Comparative Study Between Proprioceptive Neuromuscular Facilitation and Post-facilitation Stretching in Text Neck Syndrome

NCT07887711 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006623
• Study Type: interventional
• Target: 51
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of Proprioceptive Neuromuscular Facilitation (PNF) stretching and Post Facilitation Stretching (PFS) on neck pain intensity, Cranio Vertebral Angle (CVA), cervical ROM and neck functional disability level in patients with text neck syndrome

Conditions

Text Neck Syndrome

Keywords

Proprioceptive Neuromuscular Facilitation; Post-facilitation Stretching; Text Neck Syndrome

Outcome Measures

Primary Outcomes (2)

• craniovertebral angle

  craniovertebral angle will be measured by lateral photographe.A lateral photograph is taken at the level of the participant's shoulder using a digital camera placed at a fixed distance.The anatomical landmarks (tragus of the ear and C7 spinous process) are identified and marked either physically or digitally using posture analysis software.The craniovertebral angle is calculated as the angle between:A horizontal line passing through C7, andA line connecting C7 to the tragus.CVA \< 48-50°: Indicates forward head posture (FHP),CVA ≥ 50°: Suggests a normal or neutral head posture.

  up to four weeks

• cervical range of motion

  cervical range of motion will be measured by cervical range of motion device

  up to four weeks

Secondary Outcomes (2)

• pain intesinty

  up to four weeks

• neck disability

  up to four weeks

Study Arms (3)

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

Seventeen patients with text neck syndrome will receive proprioceptive neuromuscular Facilitation stretching technique in addition to the traditional treatment three times per week for 4 weeks

Other: Proprioceptive Neuromuscular Facilitation; Other: traditional treatment

Post-facilitation Stretching

EXPERIMENTAL

Seventeen patients with text neck syndrome will receive post-facilitation stretching technique in addition to the traditional treatment three times per week for 4 weeks

Other: Post-facilitation Stretching; Other: traditional treatment

traditional treatment

ACTIVE COMPARATOR

Seventeen patients with text neck syndrome will receive the traditional treatment three times per week for 4 weeks

Other: traditional treatment

Interventions

Proprioceptive Neuromuscular Facilitation OTHER

the patients will receive proprioceptive neuromuscular facilitation for levator scapulae, upper trapezius and sternocleidomastoid muscle in the form of Contract-Relax technique. in addition to traditional treatment in the form of postural correction exercises (chin tucks and scapular retraction) and strengthening exercises for deep cervical flexors and scapular stabilizers. Exercises are typically performed in 3 sets of 10 repetitions.

Proprioceptive Neuromuscular Facilitation

Post-facilitation Stretching OTHER

the patients will receive Post-Facilitation Stretching Technique for levator scapulae, upper trapezius and sternocleidomastoid muscle. The participant will lie supine, placing the affected hand under the ipsilateral thigh to promote shoulder depression.For the upper trapezius, the same will be applied, except ipsilateral rotation will be used.For the sternocleidomastoid muscle, the therapist will position the neck into extension, contralateral side flexion, and ipsilateral rotation until resistance is felt. This position effectively elongates the sternocleidomastoid muscle while maintaining patient comfort and control throughout the stretch.The muscle will be returned to mid-range.The participant will perform a near-maximal isometric contraction for 10 seconds.Upon rapid relaxation, the therapist will apply an aggressive stretch beyond the tissue barrier .The procedure will be repeated five times for each muscle. plus tradional treatment

Post-facilitation Stretching

traditional treatment OTHER

the patients will receive traditional treatment in the form of postural correction exercises (chin tucks and scapular retraction) and strengthening exercises for deep cervical flexors and scapular stabilizers. Exercises are typically performed in 3 sets of 10 repetitions.

Post-facilitation Stretching; Proprioceptive Neuromuscular Facilitation; traditional treatment

Eligibility Criteria

• Age: 18 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age diagnosed with text neck syndrome by a licensed physician.
• Are between 18 and 44 years of age.
• Use mobile phones for more than 3-4 hours daily

You may not qualify if:

• Have cervical radiculopathy or disc herniation.
• Have a history of cervical neck trauma or surgery.
• Present with neurological deficits or vestibular disorders.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Omnia Raafat, master

CONTACT

01205053134; omnya.raafat96@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : Omnia raafat mohamed

Model Details: Proprioceptive Neuromuscular Facilitation and Post-facilitation Stretching

Study Record Dates

• First Submitted: October 14, 2026
• First Posted: October 21, 2026
• Study Start (Estimated): October 27, 2026
• Primary Completion (Estimated): April 20, 2027
• Study Completion (Estimated): April 20, 2027
• Last Updated: October 21, 2026

Record last verified: 2026-10