Back to resultsEffects of Myofascial Release With Isometric Exercises Versus Scapular Stabilization Exercise on Neck Pain in Text Neck
Primary Purpose
Neck Pain
Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Myofascial release with isometric exercises
Myofascial release with scapular stabilization exercise
Sponsored by
About this trial
This is an interventional treatment trial for Neck Pain focused on measuring text neck syndrome, pain and disability, isometrics, scapular stabilization, myofascial release
Eligibility Criteria
Inclusion Criteria:
- Young adults including both female and male between the ages of 18 to 26 years with neck pain who were using smart phone, tablet or laptop for past six-month duration and above.
- Subjects with average 3 or more than 3 hours mobile usage and who may have 3 out of the 6 possible symptoms for text neck which include pain in neck, upper back and shoulder pain, headache as well as insomnia, tingling and numbness in the hands for more than 6 months and with a complain of pain in neck after use of mobile phones or other gadgets.
- Individuals with NDI score of minimum 30%-48% i.e., moderate disability.
- Individuals with willingness to participate in this study.
Exclusion Criteria:
- Specific causes of neck pain involving problems including neurological involvement such as myelopathy combined with weakness, sensory loss with numbness, cervical spinal stenosis and prolapse.
- Any previous neck or upper limb surgery.
- Any neurological disorders including headache and irradiated pain due to some diagnosed disease with involvement of infection and malignancy
- Cerebrovascular insufficiency, carcinoma or traumatic fractures or any chronic disease of musculoskeletal system such as polyarthritis.
- Individuals with acute pain and inflammation, torticollis, acute osteoarthritis, vertigo, heart disease, pregnancy will be excluded from this research.
Sites / Locations
- Riphah International University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Myofascial release with Isometric Exercises
Myofascial Release with Scapular Stabilization Exercise
Arm Description
Myofascial release technique combined with isometric exercises will be given to first group. Patients in this group will be given muscle stretching along with trigger point release for following muscles. For the trapezius muscle as the patient will be in sitting and restrained friction for 30 seconds will be applied to a primary trigger point along with passive trapezius stretching on the alternative side. A chin tuck will be applied to stretch the sub-occipital muscles. Flexion and slight rotation of head will stretch the posterior rotator muscles. The extension of neck and its rotation will stretch sternocleidomastoid muscle. Combining lateral bend to alternative medial head will stretch the scalene muscles. Isometrics for this group will be neck flexion, isometric neck extension, isometric neck side flexion, Isometric neck rotation, neck extensors stretch, neck flexors and side flexors stretch, stretch for right side and lateral rotation stretch
These individuals will only receive same myofascial release therapy as 1st group combined with stabilization exercises. The stabilization exercises will include total 5 stages. The patient will be instructed to get into a supine position and to relax their body and will be instructed to place their feet flat on floor while bending their knees and holding this posture without and involvement of neck movements. After this, the subjects will be taught to raise their shoulder arm up to 90° combined with full scapular protraction and elbow extension and to hold this position for 10 seconds before returning to the prior positions doing this for 3 laps and 10 repetitions and with a minute break in between. For a quadruped position the individuals will alternatively lift their arms along with 120° flexion and shoulder abduction and hold this for ten seconds for ten repetitions for 3 laps and a 30 second break in between
Outcomes
Primary Outcome Measures
Visual Analogue Scale
A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms such as pain
Neck Disability Index
The Neck Disability Index (NDI) is designed to measure neck-specific disability. The questionnaire has 10 items concerning pain and activities of daily living including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation.
