Evidence map›Paper›PMID 41902500›Full record

Trial reportPM & R : the journal of injury, function, and rehabilitation2026

Clinical effects of passive cable theory applied via subthreshold electrical stimulation in chronic neck pain: A randomized trial.

Ayman A Mohamed, Rania Hakim Hamed, Esraa Khaled, Motaz Alawna

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PM & R : the journal of injury, function, and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ayman A MohamedBasic Sciences Department, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt.
Rania Hakim HamedBasic Sciences Department, Faculty of Physical Therapy, Al-Salam University, Kafr az Zayyāt, Egypt.
Esraa KhaledBasic Sciences Department, Faculty of Physical Therapy, Nahda University, Beni Suef, Egypt.
Motaz AlawnaDepartment of Health Sciences, Faculty of Graduate Sciences, Arab American University, Jenin, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeck pain is considered a common problem in adults. Chronic neck pain usually causes hypersensitivity of nociceptors. Current pain therapies have not targeted this hypersensitivity. Recently, a novel theory used in rehabilitation called the passive cable theory was developed. This theory helps in treating hypersensitive areas like nociceptors.

objectiveTo investigate the passive cable theory applied via subthreshold stimulation on electromyographical activity (EMG) of neck muscles, myofascial trigger point sensitivity, pain, and disability in patients with chronic neck pain.

designA randomized double-blinded controlled trial.

settingOutpatient clinic.

participantsForty patients with chronic neck pain were randomly distributed to the study and control groups.

interventionThe study group received subthreshold electrical stimulation for 8 weeks, and the control group received sham treatment.

main outcome measuresThe main outcome measurements were EMG activity of the upper trapezius muscle, neck pain intensity, myofascial trigger point sensitivity, neck flexion, neck lateral flexion to both sides, and neck lateral rotation to both sides. All outcomes were measured at preintervention, postintervention (8 weeks), and follow-up (8 weeks).

resultsAt preintervention, there were nonsignificant differences in resting EMG, maximum EMG, pain intensity, pressure threshold, neck flexion, neck right flexion, neck left flexion, neck right rotation, and neck left rotation (p > .05). Post intervention (8 weeks), there were significant differences between study and control groups for all outcomes (p < .05).

conclusionEight weeks of subthreshold stimulation is an effective intervention for reducing resting EMG activity in neck muscles while increasing their maximum contraction. It also decreases myofascial trigger point sensitivity, pain, and disability in patients with chronic neck pain. These improvements are maintained for at least 8 weeks following treatment.

Indexed as

Chronic PainElectric Stimulation TherapyNeck MusclesNeck PainAdultDouble-Blind MethodElectromyographyFemaleHumansMaleMiddle AgedPain MeasurementTreatment OutcomeTrigger Points

Identifiers

PMID41902500
PMCPMC13575459

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.