Effect of Exercise Among Turtle Neck Syndrome in Pakistani Patients

NCT05730868 | Completed DMC

• 1 other identifier: KTKYasin
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Turtle neck also known as Text neck or anterior head syndrome is an overuse syndrome which occurs due to repetitive stress to neck, either by hanging it down or forward using phone or electronic devices. Typical signs and symptoms include pain and stiffness in the neck, shoulder pain and increase curvature of spine. It is becoming a global burden as people of almost all ages are getting affected. The objective of the study is to find out theEffect of Exercise among Turtle Neck Syndrome in Pakistani Population. A total of 100 participants will be included in the study having both males and females. The pain pattern will be assessed by Visual Analog Scale and Posture Grid Assessment tool will be used to assess posture before and after the treatment session. The study will be divided into three main sections or groups. One group will be treated by myofascial release only while other group will be treated by muscle energy technique for the management of turtle neck syndrome. Third group will receive both MFP and MET exercise. People having neck pain and those who will be willing to participate will be included in the study.

Conditions

Neck Pain

Keywords

text neck syndrome; neck pain; Turtle neck syndrome; tissue hardness; pain pressure threshold

Outcome Measures

Primary Outcomes (4)

• visual analog scale

  For pain intensity visual analog scale will be used. a patient oriented scale ranging from 0-10. 0 means no pain, 1-3 means mild pain, 4-6 means moderate pain and 7-10 means severe pain.

  2 years

• Neck disability Index

  to check disability, Neck disability Index will be used. It's a ten section questionnaire. Each item has scoring of 0-5. For each section the total possible score is 5. Points are summed to a total score. 0-4points (0-8%) no disability, 5-14points ( 10 - 28%) mild disability, 15-24points (30-48% ) moderate disability, 25-34points (50- 64%) severe disability, 35-50points (70-100%) complete disability

  2 years

• The tissue hardness assessed by Algometer measured in Newtons

  For tissue hardness, Algometer will be used. It's a device that calculates the hardness when given pressure against the stimuli. The value is measured in Newtons.

  2 years

• Pain pressure threshold assessed by Algometer measured in Newtons

  For Pain pressure threshold, Algometer will be used. It's a device that calculates the pain pressure threshold when given pressure against the stimuli. The value is measured in Newtons.

  2 years

Study Arms (4)

group 1 myofascial release

EXPERIMENTAL

soft tissue release technique to release tension from muscles which relieves pain and increase range of motion

Procedure: myofascial release

group 2 muscle energy technique

EXPERIMENTAL

soft tissue release technique to release tension from muscles which relieves pain and increase range of motion

Procedure: muscle energy technique

group 3 MFR & MET

EXPERIMENTAL

combination of two soft tissue release techniques to release tension from muscles which relieves pain and increase range of motion

Procedure: MFR & MET

group 4 conventional therapy

EXPERIMENTAL

combination of traditional techniques to relieve pain and spasm

Procedure: conventional therapy

Interventions

myofascial release PROCEDURE

Soft tissue release will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 1 myofascial release

muscle energy technique PROCEDURE

Muscle energy Technique will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 2 muscle energy technique

MFR & MET PROCEDURE

combination of myofascial release and muscle energy technique will be performed on the trapezius, suboccipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 3 MFR & MET

conventional therapy PROCEDURE

traditional physical therapy devices are used to relieve pain and spam. this will include a hot pack, ultrasound, and TENS (Transcutaneous electrical nerve stimulation)

group 4 conventional therapy

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• both males and females will be included
• patients having non specific neck pain
• usage of mobile more than six hours
• patients willing to participate

You may not qualify if:

• pregnant females
• patients having cervical disc bulge or herniation disoriented patients
• patients not willing to participate
• patients having any deformity

Sponsors & Collaborators

• University of Karachi: lead

Study Sites (1)

Khadija

Karachi, Sindh, 021, Pakistan

Location

Related Publications (2)

• Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13.

  PMID: 25603749 BACKGROUND

• Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016 Apr 14;35:5-11. doi: 10.1016/j.hkpj.2015.12.002. eCollection 2016 Dec.

  PMID: 30931028 BACKGROUND

Related Links

• Related Info

MeSH Terms

Conditions

Neck Pain

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Khadija Tul Kubra, M.phil

  University of Karachi

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Randomized control trial

Study Record Dates

• First Submitted: January 20, 2023
• First Posted: February 16, 2023
• Study Start: April 1, 2022
• Primary Completion: December 1, 2022
• Study Completion: June 30, 2023
• Last Updated: November 30, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)