Diese Seite wurde automatisch übersetzt und die Genauigkeit der Übersetzung wird nicht garantiert. Bitte wende dich an die englische Version für einen Quelltext.

Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides in Text Neck Syndrome

8. Juni 2026 aktualisiert von: Riphah International University

Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides on Pain, Range of Motion and Disability Among Patients With Text Neck Syndrome

Text neck syndrome is one such disorder within that group, increasingly affecting individuals worldwide across various age groups. The phenomenon of text neck may occur in individuals who frequently and for prolonged periods adopt a forward-flexed neck and head position while looking at the screens of mobile electronic devices. This posture puts stress on the neck muscles and spine, leading to various symptoms like neck pain, stiffness, and headaches.

Studienübersicht

Status

Noch keine Rekrutierung

Bedingungen

Intervention / Behandlung

Detaillierte Beschreibung

The single blinded randomized clinical trial will be conducted at Shafqat Polyclinic and Sunrise Medicare Hospital Faisalabad. A total of 42 participants ( 21 in each group) with text neck syndrome will be recruited through non probability convenient sampling technique on which patients will be randomized through computer generated software into Group A and Group B. Group A will receive cervical stabilization exercises and reverse NAGs mobilization. Cervical stabilization exercises will be performed as 15 repetitions with 10 seconds of contraction and 5 seconds of relaxation. The mobilizations will be repeated 10 times per set, 2 to 3 oscillations per second for a total of 3 sets per treatment. Group B will receive only cervical stabilization exercises. Each exercise will be performed as 15 repetitions with 10 seconds of contraction and 5 seconds of relaxation per treatment. Each session will be last for 40 to 45min and three sessions per week will be performed.. Outcome measure will be conducted through pain (NPRS), disability (NDI) and range of motion (Universal Goniometer) at baseline and after six weeks treatment. Data will be analyzed using SPSS software version 27. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within group or between groups.

Studientyp

Interventionell

Einschreibung (Geschätzt)

42

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

  • Pakistan
    • Punjab Province
      • Faisalābad, Punjab Province, Pakistan
        • Sunrise Medicare Center Faisalabad
        • Kontakt:

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  • • Both male and female are taken

    • Age between 18-35 years
    • Craniovertebral angle less than 50 degree

Exclusion Criteria:

  • • Trauma

    • Patient undergoes cervical surgery.
    • Disc prolapse, herniation, spondylolisthesis
    • Osteoporosis
    • Torticullis
    • Pregnancy
    • Psychological Problems
    • Cervical radiculopathy

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Cervical stabilization exercises with reverse NAGs
Combining cervical stabilization exercises with Natural Apophyseal Glides (NAGs) is a highly effective, evidence-based approach for treating "text neck syndrome" (forward head posture). Reverse NAGs are gentle, oscillatory manual therapy techniques that, when combined with stabilization exercises, alleviate pain, correct posture, and restore a pain-free range of motion.
Sonstiges: Cervical stabilization exercises with reverse NAGs

1. Cervical Stabilization Exercises: Chin tuck, Cervical Extension, shoulder Shrugs, shoulder Rolls, scapular Retraction.

Reverse NAG A mobilization takes place when you glide the inferior facet up on the superior one. This is achieved by thrusting up along the treatment plane with your bottom hand. You initially press ventrally to secure your thumb and index finger under the chosen segment transverse processes and then glide cranially along the treatment plane. Maintain your ventral pressure or you will slip over the transverse process.

Position: Patient is seated. You stand beside patient and cradle his head to your body with forearm. Therapist hand position piston grip for lower cervical spine and for upper thoracic spine will be wide grip.

Dosage: The mobilization was applied at C5 to C7 and T1 to T3.
Aktiver Komparator: Cervical stabilization exercises without reverse NAGs
Cervical stabilization exercises target the deep neck flexors and upper back muscles to correct forward head posture, reduce strain, and restore the neck's natural alignment.
Sonstiges: Cervical stabilization exercises without reverse NAGs

1. Cervical Stabilization Exercises: Chin tuck: In standing position, participant pulls back the chin as if trying to make double chin while keeping the eyes level. This was done for 15 repetitions.

