Effects of Instrument Assisted Soft Tissue Mobilization on Sensory Motor Mismatch in Text Neck Syndrome.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Ramsha Tariq, MS OMPT
- Telefonnummer: 03315251422
- E-Mail: ramsha.tariq@riphah.edu.pk
Studienorte
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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
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
Akzeptiert gesunde Freiwillige
Beschreibung
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.)
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: 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).
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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).
|
|
Aktiver 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).
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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).
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Fukuda stepping test - vestibular deviation
Zeitfenster: 4 weeks
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• 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
Zeitfenster: 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
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Cervical Joint Position Error (JPE) Test
Zeitfenster: 4 weeks
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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)
Zeitfenster: 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
Zeitfenster: 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
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Ramsha Tariq, MS OMPT, Riphah International University
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- RCRAHS-ISB/REC/MS-PT/02433
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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