Effects of Instrument Assisted Soft Tissue Mobilization on Sensory Motor Mismatch in Text Neck Syndrome.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ramsha Tariq, MS OMPT
- Telefonnummer: 03315251422
- E-mail: ramsha.tariq@riphah.edu.pk
Studiesteder
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Punjab Province
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Rawalpindi, Punjab Province, Pakistan
- Railway General Hospital
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Kontakt:
- Ramsha Tariq, MS OMPT
- Telefonnummer: 0331-5251422
- E-mail: ramsha.tariq@riphah.edu.pk
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Adults aged 18-30
- Using the phone or computer for 3 h or more per day.
The presence of 3 out of the following 6 symptoms:
- Neck pain (recurrent history of neck pain in the previous 4 months, a pain level greater than or equal to 4/10 on the NPRS (moderate pain))
- Upper back pain,
- Shoulder pain,
- Headache (tension type headache due to tension in sub-occipitals)
- Insomnia
- Tingling and numbness in the upper limbs
- Cranio-vertebral angle (CVA) <48-50° on digital photogrammetry
- Individuals having sensory-motor mismatch (positive Fukuda test:>45° degrees, abnormal dynamic visual acuity, positive cervical JPE>4.5°)
- Voluntary participation
Exclusion Criteria:
- History of cervical spine surgery, trauma, or fracture
- Any diagnosed neurological disorders (cervical radiculopathy, peripheral neuropathy, fibromyalgia, etc.)
- Any diagnosed MSK related issue (torticollis, scoliosis, diagnosed disc prolapse, stenosis, herniation, spondylolisthesis, osteoporosis, etc.)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Experimental: IASTM + Conventional Physiotherapy
Participants will receive Instrument-Assisted Soft Tissue Mobilization (IASTM) in addition to conventional physiotherapy.
IASTM will be applied to the upper trapezius, levator scapulae, sternocleidomastoid, suboccipital muscles, and cervical extensors using stainless steel instruments.
Conventional therapy will include cervical isometric exercises, deep cervical flexor activation, scapular strengthening exercises, stretching exercises, thoracic extension exercises, and postural re-education.
Treatment will be administered twice weekly for 4 weeks (8 sessions total).
|
Participants will receive Instrument-Assisted Soft Tissue Mobilization (IASTM) in addition to conventional physiotherapy.
IASTM will be applied to the upper trapezius, levator scapulae, sternocleidomastoid, suboccipital muscles, and cervical extensors using stainless steel instruments.
Conventional therapy will include cervical isometric exercises, deep cervical flexor activation, scapular strengthening exercises, stretching exercises, thoracic extension exercises, and postural re-education.
Treatment will be administered twice weekly for 4 weeks (8 sessions total).
|
|
Aktiv komparator: Conventional Physiotherapy (Exercise-based) (control group)
Participants will receive conventional physiotherapy consisting of cervical isometric strengthening exercises, deep cervical flexor activation exercises, scapular strengthening exercises, stretching exercises, thoracic extension exercises, and postural re-education.
Treatment will be administered twice weekly for 4 weeks (8 sessions total).
|
Participants will receive conventional physiotherapy consisting of cervical isometric strengthening exercises, deep cervical flexor activation exercises, scapular strengthening exercises, stretching exercises, thoracic extension exercises, and postural re-education.
Treatment will be administered twice weekly for 4 weeks (8 sessions total).
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Fukuda stepping test - vestibular deviation
Tidsramme: 4 weeks
|
• Evaluates vestibulospinal reflex integrity by observing angular deviation during stepping in place with eyes closed.
It indicates asymmetry in vestibular or sensory motor control.
The FST is based on vestibulospinal reflex and widely used for evaluation of labyrinthine function.
The significant displacement or rotation (more than 45°) is considered abnormal and suggest a vestibular imbalance.
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4 weeks
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Dynamic visual acuity test
Tidsramme: 4 weeks
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● Assesses visual vestibular interaction by measuring visual acuity during active head movement.
It detects gaze instability caused by impaired vestibulo- ocular reflex (VOR) and sensory-motor mismatch.
A difference of two or more lines on eye-chart than seen in static visual acuity is considered abnormal.
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4 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Cervical Joint Position Error (JPE) Test
Tidsramme: 4 weeks
|
A clinical test used to assess cervical proprioceptive accuracy by measuring a person's ability to relocate their head to a neutral position after active neck movement.
It quantifies repositioning errors that may result from altered cervical joint and muscle spindle function, commonly seen in neck pain and after muscle fatigue.
The deviation of 7.1 cm is equivalent to 4.5° thus, the joint position error of greater than 4.5° is considered as positive.
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4 weeks
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Berg Balance Scale (BBS)
Tidsramme: 4 weeks
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A 14-item observational tool called the Berg Balance Scale (BBS) is used to evaluate both static and dynamic balance while doing functional tasks.
Its overall score is 56, where a score of less than 45 indicates a higher danger of falling.
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4 weeks
|
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Universal Goniometer
Tidsramme: 4 weeks
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A manual instrument used to assess active cervical spine range of motion (flexion, extension, rotation, and side-bending).
It provides quantitative data for cervical mobility changes.
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4 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Ramsha Tariq, MS OMPT, Riphah International University
Publikationer og nyttige links
Generelle publikationer
- Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021 Feb 21;22(1):212. doi: 10.1186/s12891-021-04080-4.
- Piruta J, Kulak W. Physiotherapy in Text Neck Syndrome: A Scoping Review of Current Evidence and Future Directions. J Clin Med. 2025 Feb 19;14(4):1386. doi: 10.3390/jcm14041386.
- 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.
- 1. Kumar N. Latest Smartphone Usage Statistics (2025 Data & Trends). Demandsage [Internet]. 2025.
- Tsantili AR, Chrysikos D, Troupis T. Text Neck Syndrome: Disentangling a New Epidemic. Acta Med Acad. 2022 Aug;51(2):123-127. doi: 10.5644/ama2006-124.380.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- RCRAHS-ISB/REC/MS-PT/02433
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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