Effects of Instrument Assisted Soft Tissue Mobilization on Sensory Motor Mismatch in Text Neck Syndrome.
16 de julio de 2026 actualizado por: 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.
Descripción general del estudio
Estado
Aún no reclutando
Condiciones
Intervención / Tratamiento
Descripción detallada
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.
Tipo de estudio
Intervencionista
Inscripción (Estimado)
66
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Estudio Contacto
- Nombre: Ramsha Tariq, MS OMPT
- Número de teléfono: 03315251422
- Correo electrónico: ramsha.tariq@riphah.edu.pk
Ubicaciones de estudio
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Punjab Province
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Rawalpindi, Punjab Province, Pakistán
- Railway General Hospital
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Contacto:
- Ramsha Tariq, MS OMPT
- Número de teléfono: 0331-5251422
- Correo electrónico: ramsha.tariq@riphah.edu.pk
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-
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
No
Descripción
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.)
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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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).
|
|
Comparador activo: 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).
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Fukuda stepping test - vestibular deviation
Periodo de tiempo: 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
Periodo de tiempo: 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
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Cervical Joint Position Error (JPE) Test
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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.
|
4 weeks
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Ramsha Tariq, MS OMPT, Riphah International University
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- 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.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Estimado)
15 de julio de 2026
Finalización primaria (Estimado)
15 de diciembre de 2026
Finalización del estudio (Estimado)
25 de diciembre de 2026
Fechas de registro del estudio
Enviado por primera vez
16 de julio de 2026
Primero enviado que cumplió con los criterios de control de calidad
16 de julio de 2026
Publicado por primera vez (Actual)
21 de julio de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
21 de julio de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
16 de julio de 2026
Última verificación
1 de julio de 2026
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- RCRAHS-ISB/REC/MS-PT/02433
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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