NCT07266272

Influence of Extracorporeal Shockwave Therapy in Patients of Mechanical Neck Pain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 52 (actual)
• Sponsor: Benha University · Academic / Other
• Sex: All
• Age: 18 Years – 29 Years
• Healthy volunteers: Not accepted

Summary

Purpose: The study aimed to determine whether adding extracorporeal shockwave therapy (ESWT) to a standardized physiotherapy program provides additional benefits for patients with chronic mechanical neck pain. Specifically, it examined effects on pain intensity, pressure pain threshold (PPT), neck disability index (NDI), cervical active range of motion (AROM), and joint position sense (JPS).

Detailed description

Study Summary Summary of the Study: Influence of Extracorporeal Shockwave Therapy in Patients with Mechanical Neck Pain Purpose: The study aimed to determine whether adding extracorporeal shockwave therapy (ESWT) to a standardized physiotherapy program provides additional benefits for patients with chronic mechanical neck pain. Specifically, it examined effects on pain intensity, pressure pain threshold (PPT), neck disability index (NDI), cervical active range of motion (AROM), and joint position sense (JPS). Key Details: * Study Design: Double-blinded, pretest-posttest controlled clinical trial. * Participants: 52 patients aged 18-29 with chronic mechanical neck pain for over 3 months. * Groups: * Group A: Standardized physiotherapy only (stretching, isometric exercises, posture training). * Group B: ESWT + standardized physiotherapy. * Duration: 4 weeks, 2 sessions/week (1 ESWT + 1 physiotherapy in Group B). * Assessments: NPRS for pain, pressure algometer for PPT, Arabic NDI, goniometer for AROM \& JPS. * Results: * Adding ESWT significantly improved PPT, left cervical rotation AROM, cervical extension JPS, and right cervical rotation JPS. * No significant differences between groups in other measures. * Conclusion: ESWT combined with physiotherapy may enhance pain threshold, AROM in rotation, and proprioception compared to physiotherapy alone. Sources of Strength in the Study: 1. Double-blind design reduces bias. 2. Randomized allocation with adequate sample size determined by power analysis. 3. Use of validated measurement tools (NPRS, NDI Arabic version, Wagner algometer, standard goniometer). 4. Clearly defined inclusion/exclusion criteria ensuring sample homogeneity. 5. Use of standardized physiotherapy protocol enhances reproducibility.

Conditions

• Neck Pain Musculoskeletal
• Neck Pain
• Extracorporeal Shock Wave Therapy
• Mechanical Neck Pain
• Cervical Pain, Posterior
• Pain Threshold

Interventions

Type	Name	Description
DEVICE	Extracorporeal Shockwave therapy	Radial, pneumatic extracorporeal shockwave therapy: The ESWT was applied using the following treatment parameters: 2,000 pulses, intensity of 1 to 1.2 bars, and 10 Hz frequency
OTHER	Exercise	Stretch + isometrics + postural correction

Timeline

• Start date: 2023-07-01
• Primary completion: 2024-02-25
• Completion: 2024-03-27
• First posted: 2025-12-05
• Last updated: 2025-12-05

Locations

1 site across 1 country: Egypt