Effect of Global Postural Re-education in Individuals With Text Neck Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- pain intensity level
研究概览
简要总结
The purpose of the study is to:
Investigate if there was effect of global postural re-education in individuals with text neck syndrome.
The Global postural reeducation (GPR) is a series of postures and gentle active movements are performed aimed at stretching shortened muscles, decompressing and aligning joints, with breath¬ing control, contractions of antagonist muscles and sen¬sory integration exercises to work on proprioceptive af¬ferents and re-educate postural control The study was testing the following null hypothesis There was no effect of Global postural in individuals with text neck syndrome.
详细描述
This study was conducted in the research laboratory section, Faculty of Physical Therapy, Cairo University. The purpose of the current study was to investigate the effect of global postural reeducation on neck pain intensity, neck disability craniovertebral angle, shoulder angle, cervical range of motion, and cervical proprioception in individuals with text neck syndrome.
This study is a Pre- test post- test single blind randomized controlled trial. • Subjects' selection:
A. Participants:
- 60 Participants from both genders diagnosed by physician as TNS
- Their age ranging from 18-44 years old
- Their body mass index ranging from (18-30) Kg/m2
- Their using mobile phones for more than 3-4 hours per day was assessed by using The Arabic version of the smartphone addiction scale
- Informed consent (Appendix I) attained from each participant after clarifying the scope and purpose of the research and ensuring them of their right to decline at any time and of the privacy of any information obtained.
B- Sample size:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Randomization was performed using computer-generated numbers placed in opaque sealed envelopes. Participants were assigned to one of two groups in a 1:1 ratio. Allocation was conducted by an author not involved in data collection or treatment. To maintain allocation concealment, envelopes were opened only at the time of participant enrollment. Participants were blinded to their group allocation until study completion.²0 All participants provided written informed consent.
入排标准
- 年龄范围
- 18 Years 至 44 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The subject included if they had the following:
- •diagnosed by physician as text neck syndrome
- •Using mobile phones for more than 3-4 hours per day
- •pain score more than 4 on the visual analog scale.
排除标准
- •The subject excluded if they had the following:
- •history of neck pathology; (2) musculoskeletal disease or anomaly; (3) history of spinal or neck surgery; (4) recent surgery; (5) chronic medical illness; or (6) receipt of any treatment for the neck in the preceding three months.
研究组 & 干预措施
Control group
Control group (A) INCLUDED 30 arm All participants received conventional treatment consisting of stretching and strengthening exercises, including pectoral stretching, upper trapezius stretching, levator scapulae stretching, chin tucks, shoulder shrugs, and scapular retraction. Exercises were performed actively under therapist supervision, which included observation, correction of faulty performance, and timing of stretching exercises with a stopwatch.
干预措施: The Global postural reeducation (Other)
Experimental Group B Global Postural Reeducation
Control group (B) INCLUDED 30 arms with text neck syndrome; they will received GPR in addition to conventional treatment, In addition to conventional treatment, participants received GPR according to the protocol described by Souchard.
干预措施: Traditional treatments (Other)
结局指标
主要结局
pain intensity level
时间窗: Baseline (pre-intervention) and at 4 weeks (post-intervention)
assessed using the Visual Analog Scale (VAS), a 100-mm line ranging from "no pain" (0 mm) on the left to "worst pain" (100 mm) on the right. Scores were based on self-reported symptom measures.
Craniovertebral angle and shoulder angle
时间窗: 3 months
Craniovertebral angle (CVA): Is the angle formed between a horizontal line through the spinous process of C7 and a line from the tragus of the ear (Ruivo et al., 2014). angles less than 49° were considered as FHP (Mani et al., 2017). Shoulder angle (SA): is the angle formed at a line between the center of the humerus and spinous process of C7 and the horizontal line through the center of the humerus. SA less than 52° were considered as RSP (Ruivo et al., 2014).
次要结局
- Craniovertebral angle and shoulder angle(Baseline (pre-intervention) and at 4 weeks (post-intervention))
研究者
Heba saeid Mohamed Ahmed Elfaky
assistant lecturer of physical therapy for basic science department Cairo University
Cairo University