Dept K M patel Institute of Physiortherapy Bhaikaka University Gokalnagar
Physiotherapy dept No 152 K M Patel Institute of Physiotherapy Bhaiakaka University Karamsad
Anand
GUJARAT
388325
India 
Phone  9879352362  
Fax    
Email  sanketkp@charutarhealth.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanket Parekh 
Designation  Associate Professor 
Affiliation  k m Patel Institute of Physiotherapy 
Address  Dept No 152 Physiotherapy Dept K M patel Institute of Physiortherapy Bhaikaka University Gokalnagar
Physiotherapy dept No 152 K M Patel Institute of Physiotherapy Bhaiakaka University Karamsad

GUJARAT
388325
India 
Phone  9879352362  
Fax    
Email  sanketkp@charutarhealth.org  
 
Details of Contact Person
Public Query
 
Name  Dr Sanket Parekh 
Designation  Associate Professor 
Affiliation  k m Patel Institute of Physiotherapy 
Address  Dept No 152 Physiotherapy Dept K M patel Institute of Physiortherapy Bhaikaka University Gokalnagar
Physiotherapy dept No 152 K M Patel Institute of Physiotherapy Bhaiakaka University Karamsad

GUJARAT
388325
India 
Phone  9879352362  
Fax    
Email  sanketkp@charutarhealth.org  
 
Source of Monetary or Material Support  
Site no 152 Dept of Physiotherapy K M Patel Institute of Physiotherapy Bhaikaka University Gokalnagar Karamsad 
 
Primary Sponsor  
Name  No Sponser 
Address  No Sponser 
Type of Sponsor  Other [NIl] 
 
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 Sanket Parekh  K M Patel Institute of Physiotherapy   Kinesiotherapy UNit no 152 Dept of Physiotherapy K M Patel Institute of Physiotherapy Bhaikaka University Karamsad
Anand
GUJARAT 
09879352362

sanketkp@charutarhealth.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee -2 Bhaikaka University Karamsad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  IATSM  this is one kind of instrument based therapy where specialised instrument are applied to reduce the spasm of the muscle 
Comparator Agent  INNIT technique  This is specialised technique of exercises where therapist manipulate the muscles to reduce the spasm 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  College students of both genders
Presence of Muscle Trigger Points either in unilateral or bilateral Upper trapezius.
Chronic neck pain lasting more than 3 months
Restricted cervical range of motion (ROM) associated with trigger points 
 
ExclusionCriteria 
Details  Shoulder instability or history of shoulder fractures
History of cancer, malignancy, or serious systemic pathology Neurological disorders affecting the cervical or upper limb region History of cervical trauma, surgery (past 6–12 months), or degenerative joint disease
Previous trigger point injections in the past 6 months Clinical signs of nerve root involvement 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
NPRS for pain  outcome will be taken before starting exercise and immediatly after completing the exercise of 2 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Cervical range of motion  pre exercises that is before starting the exercise outcome will be taken & again after completing the exercise that is at end of 5 sessions of physiotherapy 
 
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)   23/02/2026 
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 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   for treating muscles spasm various treatment is available but this new technique there are other instrument based like IATSM which can help to reduce the symptoms but this another specialised exercise like INIT will might help to reduce pain more effectively 
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