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

NCT05356676 | Unknown DMC

• 1 other identifier: REC/Lhr/22/0112 Osama
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

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.

Conditions

Neck Syndrome

Keywords

progressive cervical neck isometrics; scapular stabilization exercises; pain; ROM; Text neck syndrome; turtle neck syndrome; disability

Outcome Measures

Primary Outcomes (4)

• NDI (Neck disability Index)

  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

  3 months

• NPRS (Numeric Pain Rating Scale)

  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

  3 months

• Goniometer

  A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position

  3 months

• Inclinometer

  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

  3 months

Study Arms (2)

Isometrics

EXPERIMENTAL

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

Other: Isometrics

Combination Therapy

EXPERIMENTAL

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

Other: Combination Therapy

Interventions

Isometrics OTHER

Isometric neck extension -individuals will be taught to place their dominant hand posterior to their head at occiput. Then, they will be told to firmly push the head backwards against that hand, and hold for five seconds and repeat 5 times. • Participants will be asked to place the right hand flat on the same side of the head. Next. they will be instructed to firmly push the head against right hand and hold for 5 seconds and repeat five times. Same exercise will be repeated with the left hand against the left side of the head as well. • Participants will be taught to place their right hand on their right cheek. Then, they will be told to rum the face against the right hand and wait for 5 seconds and repeat five times. Same exercise was repeated with the left hand on the left cheek as well.

Isometrics

Combination Therapy OTHER

1. In supine position, the patient will be instructed to take a deep breath in order to relax the body whilst holding his/her shoulders and neck in a comfortable posture. 2. the patient will bend his/her knees and place their feet flat on the floor, and will hold the posture without any other neck movement. Then the patient will be asked to raise their dominant arm to 90° shoulder flexion along with full elbow extension and scapular protraction. This posture will be held for 10 seconds before returning to the prior position with 3 laps, 10 repetitions with a one-minute break between. 3. in quadruped position, the patient will lift up their arms alternatively with shoulder abduction and 120 ° flexion. This posture will be held for 10 seconds before returning to the starting position for three laps, 10 repetitions with a 30-second break in between. Participants will be instructed to perform these for 3 times a week for 4 weeks.

Combination Therapy

Eligibility Criteria

• Age: 18 Years - 28 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Services hospital

Lahore, Punjab Province, 38000, Pakistan

RECRUITING

MeSH Terms

Conditions

Pain

Interventions

Exercise; Combined Modality Therapy

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Therapeutics

Study Officials

• Nosheen Manzoor, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nosheen Manzoor, MS-OMPT

CONTACT

03236877879; nosheen.manzoor@riphahfsd.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2022
• First Posted: May 2, 2022
• Study Start: April 15, 2022
• Primary Completion: August 15, 2022
• Study Completion: September 15, 2022
• Last Updated: May 2, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)