Cervical Extension: In standing participant graps the base of neck, with both hands while extending the neck as far as possible. This was done for 15 repetitions.

Shoulder Shrugs: In standing position, participant shrugs the shoulders, bringing them up towards the ears. This was done for 15 repetitions.

Shoulder Rolls: In standing position, participant rolls the shoulder forward in a circle. Then, rolls shoulder backwards in a circle. Then participant relaxes and repeats the procedure for 15 times.

Scapular Retraction: In standing position, participant brings the shoulder blades together in the back; participant then relaxes and repeats the procedure for 15 times.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
1. Numeric pain rate scale (NPRS)
Zeitfenster: upto 4 weeks
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" (25). The reliability of NPRS in patient with neck pain has been reported to be 0.76 indicated a moderate level of reliability for NPRS and moderate level of consistency and stability in the scores obtained from the measurement tool
upto 4 weeks
2. Neck Disability index (NDI)
Zeitfenster: Upto 4 weeks
This questionnaire will be used to assess disability. Each of the ten items in the neck disability assessment is given a score between 0 and 5. Consequently, 50 is the highest possible score. The ten elements include four activities of daily living (lifting, working, driving, and recreation), two discretionary activities of daily living (personal care, reading), and four subjective symptoms (pain intensity, headache, concentration, and sleeping). This index is the most popular and well-researched tool for evaluating patients' self-reported impairment in relation to neck discomfort (27). The intraclass correlation coefficient ICC ( 95% Confidence intervals) for NDI was 0.87(0.66, 0.94), indicating very high reliability and NDI demonstrated an adequate level of absolute reliability(9.3) and internal consistency (Cronbach alpha 0.70), along with possibility, discriminative validity, and acceptable concept validity
Upto 4 weeks
3. Universal Goniometer (UG):
Zeitfenster: Upto 4 weeks
The Universal Goniometer was used to assess the ranges of motion of cervical flexion, extension, rotation, and lateral flexion. Throughout all range-of-motion tests, subjects sat erect, facing forward, with their arms on their laps and their feet flat on the ground(29). The goniometer application, an excellent correlation (r=0.81, p=0.000), for intra-rater 9(ICC=0.88) and inter-rater reliability (ICC=0.915) were obtained (30).
Upto 4 weeks
4. Craniovertebral Angle:
Zeitfenster: Upto 4 weeks
Measuring craniovertebral (CV) angle is one of the common objective methods in assessing forward head posture . It is the angle formed by a horizontal line drawn through the spinous process of the seventh cervical (C7) vertebra and a line joining the spinous process of C7 vertebra with the tragus of the ear using kinovvea software 2023 version 1.2. A smaller CVA reflects a greater degree of forward head posture, with angle less than 50 degrees typically considered abnormal
Upto 4 weeks

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Riphah International University

Ermittler

  • Hauptermittler: Rahat Afzal, MS-OMPT, Governement Teaching Hospital Shahdara Lahore.

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Allgemeine Veröffentlichungen

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Geschätzt)

30. Mai 2026

Primärer Abschluss (Geschätzt)

30. Juli 2026

Studienabschluss (Geschätzt)

30. August 2026

Studienanmeldedaten

Zuerst eingereicht

8. Juni 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

8. Juni 2026

Zuerst gepostet (Tatsächlich)

12. Juni 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

12. Juni 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

8. Juni 2026

Zuletzt verifiziert

1. Juni 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • REC/RCR&AHS/25/0125 Shomaiza

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

Klinische Studien zur Text -Nacken -Syndrom

Suchen Sie nach ähnlichen Studien

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

CROs by country

CROs in Saudi Arabia

Bedingungen

Seltene Krankheiten

Drogeninterventionen

Nahrungsergänzungsmittel

Sponsor / Mitarbeiter

Standorte

Abonnieren