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.
研究概览
地位
尚未招聘
条件
详细说明
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.
研究类型
介入性
注册 (估计的)
42
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Samrood Akram, PhD*
- 电话号码：03324806143
- 邮箱：samrood.akram@riphah.edu.pk
学习地点
-
-
Punjab Province
-
Faisalābad、Punjab Province、巴基斯坦
- Sunrise Medicare Center Faisalabad
-
接触：
- Ahmad Siddique, MS-OMPT
- 电话号码：+92 321 6688944
- 邮箱：Shafqatpolyclinic@gmail.com
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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.
|
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. |
|
有源比较器：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. |
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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1. Numeric pain rate scale (NPRS)
大体时间：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)
大体时间：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
|
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3. Universal Goniometer (UG):
大体时间：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).
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Upto 4 weeks
|
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4. Craniovertebral Angle:
大体时间：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
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Rahat Afzal, MS-OMPT、Governement Teaching Hospital Shahdara Lahore.
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- 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
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年5月30日
初级完成 (估计的)
2026年7月30日
研究完成 (估计的)
2026年8月30日
研究注册日期
首次提交
2026年6月8日
首先提交符合 QC 标准的
2026年6月8日
首次发布 (实际的)
2026年6月12日
研究记录更新
最后更新发布 (实际的)
2026年6月12日
上次提交的符合 QC 标准的更新
2026年6月8日
最后验证
2026年6月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- REC/RCR&AHS/25/0125 Shomaiza
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研究美国 FDA 监管的设备产品
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