Effectiveness of Neck Stabilization Training Program With Conventional Therapy in Management of Text Neck Syndrome

Not Applicable

Completed

• Conditions: Neck Syndrome
• Interventions: Other: Neck Stabilization Training Program; Other: Conventional physical therapy

• Registration Number: NCT05479279
• Lead Sponsor: Riphah International University

Brief Summary

1. To compare the effectiveness of neck stabilization training program with conventional physical therapy in management of neck pain and disability in individuals with text neck syndrome.

2. To compare the effectiveness of neck stabilization training program with conventional physical therapy in improving muscle strength and range of motion of cervical spine in individuals with text neck syndrome.

Detailed Description

The text neck syndrome was described as a compilation of signs and symptoms due to the repetitive load, stress and pain in the body regions including; neck, shoulder joints, shoulder muscles, and thoracic region initiated by the excessive usage of smartphones for the prolonged time. The text neck syndrome is also called as 'Turtle neck neck syndrome' or 'anterior head syndrome.

Neck flexion in forward direction for using any smart phone could directly affects the cervical and upper thoracic spine. It is stated that increased tilt of the head forward to fifteen degrees exaggerate about 13 Kgs of mechanical force on the cervical spine.

Likewise it progresses to 18 Kgs at 30 degrees, 23 Kgs at 45 degrees and 28 Kgs at 60 degrees of forward neck flexion. The pathological consequences caused by incase of not managing the text neck could be alike to occupational overuse disease or repetitive stress and strain pathology.

Study Timeline

• Study Start: 2021-09-30
• Status Verified: 2022-07
• Primary Completion: 2022-07-15
• Study Completion: 2022-07-15
• Study First Submitted: 2022-07-27
• Study First Submitted QC: 2022-07-27
• Last Update Submitted: 2022-07-27
• Study First Posted: 2022-07-29
• Last Update Posted: 2022-07-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• Gender (both men and women)
• Age: 18-30 years
• Participants using smart phones, laptops and tablets with screen time >3 hours daily, for >6 months.
• Patient diagnosed with text neck syndrome
• Trigger points in cervical muscles (trapezius, levator scapulae and scalene muscles)

Exclusion Criteria

• Patient diagnosed with neck pain other than text neck syndrome

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Neck Stabilization Training Program	Neck Stabilization Training Program	Patient education Tens Hot pack Cervical muscle stretching trigger/ tender point release postural re-education cranio-cervical isometrics training of intrascapular, shoulder and upper extremity musculature resistance training with theraband
Conventional physical therapy	Conventional physical therapy	Patient education Tens Hot pack Cervical muscle stretching trigger/ tender point release

Primary Outcome Measures

Name	Time	Method
Neck disability index	6th week	It is a functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. The test can be interpreted as a raw score, with a maximum score of 50, or as percentage. Highest the score or percentage, higher will be disability.
NPRS	6th week	It is a segmented numeric scale in which respondent selects a whole number (0-10). The best reflects the intensity of pain.
Range of motion	6th Week	ROM of cervical flexion, extension, lateral rotation and side bending will be measured by universal goniometer.
Cranio-vertebral angle	6th Week	This angle is identified as intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.

Trial Locations

Locations (1)

Railway General Hospital; 🇵🇰 Rawalpindi, Punjab, Pakistan