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Clinical and Brain Activity Assessment Before and After Physiotherapy in People With Chronic Non-specific Neck Pain

Sponsor: Ander Cervantes Benítez • ClinicalTrials.gov ID: NCT07756229

Registry updated: 2026-09-25

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Description

The goal of this clinical trial is to investigate whether electroencephalographic features are associated with the multidimensional clinical characteristics of adults with chronic non-specific neck pain and whether clinical and brain function measures change following physiotherapy. Participants with chronic non-specific neck pain will receive six weekly treatment sessions consisting of a manual physiotherapy and neck-specific exercise programme, including a home exercise programme. Clinical, psychophysical, and 64-channel electroencephalographic assessments will be performed at baseline and approximately one week after completion of the intervention. Clinical outcomes will also be reassessed 12 weeks after the last treatment session. Electroencephalographic recordings will be obtained while participants are seated comfortably and instructed to remain relaxed. EEG-derived measures will be examined in relation to pain intensity, neck-related disability, psychological and cognitive-affective factors, sleep quality, and psychophysical pain responses. Healthy participants without chronic neck pain will undergo a comparable baseline assessment to provide reference data for the interpretation of brain function in the clinical group.

Interventions

Manual physiotherapy and neck-specific exercise programme (Other)
The physiotherapy intervention will consist of six weekly sessions combining manual physiotherapy and a neck-specific exercise programme. Manual physiotherapy will include passive mobilisations of the cervical and thoracic spine and soft tissue techniques. The exercise programme will include daily home exercises targeting cervical mobility and neuromuscular control, including neck flexor and neck extensor training. The intervention is based on the protocol described by Villanueva-Ruiz et al. (2025).

Eligibility criteria

Inclusion Criteria: * Chronic non-specific neck pain (\>3 months duration) * Willing and able to sign informed consent for study participation Exclusion Criteria: * Concomitant neurological or psychiatric disease apart from depression (especially severe mental disorder or psychopathology) * Regular (daily) intake of benzodiazepines * Signs of severe disease, cervical myelopathy, tumour, rheumatic diseases or a neurological pathology of central origin * Neck pain of traumatic origin or as a result of whiplash * Previous surgical intervention of the cervical spine

Conditions

Neck Pain Musculoskeletal Chronic Neck Pain

Locations

Ander Cervantes Benítez — San Sebastián, Guipuzcoa, Spain

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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