Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome

Официальное название

Effects of Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome: a Randomized Clinical Trial

Обзор

The prolonged use of electronic devices in the population nowadays contributes to the development of various musculoskeletal disorders affecting the neck. One such condition is the Text neck syndrome characterized by neck pain and muscular imbalance in the region as well as development of forward head posture. Some additional symptoms include headaches, impaired range of motion and eye strain. Eyeball exercises have been shown to improve symptoms of neck pain, and cervical stabilization has demonstrated positive effects on the deep cervical flexors, thereby improving forward head posture and other neck-associated symptoms. However, the combined effect of these two interventions has not been studied to treat text neck syndrome before. The primary outcome measures include the pain measured through Numeric Pain Rating Scale (NPRS) and pain pressure threshold (algometer), whereas the secondary outcome measures include the craniovertebral angle (CVA) and functional disability measured through neck disability index (NDI).

Подробное описание

Text neck syndrome is a musculoskeletal syndrome characterized by neck pain, forward head posture, muscular imbalance, headache, reduced range of motion and eye problems. In the present era where everything is done through electronic devices and gadgets it is difficult to maintain a proper posture, which affects most importantly the cervical region. Prolonged use of these gadgets have led to the development of text neck syndrome which is a new pandemic these days. Constant screen use has detrimental effects on eyes that effects our neck as well, therefore the use of eyeball exercises has shown to improve the symptoms of neck pain. Cervical stabilization focuses on the deep neck flexor muscles which become weak and inactive in text neck syndrome. Cervical stabilization has shown improvements in the activation of these muscles as well as improved their strength along with improving the forward head posture. the combined effects of both these treatment regimes has not been studied yet in text neck syndrome individuals therefore the purpose of this randomized clinical trial will be to assess the combined effects of these treatment approaches on text neck syndrome. The Numeric Pain Rating Scale (NPRS) will be used to assess and measure the pain intensity along with NDI (neck disability index) that will help in functional evaluation and will serve as the primary outcome measures in this study. The Craniovertebral Angle (CVA) and Pain Pressure Threshold (PPT) measured through algometer will also be measured and will be the secondary outcome measures in this study.

Вмешательства

• Другое Physiotherapy care, Cervical Stabilization and Eyeball Exercises
  Physiotherapy care: 30minutes of physiotherapy, including hotpack for 10 minutes,cervical stretching (3sets/15-second hold,5 repetitions), cervical isometrics (5-10 reps/3sets), postural correction exercises (5-10 reps/2-3 sets), active ROMs of the neck.•Cervical Stabilization: Pressure biofeedback unit will be used, the patient will perform chin tucks while the inflated unit is below the head at 20mmHg initially, and will be raised to 30mmHg. A 10 seconds hold with 10 repetitions, including a 1
• Другое Phyisotherapy Care, Cervical Stabilization and placebo exercises
  Physiotherapy care:30minutes of physiotherapy, including hotpack for 10 minutes, cervical stretching(3sets/15second hold, 5reps), cervical isometrics(5-10 reps/3sets), postural correction exercises(5-10 reps/2-3 sets), active ROMs of the neck.•Cervical stabilization: Pressure biofeedback unit will be used, the patient will perform chin tucks while the inflated unit is below the head at 20mmHg initially, and will be raised to 30mmHg. A10seconds hold with 10 repetitions, including a 10second rest

Первичные конечные точки

• Pain Intensity [Срок оценки: Baseline, at 3rd week and at 6th week]
• Neck Disability [Срок оценки: Baseline, at 3rd week and at 6th week]

Вторичные конечные точки (2)

• Craniovertebral Angle (CVA) [Срок оценки: Baseline, at 3rd week and at 6th week]
• Pain Pressure Threshold (PPT) [Срок оценки: Baseline, at 3rd week and at 6th week]

Критерии участия

Критерии включения

• Neck Disability Index (NDI) scoring: >5 and <24
• Duration of screen usage: 4-6 hours/day
• Pain: ranging from mild - moderate 4-7 Numeric Pain Rating Scale (NPRS)

Критерии исключения

• Already undergoing physical therapy
• Cervical trauma, radiculopathy, pregnancy, malignancies, torticollis, herniation, stenosis, osteoporosis, etc
• Diagnosed with a CNS abnormality

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

• The University of Lahore Teaching Hospital — Lahore

Идентификаторы

NCT: NCT07684183 · UOL/IREB/25/12/0041

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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