## Protocol Section
### Identification Module
**NCT ID:** NCT05479279

**Brief Title:** Effectiveness of Neck Stabilization Training Program With Conventional Therapy in Management of Text Neck Syndrome

**Official Title:** Effectiveness of Neck Stabilization Training Program in Management of Text Neck Syndrome Among Smart Gadget Users

#### Organization Study ID Info
**ID:** Zainab Noor Qazi
#### Organization
**Class:** OTHER
**Full Name:** Riphah International University
### Status Module
#### Completion Date
**Date:** 2022-07-15

**Type:** ACTUAL

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2022-07-29

**Type:** ACTUAL

**Last Update Submit Date:** 2022-07-27

**Overall Status:** COMPLETED

#### Primary Completion Date
**Date:** 2022-07-15

**Type:** ACTUAL

#### Start Date
**Date:** 2021-09-30

**Type:** ACTUAL

**Status Verified Date:** 2022-07

#### Study First Post Date
**Date:** 2022-07-29
**Type:** ACTUAL
**Study First Submit Date:** 2022-07-27
**Study First Submit QC Date:** 2022-07-27
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Riphah International University

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** True

### Description Module

**Brief Summary:** 1. To compare the effectiveness of neck stabilization training program with conventional physical therapy in management of neck pain and disability in individuals with text neck syndrome.
2. To compare the effectiveness of neck stabilization training program with conventional physical therapy in improving muscle strength and range of motion of cervical spine in individuals with text neck syndrome.

**Detailed Description:** The text neck syndrome was described as a compilation of signs and symptoms due to the repetitive load, stress and pain in the body regions including; neck, shoulder joints, shoulder muscles, and thoracic region initiated by the excessive usage of smartphones for the prolonged time. The text neck syndrome is also called as 'Turtle neck neck syndrome' or 'anterior head syndrome.

Neck flexion in forward direction for using any smart phone could directly affects the cervical and upper thoracic spine. It is stated that increased tilt of the head forward to fifteen degrees exaggerate about 13 Kgs of mechanical force on the cervical spine.

Likewise it progresses to 18 Kgs at 30 degrees, 23 Kgs at 45 degrees and 28 Kgs at 60 degrees of forward neck flexion. The pathological consequences caused by incase of not managing the text neck could be alike to occupational overuse disease or repetitive stress and strain pathology.

### Conditions Module

**Conditions:**

- Neck Syndrome

### Design Module

#### Design Info

**Allocation:** RANDOMIZED

**Intervention Model:** PARALLEL

##### Masking Info

**Masking:** NONE

**Primary Purpose:** TREATMENT

#### Enrollment Info

**Count:** 26

**Type:** ACTUAL

**Phases:**

- NA

**Study Type:** INTERVENTIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** Patient education Tens Hot pack Cervical muscle stretching trigger/ tender point release postural re-education cranio-cervical isometrics training of intrascapular, shoulder and upper extremity musculature resistance training with theraband

**Intervention Names:**

- Other: Neck Stabilization Training Program

**Label:** Neck Stabilization Training Program

**Type:** EXPERIMENTAL

#### Arm Group 2

**Description:** Patient education Tens Hot pack Cervical muscle stretching trigger/ tender point release

**Intervention Names:**

- Other: Conventional physical therapy

**Label:** Conventional physical therapy

**Type:** ACTIVE_COMPARATOR

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Neck Stabilization Training Program

**Description:** 3 times a week stretching exercises approximately 10 mins dumb bell exercises - 2 sets of 15 reps with weights varying from 1 to 2 kg cranio-cervical isometrics for 10 sec with 15 sec breaks between holds with 10-15 reps Tens 5-10 mins Hotpack 5-10 mins neck stretches home plan - 5 reps/set, 3 sets/ day

**Name:** Neck Stabilization Training Program

**Type:** OTHER

#### Intervention 2

**Arm Group Labels:**

- Conventional physical therapy

**Description:** Tens 5-10 mins Hotpack 5-10 mins neck stretches home plan - 5 reps/set, 3 sets/ day

**Name:** Conventional physical therapy

**Type:** OTHER

### Outcomes Module

#### Primary Outcomes

**Description:** It is a functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. The test can be interpreted as a raw score, with a maximum score of 50, or as percentage. Highest the score or percentage, higher will be disability.

**Measure:** Neck disability index

**Time Frame:** 6th week

**Description:** It is a segmented numeric scale in which respondent selects a whole number (0-10). The best reflects the intensity of pain.

**Measure:** NPRS

**Time Frame:** 6th week

**Description:** ROM of cervical flexion, extension, lateral rotation and side bending will be measured by universal goniometer.

**Measure:** Range of motion

**Time Frame:** 6th Week

**Description:** This angle is identified as intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.

**Measure:** Cranio-vertebral angle

**Time Frame:** 6th Week

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* Gender (both men and women)
* Age: 18-30 years
* Participants using smart phones, laptops and tablets with screen time \>3 hours daily, for \>6 months.
* Patient diagnosed with text neck syndrome
* Trigger points in cervical muscles (trapezius, levator scapulae and scalene muscles)

Exclusion Criteria:

* Patient diagnosed with neck pain other than text neck syndrome

**Maximum Age:** 30 Years

**Minimum Age:** 18 Years

**Sex:** ALL

**Standard Ages:**

- ADULT

### Contacts Locations Module

#### Locations

**Location 1:**

**City:** Rawalpindi

**Country:** Pakistan

**Facility:** Railway General Hospital

**State:** Punjab

#### Overall Officials

**Official 1:**

**Affiliation:** Riphah International University

**Name:** maria Khalid, MSOMPT

**Role:** PRINCIPAL_INVESTIGATOR

### IPD Sharing Statement Module

**IPD Sharing:** NO

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000004194

- Term: Disease

- ID: D000010335

- Term: Pathologic Processes

### Condition Browse Module - Browse Branches

- Abbrev: BC23

- Name: Symptoms and General Pathology

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M16355

- Name: Syndrome

- Relevance: HIGH

- As Found: Syndrome

### Condition Browse Module - Meshes

- ID: D000013577

- Term: Syndrome

### Misc Info Module

- Version Holder: 2024-05-24
