[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100606664":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":29,"centralContacts":38,"locations":29,"responsibleParty":44,"collaborators":29,"id":48,"slug":49,"hasResults":50,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":29,"eligibilityCriteria":54,"healthyVolunteers":55,"sex":56,"minAge":57,"maxAge":58,"enrollmentInfo":59,"targetDuration":29,"studyType":62,"phases":63,"briefSummary":65,"conditions":66,"keywords":71,"overallStatus":75,"whyStopped":29,"lastUpdateSubmitDate":76,"lastUpdatePostDateStruct":77,"startDateStruct":80,"completionDateStruct":82,"leadSponsor":84,"locationsCount":29},{"fullName":5,"class":6},"Al-Azhar University","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Group receive conventional Physiotherapy program","EXPERIMENTAL","Conventional Physiotherapy Program\n\n1. Treatment Frequency and Duration\n\n   Frequency: 3 sessions per week\n\n   Duration: 8 weeks\n\n   Session length: 45-60 minutes\n2. Hot Pack Application (10-15 minutes)\n\nPurpose: Reduce pain, improve soft-tissue extensibility, and prepare muscles for exercise.\n\nProcedure:\n\nMoist hot pack applied to the cervical region.\n\nTemperature: 40-45°C (comfortable warmth, checked to avoid burns).\n\nDuration: 10-15 minutes with adequate towel layers.\n\nNeck Endurance and Strength Training (30-40 minutes)",[13],"Other: conventional physiotherapy program",{"label":15,"type":10,"description":16,"interventionNames":17},"Group receive conventional Physiotherapy program plus sleep hygiene technique","Exercise\n\nand\n\n1. Delivery Method\n\n   Initial Education Session:\n\n   A 45-minute one-on-one session with a physiotherapist or trained researcher.\n\n   Delivered face-to-face using visual aids (slides, posters, printed guide).\n\n   Explains what sleep hygiene is, why it matters in chronic neck pain, and how to apply each strategy.\n\n   Follow-up Sessions:\n\n   Weekly 15-20-minute reinforcement sessions (in-person or by phone\u002Fvideo call).\n\n   Used to review progress, clarify doubts, troubleshoot barriers, and adjust advice if necessary.\n\n   Written Materials:\n\n   A patient booklet summarizing all recommendations in simple language, including diagrams of neck-friendly sleeping postures.\n\n   A daily sleep diary to track bedtime, wake time, naps, and perceived sleep quality.\n2. Program Content A. Regular Sleep-Wake Timing\n\nGo to bed at the same time every night and wake at the same time every morning, even on weekends.\n\nUse alarms only for waking, not for forcing sleep onset.\n\nLimit naps to \\\u003C30 minutes, no later than 4",[18],"Other: Sleep Hygiene Techniques",{"label":20,"type":6,"description":21,"interventionNames":22},"control","advices and home program",[23],"Other: Control arm",[25,30,34],{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":29},"Sleep Hygiene Techniques","Sleep Hygiene Techniques\n\nThe sleep hygiene program includes education and behavioral strategies to promote healthier sleep patterns, delivered alongside physiotherapy exercises. Key components are:\n\nRegular Sleep-Wake Schedule\n\nEncourage patients to maintain consistent bedtime and wake-up times, even on weekends.\n\nAvoid excessive time in bed when not sleeping.\n\nOptimizing the Sleep Environment\n\nEnsure a quiet, dark, and cool bedroom (18-22°C).\n\nUse supportive pillows to maintain neutral cervical alignment and reduce neck strain.\n\nRemove distractions such as TVs, mobile phones, and bright lights.\n\nPre-Sleep Routine\n\nEstablish a relaxing wind-down routine (e.g., gentle stretching, breathing exercises, reading).\n\nAvoid mentally stimulating activities or heavy problem-solving before bedtime.\n\nLimiting Stimulants and Alcohol\n\nAvoid caffeine, nicotine, and alcohol at least 4-6 hours before bedtime.\n\nAvoid heavy meals close to bedtime; a light snack is acceptable if hungry.\n\nDaytime Habits t",[15],null,{"type":6,"name":31,"description":32,"armGroupLabels":33,"otherNames":29},"conventional physiotherapy program","Conventional Physiotherapy Program\n\n1. Treatment Frequency and Duration\n\n   Frequency: 3 sessions per week\n\n   Duration: 8 weeks\n\n   Session length: 45-60 minutes\n2. Hot Pack Application (10-15 minutes)\n\n   Purpose: Reduce pain, improve soft-tissue extensibility, and prepare muscles for exercise.\n\n   Procedure:\n\n   Moist hot pack applied to the cervical region.\n\n   Temperature: 40-45°C (comfortable warmth, checked to avoid burns).\n\n   Duration: 10-15 minutes with adequate towel layers.\n3. Neck Endurance and Strength Training (30-40 minutes)",[9],{"type":6,"name":35,"description":36,"armGroupLabels":37,"otherNames":29},"Control arm","only advices and home advices\n\nPhysiotherapy Advice for Patients with Neck Pain\n\nAdhere to Your Exercise Program\n\nPerform the prescribed neck strengthening and endurance exercises daily.\n\nFocus on quality over quantity-slow, controlled movements are more effective.\n\nMaintain Correct Posture During All Activities\n\nKeep your neck in a neutral position whether sitting, standing, or walking.\n\nIncorporate Frequent Micro-Breaks\n\nEvery 30-45 minutes, pause to gently move and stretch your neck and shoulders.\n\nSmall posture corrections throughout the day prevent stiffness.