<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20210331050793N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-07-15</date_registration>
      <primary_sponsor>DHQ Hospital, Okara</primary_sponsor>
      <public_title>Comparison of Two Exercise Programs for Reducing Pain and Improving Neck Function in Patients with Cervical Spondylosis</public_title>
      <acronym></acronym>
      <scientific_title>Comparative Efficacy of Cervical Thoracic Spine Stabilization and Dynamic Exercises in Improving Pain and Functional Status among Cervical Spondylosis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-09-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/91617</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: A single-centre, single-blind, parallel-group quasi-experimental pretest-posttest study involving 40 participants. Participants were recruited using non-probability purposive sampling and allocated to two intervention groups based on clinical availability and scheduling by an independent researcher. The outcome assessor was blinded to group allocation. Both groups received four weeks of supervised treatment, and outcome measures were assessed at baseline, two weeks, and four weeks, Blinding description: The outcome assessor was blinded to each participant's intervention throughout the study to minimize assessment bias. Due to the nature of the physiotherapy interventions, the treating physiotherapist and participants were aware of the allocated intervention. The researcher responsible for group allocation was independent of the outcome assessment process.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Cervical spondylosis is a degenerative disorder of the cervical spine characterized by chronic neck pain, reduced cervical mobility, and functional disability. This study evaluates the effectiveness of cervical-thoracic spine stabilization exercises compared with dynamic exercises in patients with cervical spondylosis..</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Participants received conventional physiotherapy (15-minute hot pack and cervical stretching exercises) followed by Cervical-Thoracic Spine Stabilization Exercises, including chin tucks with cervical retraction, scapular retraction with thoracic extension, quadruped cervical-thoracic stabilization, and upper thoracic stabilization on a Swiss ball. Treatment was provided 5 days per week for 4 weeks. Intervention 2: Intervention group 2: Participants received conventional physiotherapy (15-minute hot pack and cervical stretching exercises) followed by Dynamic Cervical Exercises, including resisted cervical flexion, extension, rotation, lateral flexion, shoulder shrugs, and scapular mobility exercises. Treatment was provided 5 days per week for 4 weeks.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Deidentified individual participant data will not be made publicly available due to ethical and confidentiality considerations and because no data-sharing agreement was included in the informed consent process.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Sumbal Salik</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Eid Gah Road, Okara</address>
        <city>Okara</city>
        <country1>Pakistan</country1>
        <zip>56300</zip>
        <telephone>+92 318 4552151</telephone>
        <email>sumbalsalik1@gmail.com</email>
        <affiliation>Department of Physiotherapy, DHQ Hospital, Okara</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Sumbal Salik</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Okara</address>
        <city>okara</city>
        <country1>Pakistan</country1>
        <zip>56300</zip>
        <telephone>+92 318 4552151</telephone>
        <email>sumbalsalik1@gmail.com</email>
        <affiliation>Department of Physiotherapy, DHQ Hospital, Okara</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 30 and 55 years.
Male or female patients.
Radiologically confirmed cervical spondylosis
Neck pain persisting for more than three months.
Willingness to participate and provide written informed consent.</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>55 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Previous cervical spine surgery.
History of cervical trauma or fracture.
Cervical radiculopathy or cervical myelopathy.
Other musculoskeletal disorders requiring physiotherapy treatment.
Pregnancy and Lactation.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M47.812</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Spondylosis without myelopathy or radiculopathy, cervical region</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: Participants received conventional physiotherapy (15-minute hot pack and cervical stretching exercises) followed by Cervical-Thoracic Spine Stabilization Exercises, including chin tucks with cervical retraction, scapular retraction with thoracic extension, quadruped cervical-thoracic stabilization, and upper thoracic stabilization on a Swiss ball. Treatment was provided 5 days per week for 4 weeks.</i_keyword>
      <i_keyword>Intervention group 2: Participants received conventional physiotherapy (15-minute hot pack and cervical stretching exercises) followed by Dynamic Cervical Exercises, including resisted cervical flexion, extension, rotation, lateral flexion, shoulder shrugs, and scapular mobility exercises. Treatment was provided 5 days per week for 4 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain intensity. Timepoint: Measured at baseline (before intervention), after 2 weeks of intervention, and after 4 weeks (end of intervention). Method of measurement: Pain intensity was measured using a 10-cm Visual Analogue Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain.</prim_outcome>
      <prim_outcome>Functional disability. Timepoint: Measured at baseline (before intervention), after 2 weeks of intervention, and after 4 weeks (end of intervention). Method of measurement: Functional disability was assessed using the Neck Disability Index (NDI) questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>DHQ Hospital, Okara</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-04-02</approval_date>
        <contact_name>Research &amp; Ethics Committee, Department of Physical Therapy, The Limit Institute of Health Sciences</contact_name>
        <contact_address>The Limit Institute of Health Sciences, Pakpattan Road, Sahiwal, Punjab, Pakistan Sahiwal Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
