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Progressive Cervical Isometric Exercises Versus Scapular Stabilization Exercises in Text Neck Syndrome

Primary Purpose

Neck Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Isometrics
Combination Therapy
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Syndrome focused on measuring progressive cervical neck isometrics, scapular stabilization exercises, pain, ROM, Text neck syndrome, turtle neck syndrome, disability

Eligibility Criteria

18 Years - 28 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Individuals using mobile phones for more than 6-8 hours.

    • Participants both male and female of age between 18 to 28 years
    • Participants with neck pain (>7 weeks)
    • Participants with NDI score above 15/50 (10% or higher) or
    • Participants with NPRS score above 3

Exclusion Criteria:

  • Specific causes of neck pain (conditions with neurological involvement such as myelopathy with weakness, numbness and sensory loss, cervical disc prolapse, and cervical spinal stenosis)

    • Previous neck and upper limb surgery.
    • History of cervical trauma (whiplash disorder), fractures, dislocations.
    • History of congenital torticollis, frequent migraine, carcinoma, acute pain and inflammation, torticollis, unstable/acute osteoarthritis, any recent fracture, vertigo, vertebrobasilar insufficiency, chronic heart disease, myocardial infarction or pregnancy

Sites / Locations

  • Services hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Isometrics

Combination Therapy

Arm Description

They will be treated with progressive isometric exercises added to 60 min of combined therapy (excluding scapular stabilizing exercises) treatment session at alternative 3 days/week for 8weeks

They will be treated with both isometric and scapular stabilizing exercises.and will get 60minutes of treatment sessions at alternative 3 days/week for 8weeks

Outcomes

Primary Outcome Measures

NDI (Neck disability Index)
The Neck Disability Index (NDI) is modification of the Oswestry Low Back Pain Disability Index. It is Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation
NPRS (Numeric Pain Rating Scale)
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes
Goniometer
A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position
Inclinometer
An inclinometer is a medical device used to measure the range of motion of the joint. They are mainly used to measure the passive range of motion and allow the medical practitioner to compare the patient's relaxed position to the ability to move

Secondary Outcome Measures

Full Information

First Posted
April 26, 2022
Last Updated
April 26, 2022
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05356676
Brief Title
Progressive Cervical Isometric Exercises Versus Scapular Stabilization Exercises in Text Neck Syndrome
Official Title
Effects of Progressive Cervical Isometric Exercises Versus Scapular Stabilization Exercises on Pain, Range of Motion and Disability in Young Adults With Text Neck Syndrome: A Randomised Controlled Trail
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 15, 2022 (Actual)
Primary Completion Date
August 15, 2022 (Anticipated)
Study Completion Date
September 15, 2022 (Anticipated)

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 aim of this study is to investigate the effects of progressive cervical isometric exercises and scapular stabilization exercises on pain, ROM and disability in young adults with text neck syndrome.
Detailed Description
Text neck or Turtle neck posture is the latest term coined by Dr. Dean L. Fishman that demonstrates the repeated stress, injury, and pain in the neck due to having the head in a forward position by excessive use of cell phones or hand-held mobile devices for a prolonged time. The use of mobile devices is becoming a concern especially in children, recent numbers are very alarming and according to surveys 87% of teenagers in America and 79% of teenagers in the UK are mobile phone owners and are greatly affected by them, these numbers have skyrocketed by recent COVID-19 pandemic as the social distancing and closure of the school, colleges and offices have pushed us to work from home and it increases the prevalence of text neck syndrome. This study is unique in that as it investigate the effect of two different treatment plans for turtle neck syndrome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Syndrome
Keywords
progressive cervical neck isometrics, scapular stabilization exercises, pain, ROM, Text neck syndrome, turtle neck syndrome, disability

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Isometrics
Arm Type
Experimental
Arm Description
They will be treated with progressive isometric exercises added to 60 min of combined therapy (excluding scapular stabilizing exercises) treatment session at alternative 3 days/week for 8weeks
Arm Title
Combination Therapy
Arm Type
Experimental
Arm Description
They will be treated with both isometric and scapular stabilizing exercises.and will get 60minutes of treatment sessions at alternative 3 days/week for 8weeks
Intervention Type
Other
Intervention Name(s)
Isometrics
Intervention Description
Isometric neck extension -individuals will be taught to place their dominant hand posterior to their head at occiput. Then, they will be told to firmly push the head backwards against that hand, and hold for five seconds and repeat 5 times. • Participants will be asked to place the right hand flat on the same side of the head. Next. they will be instructed to firmly push the head against right hand and hold for 5 seconds and repeat five times. Same exercise will be repeated with the left hand against the left side of the head as well. • Participants will be taught to place their right hand on their right cheek. Then, they will be told to rum the face against the right hand and wait for 5 seconds and repeat five times. Same exercise was repeated with the left hand on the left cheek as well.
Intervention Type
Other
Intervention Name(s)
Combination Therapy
Intervention Description
In supine position, the patient will be instructed to take a deep breath in order to relax the body whilst holding his/her shoulders and neck in a comfortable posture. the patient will bend his/her knees and place their feet flat on the floor, and will hold the posture without any other neck movement. Then the patient will be asked to raise their dominant arm to 90° shoulder flexion along with full elbow extension and scapular protraction. This posture will be held for 10 seconds before returning to the prior position with 3 laps, 10 repetitions with a one-minute break between. in quadruped position, the patient will lift up their arms alternatively with shoulder abduction and 120 ° flexion. This posture will be held for 10 seconds before returning to the starting position for three laps, 10 repetitions with a 30-second break in between. Participants will be instructed to perform these for 3 times a week for 4 weeks.
Primary Outcome Measure Information:
Title
NDI (Neck disability Index)
Description
The Neck Disability Index (NDI) is modification of the Oswestry Low Back Pain Disability Index. It is Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation
Time Frame
3 months
Title
NPRS (Numeric Pain Rating Scale)
Description
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes
Time Frame
3 months
Title
Goniometer
Description
A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position
Time Frame
3 months
Title
Inclinometer
Description
An inclinometer is a medical device used to measure the range of motion of the joint. They are mainly used to measure the passive range of motion and allow the medical practitioner to compare the patient's relaxed position to the ability to move
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
28 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Individuals using mobile phones for more than 6-8 hours. Participants both male and female of age between 18 to 28 years Participants with neck pain (>7 weeks) Participants with NDI score above 15/50 (10% or higher) or Participants with NPRS score above 3 Exclusion Criteria: Specific causes of neck pain (conditions with neurological involvement such as myelopathy with weakness, numbness and sensory loss, cervical disc prolapse, and cervical spinal stenosis) Previous neck and upper limb surgery. History of cervical trauma (whiplash disorder), fractures, dislocations. History of congenital torticollis, frequent migraine, carcinoma, acute pain and inflammation, torticollis, unstable/acute osteoarthritis, any recent fracture, vertigo, vertebrobasilar insufficiency, chronic heart disease, myocardial infarction or pregnancy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nosheen Manzoor, MS-OMPT
Phone
03236877879
Email
nosheen.manzoor@riphahfsd.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nosheen Manzoor, MS-OMPT
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Services hospital
City
Lahore
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nosheen Manzoor
Phone
03236877879
Email
Nosheenmanzoor_444@yahoo.com
First Name & Middle Initial & Last Name & Degree
Osama Ijaz, MS-OMPT

12. IPD Sharing Statement

Plan to Share IPD
No

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Progressive Cervical Isometric Exercises Versus Scapular Stabilization Exercises in Text Neck Syndrome

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