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Core Stability vs Scapular Stabilization on Hand Grip Strength in Chronic Myofascial Neck Pain

RecruitingNAAges 25 Years - 45 YearsAllCairo University
NCT07692126 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Chronic myofascial neck pain (CMNP) is a painful non-articular musculoskeletal neck syndrome that is a persistent and prevalent with a high incidence of recurrence rate range 30-93%.Management of myofascial trigger points were directed at its deactivation, and prevention of its recurrence. Based on mechanical kinetic chain, the upper extremity functions as a unique system of connected segments those collaborated in a harmony in order to perform daily life activities. Core stability exercises maximize motor pathways mechanoreceptors' activities, as well scapular stabilization exercises are generally recommended based on reported benefits in terms of chronic neck pain. The relationship between chronic myofascial neck pain, and hand disability is quite strong. From mechanical point of view, core stability exercises improve trunk stability in line to enhance upper extremity efficiency that f

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Patients diagnosed with chronic myofascial neck pain depending on referral, and physical examination. 2. Sixty patients diagnosed with chronic myofascial neck pain for more than six months. 3. Patients age range will 25-45 years 4. Patients body mass index (BMI) will be 18.5-24.9 kg/m2 5. Each patient suffering from all active MTrPs in the upper trapezius muscle with painful/ tender nodule. 6. Patients have a constant neck pain with positive jump sign when palpating the upper trapezius muscle. 7. Patients have referred pain, and symptoms of ipsilateral hand muscle weakness. 8. No history of undergoing physiotherapy modalities or corticosteroid injection therapies in the past six months before the study Exclusion Criteria: 1. Presence of signs of severe pathology such as malignancies, mainly of the cervical region. 2. Fracture of the cervical spine. 3. Cervical radiculopathy or myelopathy. 4. Diabetes mellitus. 5. Trauma, cognitive anomalies, and surgery around neck, shoulders, or hand. 6. Fibromyalgia or vascular syndromes such as vertebral basilar insufficiency. 7. Pregnancy. 8. Having undergone physical therapy within the past three months before the study. 9. Having corticosteroid injection therapies in the past 3 months before the study.
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What it tests

  • Core Stability Exercise Protocol
  • Scapular stabilization Exercise Protocol
  • Traditional Physical Therapy Protocol
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Where

1 site
Cairo University
Giza, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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