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Comparison of the Effectiveness of Motor Imagery Exercises and Suboccipital Myofascial Release Techniques in Nonspecific Chronic Neck Pain
Sponsor: Ankara Yildirim Beyazıt University
Summary
The aim of this three-group randomized controlled study is to investigate the effectiveness of MI and SMR interventions on pain, proprioception, quality of life, disability, and ROM parameters in individuals aged 18-50 with NSCNP. The primary research questions it seeks to answer are as follows: Do MI exercises, when applied in addition to active exercise, lead to changes in pain, proprioception, and kinesiophobia in individuals with NSCNP? Does the suboccipital myofascial release technique, when applied in addition to active exercise, lead to changes in pain, proprioception, and kinesiophobia in individuals with NSCNP? Participants will be randomly assigned to one of three groups to compare the MI and SMR techniques.
Official title: Comparison of the Effectiveness of Motor Imagery Exercises and Suboccipital Myofascial Release Techniques on Pain, Proprioception, and Kinesiophobia in Nonspecific Chronic Neck Pain
Key Details
Gender
All
Age Range
18 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
51
Start Date
2026-11
Completion Date
2028-04
Last Updated
2026-11-02
Healthy Volunteers
No
Conditions
Interventions
Active Exercise
Active exercises will consist of four cervical movements involving the maintenance of craniocervical flexion, and all of these exercises will be performed in a single session. The program will continue for six weeks. This intervention involves supervised therapeutic and clinical exercises performed actively by the participant. No specialized medical devices, mechanical resistance machines, or drugs are used during the exercise sessions.
Motor Imagery
Motor imagery exercises are structured in three stages. First stage: performing a guided mental task Second stage: internal visual imagery Third stage: external visual imagery The program will last for six weeks. This intervention involves motor imagery training conducted via standardized verbal/audio-visual instructions. No pharmacological agents or therapeutic devices are administered.
Suboccipital Myofascial Release
It will be performed by the therapist while the participant is in the supine position. The therapist will apply pressure to the suboccipital region until a reduction in muscle tone is detected. The procedure will be continued for six weeks. The procedural intervention in this study consists entirely of hands-on manual therapy techniques performed by a physical therapist. Devices are utilized solely for outcome measurement/assessment purposes and not as therapeutic interventions.
Locations (1)
Ankara Bilkent City Hospital Physical Medicine and Rehabilitation Hospital
Ankara, Çankaya, Turkey (Türkiye)