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Effects of Instrument Assisted Soft Tissue Mobilization on Sensory Motor Mismatch in Text Neck Syndrome.

16. juli 2026 opdateret af: Riphah International University
Text Neck Syndrome is increasingly common in young adults due to prolonged smartphone use and is linked to postural changes and impaired sensorimotor control. Although its effects on visual-vestibular integration, balance, and proprioception are still unknown, Instrument-Assisted Soft Tissue Mobilization (IASTM) may improve neuromuscular function by enhancing afferent input and mechanoreceptor stimulation. This study investigates whether IASTM can improve sensorimotor processing in individuals with Text Neck Syndrome.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study aims to bridge that gap by investigating whether mechanical soft tissue stimulation can influence sensorimotor processing, balance and proprioception in individuals with Text Neck Syndrome. The study design used for this literature would be Randomized Control Trial, consisting of two groups; Experimental group (IASTM) & Control group (conventional treatment). Study sample is 66 participants meeting the inclusion criteria chosen according to non-probability convenient sampling. 33 participants will be to each of the control and interventional group. IASTM is applied using stainless steel Garston tools along with the conventional therapy for experimental group while control group will be given conventional therapy only. Two sessions will be given per week and total eight sessions will be given over the period of one month. And results will be recorded at the base level, at fourth session and then at 8th session for both groups.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

66

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Pakistan
    • Punjab Province
      • Rawalpindi, Punjab Province, Pakistan

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

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:

    1. 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))
    2. Upper back pain,
    3. Shoulder pain,
    4. Headache (tension type headache due to tension in sub-occipitals)
    5. Insomnia
    6. 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

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
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).
Andet: 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).
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).
Andet: 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).

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
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.
4 weeks
Dynamic visual acuity test
Tidsramme: 4 weeks
● 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.
4 weeks

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.
4 weeks
Berg Balance Scale (BBS)
Tidsramme: 4 weeks
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.
4 weeks
Universal Goniometer
Tidsramme: 4 weeks
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.
4 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Riphah International University

Efterforskere

  • Ledende efterforsker: Ramsha Tariq, MS OMPT, Riphah International University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

15. juli 2026

Primær færdiggørelse (Anslået)

15. december 2026

Studieafslutning (Anslået)

25. december 2026

Datoer for studieregistrering

Først indsendt

16. juli 2026

Først indsendt, der opfyldte QC-kriterier

16. juli 2026

Først opslået (Faktiske)

21. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • RCRAHS-ISB/REC/MS-PT/02433

Plan for individuelle deltagerdata (IPD)

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Kliniske forsøg med Teksthalssyndrom

Kliniske forsøg med IASTM + Conventional Physiotherapy

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