Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides in Text Neck Syndrome

Официальное название

Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides on Pain, Range of Motion and Disability Among Patients With Text Neck Syndrome

Обзор

Text neck syndrome is one such disorder within that group, increasingly affecting individuals worldwide across various age groups. The phenomenon of text neck may occur in individuals who frequently and for prolonged periods adopt a forward-flexed neck and head position while looking at the screens of mobile electronic devices. This posture puts stress on the neck muscles and spine, leading to various symptoms like neck pain, stiffness, and headaches.

Подробное описание

The single blinded randomized clinical trial will be conducted at Shafqat Polyclinic and Sunrise Medicare Hospital Faisalabad. A total of 42 participants ( 21 in each group) with text neck syndrome will be recruited through non probability convenient sampling technique on which patients will be randomized through computer generated software into Group A and Group B. Group A will receive cervical stabilization exercises and reverse NAGs mobilization. Cervical stabilization exercises will be performed as 15 repetitions with 10 seconds of contraction and 5 seconds of relaxation. The mobilizations will be repeated 10 times per set, 2 to 3 oscillations per second for a total of 3 sets per treatment. Group B will receive only cervical stabilization exercises. Each exercise will be performed as 15 repetitions with 10 seconds of contraction and 5 seconds of relaxation per treatment. Each session will be last for 40 to 45min and three sessions per week will be performed.. Outcome measure will be conducted through pain (NPRS), disability (NDI) and range of motion (Universal Goniometer) at baseline and after six weeks treatment. Data will be analyzed using SPSS software version 27. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within group or between groups.

Вмешательства

• Другое Cervical stabilization exercises with reverse NAGs
  1\. Cervical Stabilization Exercises: Chin tuck, Cervical Extension, shoulder Shrugs, shoulder Rolls, scapular Retraction. Reverse NAG A mobilization takes place when you glide the inferior facet up on the superior one. This is achieved by thrusting up along the treatment plane with your bottom hand. You initially press ventrally to secure your thumb and index finger under the chosen segment transverse processes and then glide cranially along the treatment plane. Maintain your ventral pressure
• Другое Cervical stabilization exercises without reverse NAGs
  1\. Cervical Stabilization Exercises: Chin tuck: In standing position, participant pulls back the chin as if trying to make double chin while keeping the eyes level. This was done for 15 repetitions. Cervical Extension: In standing participant graps the base of neck, with both hands while extending the neck as far as possible. This was done for 15 repetitions. Shoulder Shrugs: In standing position, participant shrugs the shoulders, bringing them up towards the ears. This was done for 15 repeti

Первичные конечные точки

• 1. Numeric pain rate scale (NPRS) [Срок оценки: upto 4 weeks]
• 2. Neck Disability index (NDI) [Срок оценки: Upto 4 weeks]
• 3. Universal Goniometer (UG): [Срок оценки: Upto 4 weeks]
• 4. Craniovertebral Angle: [Срок оценки: Upto 4 weeks]

Критерии участия

Критерии включения

• • Both male and female are taken

• Age between 18-35 years
• Craniovertebral angle less than 50 degree

Критерии исключения

• • Trauma

• Patient undergoes cervical surgery.
• Disc prolapse, herniation, spondylolisthesis
• Osteoporosis
• Torticullis
• Pregnancy
• Psychological Problems
• Cervical radiculopathy

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Sunrise Medicare Center Faisalabad — Faisalābad

Публикации

• lsiwed KT, Alsarwani RM, Alshaikh SA, Howaidi RA, Aljahdali AJ, Bassi MM. The prevalence of text neck syndrome and its association with smartphone use among medical students in Jeddah, Saudi Arabia. Journal of Musculoskeletal Surgery and Research. 2021;5(4):266-72.
• Rashid A, Sahry S, Tabasum H, Farooq M, Ali Z, Younas MW. Prevalence of Text Neck Syndrome and its Association with Forward Head Posture and Aerobic Capacity Among Medical Students. Insights-Journal of Health and Rehabilitation. 2024;2(2 (Health & Allied)):23-8.
• Bhende R, Shinde S, Jain P. Effect of Integrated Postural Training in Individuals with Text Neck Syndrome. Journal of Kinesiology and Exercise Sciences. 2024;34(108):10-9.
• Kaya M, Ucgun H, Denizoglu Kulli H. The effect of proprioceptive neuromuscular facilitation on individuals with text neck syndrome: A randomized controlled study. Medicine (Baltimore). 2024 Jul 26;103(30):e38716. doi: 10.1097/MD.0000000000038716. PMID 39058818
• Yüzbaşıoğlu Ü, Ekici E, Aytar A. Pain of Modern Age Text Neck Syndrome: A Traditional Review. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2024(24):1321-31.
• SAl Miaraj A, Bhat I. Prevalence of Text Neck Syndrome and Its Association with Mobile Phone Usage Among University Academic Staff. Int J Phys Med Rehabil. 2021;9(10).
• Anand B, Sharma P. Association of Hand Performance with Neck Disability in Text Neck Syndrome among College Students. Indian Journal of Physiotherapy and Occupational Therapy. 2020;14(4):13.
• Shah J, Soni K. Effectiveness of pilates along with conventional exercise program and conventional exercise program alone in subjects with text neck syndrome. International Journal of Science and Research (IJSR). 2021;10:1322-6.

Идентификаторы

NCT: NCT07646392 · REC/RCR&AHS/25/0125 Shomaiza

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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