Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides in Text Neck Syndrome
2026年6月8日 更新者：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.
調査の概要
状態
まだ募集していません
条件
詳細な説明
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.
研究の種類
介入
入学 (推定)
42
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Samrood Akram, PhD*
- 電話番号：03324806143
- メール：samrood.akram@riphah.edu.pk
研究場所
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Punjab Province
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Faisalābad、Punjab Province、パキスタン
- Sunrise Medicare Center Faisalabad
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コンタクト：
- Ahmad Siddique, MS-OMPT
- 電話番号：+92 321 6688944
- メール：Shafqatpolyclinic@gmail.com
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-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
いいえ
説明
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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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.
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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. |
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アクティブコンパレータ：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.
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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. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
1. Numeric pain rate scale (NPRS)
時間枠：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
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upto 4 weeks
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2. Neck Disability index (NDI)
時間枠：Upto 4 weeks
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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
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Upto 4 weeks
|
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3. Universal Goniometer (UG):
時間枠：Upto 4 weeks
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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).
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Upto 4 weeks
|
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4. Craniovertebral Angle:
時間枠：Upto 4 weeks
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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
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Upto 4 weeks
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Rahat Afzal, MS-OMPT、Governement Teaching Hospital Shahdara Lahore.
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- 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.
- lsiwed KT, Alsarwani RM, Alshaikh SA, Howaidi RA, Aljahdali AJ, Bassi MM. The prevalence of text neck syndrome and its association with smartphone use among medical students in Jeddah, Saudi Arabia. Journal of Musculoskeletal Surgery and Research. 2021;5(4):266-72.
- Rashid A, Sahry S, Tabasum H, Farooq M, Ali Z, Younas MW. Prevalence of Text Neck Syndrome and its Association with Forward Head Posture and Aerobic Capacity Among Medical Students. Insights-Journal of Health and Rehabilitation. 2024;2(2 (Health & Allied)):23-8.
- Bhende R, Shinde S, Jain P. Effect of Integrated Postural Training in Individuals with Text Neck Syndrome. Journal of Kinesiology and Exercise Sciences. 2024;34(108):10-9.
- 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.
- Yüzbaşıoğlu Ü, Ekici E, Aytar A. Pain of Modern Age Text Neck Syndrome: A Traditional Review. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2024(24):1321-31.
- SAl Miaraj A, Bhat I. Prevalence of Text Neck Syndrome and Its Association with Mobile Phone Usage Among University Academic Staff. Int J Phys Med Rehabil. 2021;9(10).
- Anand B, Sharma P. Association of Hand Performance with Neck Disability in Text Neck Syndrome among College Students. Indian Journal of Physiotherapy and Occupational Therapy. 2020;14(4):13.
- Shah J, Soni K. Effectiveness of pilates along with conventional exercise program and conventional exercise program alone in subjects with text neck syndrome. International Journal of Science and Research (IJSR). 2021;10:1322-6.
- Ahmed HH, Abdelhamid SA, Elhafez HM, Shimaa A, Abd El Azeim S. EFFECT OF TEXT-NECK SYNDROME ON SCAPULAR INDEX AND RESPIRATORY FUNCTIONS IN DIFFERENT AGE GROUPS. 2021
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年5月30日
一次修了 (推定)
2026年7月30日
研究の完了 (推定)
2026年8月30日
試験登録日
最初に提出
2026年6月8日
QC基準を満たした最初の提出物
2026年6月8日
最初の投稿 (実際)
2026年6月12日
学習記録の更新
投稿された最後の更新 (実際)
2026年6月12日
QC基準を満たした最後の更新が送信されました
2026年6月8日
最終確認日
2026年6月1日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- REC/RCR&AHS/25/0125 Shomaiza
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
いいえ
米国FDA規制機器製品の研究
いいえ
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