\n\nUse Heat Before Exercise if Stiff or Painful\n\nApply a hot pack for 10-15 minutes before exercises to relax muscles.\n\nAvoid prolonged or excessive heat application.\n\nStay Active - Avoid Prolonged Rest\n\nLight physical activity (walking, cycling, gentle mobility work) helps recovery.\n\nBed rest should be avoided unless pain is severe.\n\nPractice Relaxation and Breathing C",[20],[39],{"name":40,"role":41,"phone":42,"phoneExt":29,"email":43},"Mosab Aldabbas Aldabbas, PhD","CONTACT","00972597451222","mosab.m.aldabbas@gmail.com",{"type":45,"investigatorFullName":46,"investigatorTitle":47,"investigatorAffiliation":5,"oldNameTitle":29,"oldOrganization":29},"PRINCIPAL_INVESTIGATOR","Mosab ALdabbas","Assistant Professor, Al Zhar University, Gaza, Palestine _ Field physiotherapy Officer, International committee of the red cross, Gaza","100606664","sleep-hygiene-plus-physiotherapy-for-sleep-and-disability-in-chronic-neck-pain-100606664",false,"NCT07178496","Sleep Hygiene Plus Physiotherapy for Sleep and Disability in Chronic Neck Pain","Effect of Integrating Sleep Hygiene Techniques With Physiotherapy Exercise in Improving Sleep Quality and Disability in Patients With Chronic Neck Pain","Inclusion Criteria\n\nParticipants will be eligible for the study if they meet the following conditions:\n\n1. Adults aged 20-55 years.\n2. Clinical diagnosis of chronic neck pain, defined as symptoms persisting for more than 3 months.\n3. Poor sleep quality, indicated by a Pittsburgh Sleep Quality Index (PSQI) score \\>5.\n4. Willingness to participate and comply with both the physiotherapy and sleep hygiene intervention program.\n5. Ability to provide informed consent.\n\nExclusion Criteria\n\nParticipants will be excluded if any of the following conditions are present:\n\n1. History of cervical spine trauma, surgery, or fracture within the past 6 months.\n2. Severe depression or anxiety, defined by scores above the severe threshold on the Hospital Anxiety and Depression Scale (HADS).\n3. Neurological disorders affecting neck function (e.g., cervical radiculopathy, myelopathy).\n4. Other musculoskeletal disorders causing significant neck or shoulder pain.\n5. Sleep disorders unrelated to neck pain (e.g., obstructive sleep apnea, restless legs syndrome, narcolepsy), whether diagnosed or suspected.\n6. Ongoing pharmacological treatments that may significantly affect sleep (e.g., sedatives, hypnotics), unless the patient has been on a stable dose for \\>3 months.\n\n6 Uncontrolled systemic illnesses such as diabetes, cardiovascular disease, or cancer.\n\n7 Pregnancy.\n\n8 Participation in any recent physiotherapy program targeting neck pain within the last 3 months.",true,"ALL","25 Years","55 Years",{"count":60,"type":61},120,"ESTIMATED","INTERVENTIONAL",[64],"NA","This study investigates the effectiveness of a combined intervention that integrates sleep hygiene education with physiotherapy exercises in patients suffering from chronic neck pain. Chronic neck pain is often associated with both musculoskeletal dysfunction and secondary sleep disturbances, which in turn may exacerbate pain perception, fatigue, and disability. Traditional physiotherapy exercise programs focus primarily on improving cervical mobility, muscle strength, and postural control, but they do not typically address sleep-related problems that can hinder recovery.\n\nThe intervention in this study consists of two main components:\n\nPhysiotherapy Exercise Program - A structured regimen targeting cervical spine mobility, deep cervical flexor strengthening, scapular stabilization, and postural correction. These exercises aim to reduce pain, restore function, and improve overall physical performance.\n\nSleep Hygiene Education - A structured educational module covering principles of healthy sleep habits, including maintaining consistent sleep-wake schedules, creating an optimal sleep environment, limiting stimulants before bedtime, and adopting relaxation strategies to promote better sleep initiation and maintenance.\n\nBy combining these approaches, the intervention addresses not only the physical impairments associated with chronic neck pain but also the psychosocial and behavioral factors contributing to poor sleep quality.\n\nOutcome Measures:\n\nPrimary Outcomes: Sleep quality, assessed using validated tools such as the Pittsburgh Sleep Quality Index (PSQI).\n\nSecondary Outcomes: Disability and functional limitations, measured by the Neck Disability Index (NDI), along with pain intensity assessed using a Visual Analog Scale (VAS).\n\nFatigue will be assessed by fatigue inventory index\n\nStudy Hypothesis: The combined intervention of sleep hygiene education and physiotherapy exercise will lead to greater improvements in sleep quality and reductions in disability and fatigue compared to physiotherapy exercise alone.\n\nClinical Significance: If effective, this integrative approach may provide a cost-effective, non-pharmacological management strategy for patients with chronic neck pain, targeting both physical and behavioral contributors to their condition.",[67,68,69,70],"Neck Pain","Neck Pain Musculoskeletal","Sleep Disturbances","Fatigue, Mental",[72,73,74],"sleep quaity","sleep hygiene","neck pain","NOT_YET_RECRUITING","2025-09-16",{"date":78,"type":79},"2025-09-17","ACTUAL",{"date":81,"type":61},"2025-10-15",{"date":83,"type":61},"2026-05-02",{"name":5,"class":6}]