Effects of Alexander Technique Versus Feldenkrais Somatic Training in Patients With Text Neck Syndrome

Each patient will receive a total number of eight treatment sessions over a four-week period and each session is about 45 min. There will be 3 sessions in per week. Constructive rest-5 min, Gentle cervical rotation in supine , 4-5 each side, Head and neck release awareness in sitting, Semi supine arm awareness, Sitting Posture Re-education: Ask the patient to hold the phone at eye level, Sitting to standing by Alexander Method, Gentle cervical rotation sitting, Functional Reaching with AT Cues, Stimulated phone use training, Sustained posture awareness drill

TENS (10 min), Hot pack (10 min), Soft tissue mobilization, Grade I, II matland mobilization of cervical spine, AROM (10 reps- 2 sets), Upper trapezius stretch (5 sets, hold for 15-30 sec), Levator Scapulae stretch (5 sets, hold for 15-30 sec), SCM stretch (5 sets, hold for 15-30 sec), Pectoralis major stretch (5 sets, hold for 15-30 sec), Cervical isometrics in flexion, extension and side bending (5-10 sets, hold for 10 sec).

TENS (10 min), Hot pack (10 min), Soft tissue mobilization, Grade I, II matland mobilization of cervical spine, AROM (10 reps- 2 sets), Upper trapezius stretch (5 sets, hold for 15-30 sec), Levator Scapulae stretch (5 sets, hold for 15-30 sec), SCM stretch (5 sets, hold for 15-30 sec), Pectoralis major stretch (5 sets, hold for 15-30 sec), Cervical isometrics in flexion, extension and side bending (5-10 sets, hold for 10 sec).

Each patient will receive a total number of eight treatment sessions over a four-week period and each session is about 45 min. There will be 3 sessions in per week. Body scan in supine, small circles in supine , Chin nodding in supine lying, Jaw-neck awareness (ask the patient to open & close mouth gently), Head turning with shoulder awareness (patient is in supine position, ask the patient to turn head right while noticing left shoulder and move to the alternate sides.), Eye-head coordination (ask the patient to move eyes right first, then head follows then reverse direction.), Side-lying head lift (1 cm), Scapula-neck relationship (patient in standing, ask the patient to gently slide shoulder up/down while head rests and therapist observe neck response.), Thoracic rolling in supine, Pelvic rocking with in supine lying, Standing weight shift + head response, Walking with free neck, Text neck re education

Numeric pain rating scale were used to measure the intensity level of the patient's pain. Scale consists of 11 points, ranging from 0 -10. 0 is no pain and 10 is the worst imaginable pain. Subjects select the number that best symbolizes their level of pain.

0= No pain 1-3= Mild pain 4-6= Moderate pain 7-10= severe pain

The Neck Disability Index is the most general measure for evaluating self-perceived disability in patients with neck pain. Each question has six options to rate the disability level from 0 (no disability) to 5 (total disability). The numeric responses for each question are summed for a total score between 0 and 50.

No disability= 0 - 4 Mild= 5 - 14 Moderate= 15 - 24 Severe= 25 - 34 Complete Disability = 35 - 50

Photogrammetry is a most commonly used noninvasive tool to assess cranio-vertebral angle or posture alignment. Participants will be asked to stand or seated in normal or relaxed posture. Lateral photographs were taken and mark the spinous process of C7 and tragus of ear. The angle between the line joining from tragus to C7 spinous process and horizontal line will be measured with the help of Image J. Software to determine cranio-vertebral angle.