Effects OF Pilates Exercises on Pain, Functional Disability and ROM Among School Going Children With Text Neck Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- FDI(Functional Disability Inventory Questionnaire)
研究概览
简要总结
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. For improvement with neck pain and activity limitation 24 Children with age 12-17 year will be randomly assign in 2 groups.
Group A will receive conventional physical therapy program for the affected neck like stretching exercises, active range of motion exercise, and neck isometrics for 6 weeks (3 sessions per week). The treatment duration will be of 50 min. On the other hand Group B will receive Pilate's exercises like cat stretch, swan dive/roll up along with conventional therapy for 6 weeks(3 sessions per week). In each session there will be 25 minutes of conventional therapy and 25 minutes of Pilate's exercises program. Then evaluate both groups on follow up.
All data will be collected from Gov. High School Niaz Baig by using Visual Analogue Scale, Functional Disability Index questionnaire and Goniometer. The reliability and validity of tools are mentioned.
The duration of study will be 6 months. Data will be analyzed with the help of SPSS 25.
详细描述
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. It focuses on postural alignment, which results in increasing craniovertebral angle and decreasing pain. Improving text neck is very important because it can enhance an individual's ability to perform everyday activities.
A randomized controlled trial will be conducted through convenient sampling. Data will be collected from Allied school and The Trust School, Lahore. Sample size of 24 subjects, with age group between 12 to 17 years will be taken. Data will collected from participants that use smart phone for more than 4hr/day. Participants with cervical fracture, trauma and scoliosis will be excluded. Outcome measure will be taken using Visual Analogue Scale (VAS) for pain, Functional Disability Inventory (FDI) for function and Universal Goniometer (UG) for range of motion. An informed consent will be taken. Subjects will be randomly allocated into two groups: experimental group will receive Pilates exercise program like cat/chest stretch, swan dive/spine twist in addition to designed conventional therapy, while the control group will receive designed conventional therapy for the affected neck like stretching exercises, neck isometrics and active range of motion exercises. The treatment duration will be of 6 weeks and 50min/day. Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric or non-parametric test based on the normality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CVA < 48 degree
- •Age 12 to 17 years
- •Both male and female
- •Mobile phone usage more than 4 hr. /day
- •More than one year of using any electronic gadgets.
排除标准
- •Scoliosis
- •Trauma/Cervical Fracture
- •Torticollis
研究组 & 干预措施
Group A
Control : For group A Conventional Therapy Program for 50 min, 3 days per week during a 6 week period.
干预措施: Conventional Therapy (Other)
Group B
Experimental: For group B 25 min of pilates and 25 min of conventional therapy 3 days per week during a 6 week period
干预措施: Pilates+Conventional Therapy (Other)
结局指标
主要结局
FDI(Functional Disability Inventory Questionnaire)
时间窗: Baseline,3rd week, 6th week
The functional disability inventory: measures a neglected dimension of child health status. It assesses activity limitations in children and adolescents. High score indicate 'greater functional disability'. A clinical tool for measuring impact of neck pain on patient's daily life. It consists of 15 items. Internal consistency reliability is excellent(R=0.86 to 0.91)(p\<0.05)
VAS(Visual Analogue Scale)
时间窗: Baseline, 3rd week,6th week
A clinical tool used for measuring the intensity of pain. It is a horizontal 10cm line with '0' at one end which indicate no' pain', and '1' at the other end which indicate 'worst pain'. Subject is asked to mark his/her pain according to the severity.(R=0.97)(p=0.02)
Goniometer
时间窗: Baseline,3rd week, 6th week
Goniometer is used to measure range of motion .It also measures cervical ROM in flexion, extension, rotation and side bending. Reliability score of cervical goniometer ranged from(R= 0.999 to 0.931) (p\<0.05) for cervical region
次要结局
未报告次要终点