Secondary Outcome Measures
Full Information
NCT ID
NCT05202392
First Posted
January 8, 2022
Last Updated
February 1, 2022
Sponsor
Riphah International University
1. Study Identification
Unique Protocol Identification Number
NCT05202392
Brief Title
Effects of Myofascial Release With Isometric Exercises Versus Scapular Stabilization Exercise on Neck Pain in Text Neck
Official Title
Effect of Myofascial Release With Isometric Exercise Versus Myofascial Release With Scapular Stabilization Exercise on Neck Pain in Young Adults With Text Neck Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
December 30, 2021 (Actual)
Study Completion Date
January 20, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The objective of this study is to investigate the effects of myofascial release combined with isometrics and with scapular stabilization on neck pain, disability and ROM in young adults with text neck syndrome
Detailed Description
Neck pain NP (pain in cervical region) has been a major issue these days related to the increased use of smartphones. A posture that has been developed by growing use of technology is a posture called the Text Neck, which has become an epidemic to the world. The text neck is a posture in which a person keeps their head down (forward head posture) to look at their device for long periods of time. There are many medications and techniques used in management of neck pain. Myofascial release has been proved to be efficacious for pain in the neck. This study is unique in that it examines the effect of myofascial therapy along with isometric exercises or scapular stabilization exercises on neck pain, disability, movements and daily life activities.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain
Keywords
text neck syndrome, pain and disability, isometrics, scapular stabilization, myofascial release
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
This study will be single-blinded with blinding of the assessor to the groups and the therapist (researcher). After the initial screening process is completed, an independent accessor will access each recruited patient, outcome measuring tolls will be used by the experts. This will be recorded as baseline measurement assessment. The treatment will base on the designed protocol
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Myofascial release with Isometric Exercises
Arm Type
Experimental
Arm Description
Myofascial release technique combined with isometric exercises will be given to first group. Patients in this group will be given muscle stretching along with trigger point release for following muscles. For the trapezius muscle as the patient will be in sitting and restrained friction for 30 seconds will be applied to a primary trigger point along with passive trapezius stretching on the alternative side. A chin tuck will be applied to stretch the sub-occipital muscles. Flexion and slight rotation of head will stretch the posterior rotator muscles. The extension of neck and its rotation will stretch sternocleidomastoid muscle. Combining lateral bend to alternative medial head will stretch the scalene muscles. Isometrics for this group will be neck flexion, isometric neck extension, isometric neck side flexion, Isometric neck rotation, neck extensors stretch, neck flexors and side flexors stretch, stretch for right side and lateral rotation stretch
Arm Title
Myofascial Release with Scapular Stabilization Exercise
Arm Type
Experimental
Arm Description
These individuals will only receive same myofascial release therapy as 1st group combined with stabilization exercises. The stabilization exercises will include total 5 stages. The patient will be instructed to get into a supine position and to relax their body and will be instructed to place their feet flat on floor while bending their knees and holding this posture without and involvement of neck movements. After this, the subjects will be taught to raise their shoulder arm up to 90° combined with full scapular protraction and elbow extension and to hold this position for 10 seconds before returning to the prior positions doing this for 3 laps and 10 repetitions and with a minute break in between. For a quadruped position the individuals will alternatively lift their arms along with 120° flexion and shoulder abduction and hold this for ten seconds for ten repetitions for 3 laps and a 30 second break in between
Intervention Type
Other
Intervention Name(s)
Myofascial release with isometric exercises
Intervention Description
Patients in group A will receive 40 minutes of combined therapy treatment session including myofascial release of muscles with trigger point release and 5 isometric exercises of neck at alternative 3 days/week for 4 weeks.
Intervention Type
Other
Intervention Name(s)
Myofascial release with scapular stabilization exercise
Intervention Description
Patients in group B will get 40 minutes of myofascial therapy same as the first group combined with scapular stabilization exercise in 5 different positions and this treatment session will be at alternative 3 days/week for 4 weeks.
Primary Outcome Measure Information:
Title
Visual Analogue Scale
Description
A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms such as pain
Time Frame
2 months
Title
Neck Disability Index
Description
The Neck Disability Index (NDI) is designed to measure neck-specific disability. The questionnaire has 10 items concerning pain and activities of daily living including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation.
Time Frame
2 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
26 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Young adults including both female and male between the ages of 18 to 26 years with neck pain who were using smart phone, tablet or laptop for past six-month duration and above.
Subjects with average 3 or more than 3 hours mobile usage and who may have 3 out of the 6 possible symptoms for text neck which include pain in neck, upper back and shoulder pain, headache as well as insomnia, tingling and numbness in the hands for more than 6 months and with a complain of pain in neck after use of mobile phones or other gadgets.
Individuals with NDI score of minimum 30%-48% i.e., moderate disability.
Individuals with willingness to participate in this study.
Exclusion Criteria:
Specific causes of neck pain involving problems including neurological involvement such as myelopathy combined with weakness, sensory loss with numbness, cervical spinal stenosis and prolapse.
Any previous neck or upper limb surgery.
Any neurological disorders including headache and irradiated pain due to some diagnosed disease with involvement of infection and malignancy
Cerebrovascular insufficiency, carcinoma or traumatic fractures or any chronic disease of musculoskeletal system such as polyarthritis.
Individuals with acute pain and inflammation, torticollis, acute osteoarthritis, vertigo, heart disease, pregnancy will be excluded from this research.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Kashif
Organizational Affiliation
Riphah International University
Official's Role
Study Chair
Facility Information:
Facility Name
Riphah International University
City
Faisalabad
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effects of Myofascial Release With Isometric Exercises Versus Scapular Stabilization Exercise on Neck Pain in Text Neck
We'll reach out to this number within 24 hrs