NCT07477145

Effect of Body Mind Exercises and Specific Neck Exercises in Chronic Mechanical Neck Pain

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 80 (estimated)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 50 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

To investigate the effect of body mind exercise and specific neck exercises in chronic mechanical neck pain on neck pain severity, functional disability, neck flexion range of motion, isometric neck muscle strength and quality of life.

Detailed description

Chronic mechanical neck pain is one of the most common musculoskeletal disorders affecting middle-aged and older adults and is associated with pain, reduced cervical mobility, functional disability, and decreased quality of life. Exercise therapy is widely recommended as a first-line conservative treatment for chronic neck pain. Previous studies have shown that both specific neck exercises and general physical activity can reduce pain and improve functional outcomes. Body-mind exercises, which combine physical movement with focused attention and breathing control, may provide additional benefits by improving both physical and psychological aspects of chronic pain. However, the comparative effectiveness of body-mind exercises and specific neck exercises when combined with conventional physical therapy remains unclear. The aim of this randomized controlled trial is to investigate the effect of body-mind exercises and specific neck exercises on pain intensity, functional disability, cervical range of motion, isometric neck muscle strength, and quality of life in individuals with chronic mechanical neck pain. A total of 80 participants aged 50 to 65 years with chronic mechanical neck pain will be recruited and randomly allocated into four groups using a parallel-group design. Group A will receive conventional physical therapy alone. Group B will receive conventional physical therapy combined with body-mind exercises in the form of mindful aerobic treadmill walking. Group C will receive conventional physical therapy combined with specific cervical and scapular stabilization exercises. Group D will receive a combination of conventional physical therapy, body-mind exercises, and specific neck exercises. All interventions will be performed over a treatment period of six weeks. Outcome measures will include pain intensity measured by the Numeric Pain Rating Scale (NPRS), functional disability assessed by the Neck Disability Index (NDI), cervical range of motion measured using a Cervical Range of Motion (CROM) device, isometric neck muscle strength measured using a handheld dynamometer, and quality of life assessed using the RAND-36 Health Survey. Measurements will be taken before the intervention and after completion of the six-week treatment period. The results of this study will help determine the most effective exercise approach for improving clinical outcomes in patients with chronic mechanical neck pain and may provide evidence to guide physical therapy practice.

Conditions

• Neck Pain Musculoskeletal

Interventions

Type	Name	Description
BEHAVIORAL	Conventional physical therapy group.	conventional therapy which includes: heat therapy (infrared) for 10 minutes, massage therapy 10 min, stretching of neck (Scalene, SCM, UFT, Levator scapulae) and pectoral muscles 20 min.
BEHAVIORAL	Body mind exercises group (mindful aerobic exercises)	Group B will receive conventional physical therapy (infrared, massage, and neck stretching) in addition to Body mind exercises (mindful aerobic exercises). The aerobic exercise will be performed at an intensity of at least 60% of maximal oxygen consumption (VO₂ max) to effectively improve cardiorespiratory fitness. The program will include treadmill walking 30 minutes.
BEHAVIORAL	specific neck exercise group	Group C will receive conventional therapy in addition to specific neck exercises. Specific exercises will include: cervical and scapular stabilization exercises.
BEHAVIORAL	Combined exercise group.	Group D will receive conventional therapy in addition to mindful aerobic exercises, cervical and scapular stabilization exercises.

Timeline

• Start date: 2026-03-25
• Primary completion: 2026-03-30
• Completion: 2026-05-31
• First posted: 2026-03-17
• Last updated: 2026-03-17

Locations

1 site across 1 country: Egypt