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Neural Mobilization vs Cervical Neuromodulation in Diabetic Peripheral Neuropathy: Randomized Pilot Trial, 75 Participants

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Summary

NIH registered a three-arm, assessor-blinded randomized controlled pilot feasibility trial (NCT07537270) comparing Manual Neural Mobilization and Cervical Neuromodulatory Intervention against standard care in 75 participants with diabetic peripheral neuropathy over 12 weeks. The primary endpoints are recruitment rates, adherence, and safety; secondary endpoints include HbA1c, fasting blood glucose, and pain intensity. The trial is registered in ClinicalTrials.gov as a pilot feasibility study ahead of a potential full-scale RCT.

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What changed

NIH added a new clinical trial registration (NCT07537270) for a pilot feasibility RCT evaluating two manual therapy techniques—Manual Neural Mobilization and Cervical Neuromodulatory Intervention—in individuals with diabetic peripheral neuropathy. Seventy-five participants are randomized across three arms for a 12-week intervention period. The primary outcomes are feasibility metrics (recruitment rate, adherence, safety), while secondary outcomes include metabolic markers (HbA1c, fasting blood glucose) and pain intensity.\n\nHealthcare providers and clinical investigators involved in diabetes or neuropathy management should note this trial as an emerging evidence source on non-pharmacological adjunctive therapies for DPN. The trial's focus on glycemic outcomes may inform future treatment protocols if the interventions demonstrate feasibility and signal efficacy. This registry entry does not impose compliance obligations but reflects active clinical research in the diabetes care space.

Archived snapshot

Apr 17, 2026

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Neural Mobilization vs Cervical Neuromodulation in DPN

N/A NCT07537270 Kind: NA Apr 17, 2026

Abstract

This study is a three-arm, assessor-blinded, randomized controlled pilot feasibility trial. The primary goal is to evaluate the feasibility and acceptability of conducting a full-scale randomized controlled trial (RCT) comparing two manual therapy techniques: Manual Neural Mobilization (MNM) and Cervical Neuromodulatory Intervention (CNI) in individuals with Diabetic Peripheral Neuropathy (DPN).

While glycemic control is a central part of managing type 2 diabetes, this study explores whether non-pharmacological manual therapies can serve as adjunctive interventions to improve metabolic outcomes. A total of 75 participants were assigned to either MNM, CNI, or standard care for 12 weeks. The study focuses on recruitment rates, adherence, and safety, while also exploring secondary outcomes like blood glucose levels (HbA1c, FBG) and pain intensity.

Conditions: Diabetic Peripheral Neuropathy Type 2

Interventions: Manual Neural Mobilization, Cervical Neuromodulatory Intervention, Standard Care

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Last updated

Classification

Agency
NIH
Published
April 17th, 2026
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Minor
Document ID
NCT07537270

Who this affects

Applies to
Healthcare providers Clinical investigators Patients
Industry sector
6211 Healthcare Providers
Activity scope
Clinical trial participation Manual therapy interventions Diabetes research
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Pharmaceuticals Medical Devices

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