Progressive Cervical Isometric Exercises Versus Scapular Stabilization Exercises in Text Neck Syndrome

Not Applicable

Brief Summary: The aim of this study is to investigate the effects of progressive cervical isometric exercises and scapular stabilization exercises on pain, ROM and disability in young adults with text neck syndrome.

Detailed Description: Text neck or Turtle neck posture is the latest term coined by Dr. Dean L. Fishman that demonstrates the repeated stress, injury, and pain in the neck due to having the head in a forward position by excessive use of cell phones or hand-held mobile devices for a prolonged time. The use of mobile devices is becoming a concern especially in children, recent numbers are very alarming and according to surveys 87% of teenagers in America and 79% of teenagers in the UK are mobile phone owners and are greatly affected by them, these numbers have skyrocketed by recent COVID-19 pandemic as the social distancing and closure of the school, colleges and offices have pushed us to work from home and it increases the prevalence of text neck syndrome. This study is unique in that as it investigate the effect of two different treatment plans for turtle neck syndrome.

Recruitment & Eligibility

Inclusion Criteria

Individuals using mobile phones for more than 6-8 hours.
- Participants both male and female of age between 18 to 28 years
- Participants with neck pain (>7 weeks)
- Participants with NDI score above 15/50 (10% or higher) or
- Participants with NPRS score above 3

Exclusion Criteria

Specific causes of neck pain (conditions with neurological involvement such as myelopathy with weakness, numbness and sensory loss, cervical disc prolapse, and cervical spinal stenosis)
- Previous neck and upper limb surgery.
- History of cervical trauma (whiplash disorder), fractures, dislocations.
- History of congenital torticollis, frequent migraine, carcinoma, acute pain and inflammation, torticollis, unstable/acute osteoarthritis, any recent fracture, vertigo, vertebrobasilar insufficiency, chronic heart disease, myocardial infarction or pregnancy

Arm && Interventions

Group	Intervention	Description
Isometrics	Isometrics	They will be treated with progressive isometric exercises added to 60 min of combined therapy (excluding scapular stabilizing exercises) treatment session at alternative 3 days/week for 8weeks
Combination Therapy	Combination Therapy	They will be treated with both isometric and scapular stabilizing exercises.and will get 60minutes of treatment sessions at alternative 3 days/week for 8weeks

Primary Outcome Measures

Name	Time	Method
NPRS (Numeric Pain Rating Scale)	3 months	The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes
Inclinometer	3 months	An inclinometer is a medical device used to measure the range of motion of the joint. They are mainly used to measure the passive range of motion and allow the medical practitioner to compare the patient's relaxed position to the ability to move
Goniometer	3 months	A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position
NDI (Neck disability Index)	3 months	The Neck Disability Index (NDI) is modification of the Oswestry Low Back Pain Disability Index. It is Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation

Secondary Outcome Measures

Name	Time	Method

Receive instant email notifications about changes in this clinical trial

Receive instant email notifications about changes in this clinical trial