Pilates Exercises on Pain, Functional Disability and ROM Among Children With Text Neck Syndrome

NCT06893705 | Completed DMC

• 1 other identifier: REC/RCR/AHS/24/0745
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Children, Adult

Keywords

Pilates; Neck Pain; Range of Motion; School Children; Text Neck

Outcome Measures

Primary Outcomes (3)

• FDI(Functional Disability Inventory Questionnaire)

  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)

  Baseline,3rd week, 6th week

• VAS(Visual Analogue Scale)

  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)

  Baseline, 3rd week,6th week

• Goniometer

  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

  Baseline,3rd week, 6th week

Study Arms (2)

Group A

ACTIVE COMPARATOR

Control : For group A Conventional Therapy Program for 50 min, 3 days per week during a 6 week period.

Other: Conventional Therapy

Group B

EXPERIMENTAL

Experimental: For group B 25 min of pilates and 25 min of conventional therapy 3 days per week during a 6 week period

Other: Pilates+Conventional Therapy

Interventions

Conventional Therapy OTHER

Conventional Therapy Group: Group A will be control group which 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).

Group A

Pilates+Conventional Therapy OTHER

Group B will be experimental group, which 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.

Group B

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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.

You may not qualify if:

• Vertigo
• Kyphosis
• Scoliosis
• Trauma/Cervical Fracture
• Torticollis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Muhammad Asif Javed

Lahore, Punjab Province, 54900, Pakistan

Location

Related Publications (1)

• David D, Giannini C, Chiarelli F, Mohn A. Text Neck Syndrome in Children and Adolescents. Int J Environ Res Public Health. 2021 Feb 7;18(4):1565. doi: 10.3390/ijerph18041565.

  PMID: 33562204 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Aira Eman, MS-PPT

  Study Principal Investigator

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomized controlled trial performed through convenient sampling, in which 24 TNS children with the age 12-17 years will be taken randomly after screening and meeting inclusion criteria. Children will be divided in two groups. Control Group will receive conventional therapy for 50 min in a day for 3 days per week. Experimental Group will receive Pilates with Conventional Therapy for 50 min in a day for 3 days per week. Pre values were taken at 1st week , 3rd week and post values of intervention will be taken after 6th week to measure the effects of both therapies.

Study Record Dates

• First Submitted: March 19, 2025
• First Posted: March 25, 2025
• Study Start: March 14, 2025
• Primary Completion: April 28, 2025
• Study Completion: May 12, 2025
• Last Updated: September 26, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)