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Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome

2026年7月24日 更新者:University of Lahore

Effects of Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome: a Randomized Clinical Trial

The prolonged use of electronic devices in the population nowadays contributes to the development of various musculoskeletal disorders affecting the neck. One such condition is the Text neck syndrome characterized by neck pain and muscular imbalance in the region as well as development of forward head posture. Some additional symptoms include headaches, impaired range of motion and eye strain. Eyeball exercises have been shown to improve symptoms of neck pain, and cervical stabilization has demonstrated positive effects on the deep cervical flexors, thereby improving forward head posture and other neck-associated symptoms. However, the combined effect of these two interventions has not been studied to treat text neck syndrome before. The primary outcome measures include the pain measured through Numeric Pain Rating Scale (NPRS) and pain pressure threshold (algometer), whereas the secondary outcome measures include the craniovertebral angle (CVA) and functional disability measured through neck disability index (NDI).

研究概览

详细说明

Text neck syndrome is a musculoskeletal syndrome characterized by neck pain, forward head posture, muscular imbalance, headache, reduced range of motion and eye problems. In the present era where everything is done through electronic devices and gadgets it is difficult to maintain a proper posture, which affects most importantly the cervical region. Prolonged use of these gadgets have led to the development of text neck syndrome which is a new pandemic these days. Constant screen use has detrimental effects on eyes that effects our neck as well, therefore the use of eyeball exercises has shown to improve the symptoms of neck pain. Cervical stabilization focuses on the deep neck flexor muscles which become weak and inactive in text neck syndrome. Cervical stabilization has shown improvements in the activation of these muscles as well as improved their strength along with improving the forward head posture. the combined effects of both these treatment regimes has not been studied yet in text neck syndrome individuals therefore the purpose of this randomized clinical trial will be to assess the combined effects of these treatment approaches on text neck syndrome. The Numeric Pain Rating Scale (NPRS) will be used to assess and measure the pain intensity along with NDI (neck disability index) that will help in functional evaluation and will serve as the primary outcome measures in this study. The Craniovertebral Angle (CVA) and Pain Pressure Threshold (PPT) measured through algometer will also be measured and will be the secondary outcome measures in this study.

研究类型

介入性

注册 (估计的)

74

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。

学习地点

    • Punjab Province
      • Lahore、Punjab Province、巴基斯坦、54782
        • The University of Lahore Teaching Hospital

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:

  • Neck Disability Index (NDI) scoring: >5 and <24
  • Duration of screen usage: 4-6 hours/day
  • Pain: ranging from mild - moderate 4-7 Numeric Pain Rating Scale (NPRS)

Exclusion Criteria:

  • Already undergoing physical therapy
  • Cervical trauma, radiculopathy, pregnancy, malignancies, torticollis, herniation, stenosis, osteoporosis, etc
  • Diagnosed with a CNS abnormality

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:Physiotherapy care, Cervical stabilisation and eyeball exercises
These patients will receive physiotherapy care along with cervical stabilization exercises and eyeball exercises. Treatment schedule: 3 sessions on alternate days for 6 weeks.
Physiotherapy care: 30minutes of physiotherapy, including hotpack for 10 minutes,cervical stretching (3sets/15-second hold,5 repetitions), cervical isometrics (5-10 reps/3sets), postural correction exercises (5-10 reps/2-3 sets), active ROMs of the neck.•Cervical Stabilization: Pressure biofeedback unit will be used, the patient will perform chin tucks while the inflated unit is below the head at 20mmHg initially, and will be raised to 30mmHg. A 10 seconds hold with 10 repetitions, including a 10-second rest interval between. A total of 3sets will be performed with 15second interval between each set. 15 minutes total •Eyeball exercises:The patient is then asked to carry out the described eyeball movements, each movement to be held for 10 seconds and repeated 4 times through the maximum range,directions: Leftward, rightward, upper left, lower left, upper and lower right, left and right side circular, leftward and rightward figure 8 rotation. 2sets with 15seconds interval. 15 mins total.
有源比较器:Physiotherpy care, Cervical stabilisation and placebo
These patients will receive physiotherapy care along with cervical stabilization exercises and placebo treatment in place of eyeball exercises. Treatment schedule: 3 sessions on alternate days for 6 weeks.
Physiotherapy care:30minutes of physiotherapy, including hotpack for 10 minutes, cervical stretching(3sets/15second hold, 5reps), cervical isometrics(5-10 reps/3sets), postural correction exercises(5-10 reps/2-3 sets), active ROMs of the neck.•Cervical stabilization: Pressure biofeedback unit will be used, the patient will perform chin tucks while the inflated unit is below the head at 20mmHg initially, and will be raised to 30mmHg. A10seconds hold with 10 repetitions, including a 10second rest interval between. A total of 3sets will be performed with 15second interval between each set,15 minutes total. •Placebo treatment:These exercises will take 10-15 minutes and the purpose is to engage the patient. These exercises do not have any effect on the ocular muscle of the eye and will only serve as a source of relaxation and lubrication for the eyes of the patient: blink slowly & fully (10reps,3sets with10-15seconds interval), fix gaze (10seconds, 3-5reps), eyes closed breathing 60seconds.

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
Pain Intensity
大体时间:Baseline, at 3rd week and at 6th week

Change in pain intensity measured using the Numeric Pain rating Scale (NPRS, 0-10 cm).

Lower limit: 0 Upper limit: 10 Lower value means less pain

Baseline, at 3rd week and at 6th week
Neck Disability
大体时间:Baseline, at 3rd week and at 6th week

Functional disability measured using the Neck Disability Index (NDI) - Urdu validated version.

Lower limit: 0 Upper limit: 50 Lower value indicates lesser disability

Baseline, at 3rd week and at 6th week

次要结果测量

结果测量
措施说明
大体时间
Craniovertebral Angle (CVA)
大体时间:Baseline, at 3rd week and at 6th week
Postural alignment measured as the cranio-vertebral angle (CVA) using Kinovea software from standardised lateral-view photographs Lower limit: 0 Upper limit: 180 Higher values mean better posture (less forward head)
Baseline, at 3rd week and at 6th week
Pain Pressure Threshold (PPT)
大体时间:Baseline, at 3rd week and at 6th week
Pain sensitivity will be measured using the Algometer. Lower limit: 0 kg/cm² Upper limit: 10 kg/cm² Higher values mean less tenderness
Baseline, at 3rd week and at 6th week

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

  • 学习椅:Sahreen Anwar, Ph.D、University of Lahore

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 (实际的)

2025年11月15日

初级完成 (估计的)

2026年8月15日

研究完成 (估计的)

2026年9月15日

研究注册日期

首次提交

2026年6月28日

首先提交符合 QC 标准的

2026年6月28日

首次发布 (实际的)

2026年7月6日

研究记录更新

最后更新发布 (实际的)

2026年7月27日

上次提交的符合 QC 标准的更新

2026年7月24日

最后验证

2025年9月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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