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The aim of this study is to investigate the effects of progressive cervical isometric exercises and scapular stabilization exercises on pain, ROM and disability in young adults with text neck syndrome.
Text neck or Turtle neck posture is the latest term coined by Dr. Dean L. Fishman that demonstrates the repeated stress, injury, and pain in the neck due to having the head in a forward position by excessive use of cell phones or hand-held mobile devices for a prolonged time. The use of mobile devices is becoming a concern especially in children, recent numbers are very alarming and according to surveys 87% of teenagers in America and 79% of teenagers in the UK are mobile phone owners and are greatly affected by them, these numbers have skyrocketed by recent COVID-19 pandemic as the social distancing and closure of the school, colleges and offices have pushed us to work from home and it increases the prevalence of text neck syndrome. This study is unique in that as it investigate the effect of two different treatment plans for turtle neck syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isometrics | Experimental | They will be treated with progressive isometric exercises added to 60 min of combined therapy (excluding scapular stabilizing exercises) treatment session at alternative 3 days/week for 8weeks |
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| Combination Therapy | Experimental | They will be treated with both isometric and scapular stabilizing exercises.and will get 60minutes of treatment sessions at alternative 3 days/week for 8weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isometrics | Other | Isometric neck extension -individuals will be taught to place their dominant hand posterior to their head at occiput. Then, they will be told to firmly push the head backwards against that hand, and hold for five seconds and repeat 5 times. • Participants will be asked to place the right hand flat on the same side of the head. Next. they will be instructed to firmly push the head against right hand and hold for 5 seconds and repeat five times. Same exercise will be repeated with the left hand against the left side of the head as well. • Participants will be taught to place their right hand on their right cheek. Then, they will be told to rum the face against the right hand and wait for 5 seconds and repeat five times. Same exercise was repeated with the left hand on the left cheek as well. |
| Measure | Description | Time Frame |
|---|---|---|
| NDI (Neck disability Index) | The Neck Disability Index (NDI) is modification of the Oswestry Low Back Pain Disability Index. It is Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation | 3 months |
| NPRS (Numeric Pain Rating Scale) | The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes | 3 months |
| Goniometer | A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position | 3 months |
| Inclinometer | An inclinometer is a medical device used to measure the range of motion of the joint. They are mainly used to measure the passive range of motion and allow the medical practitioner to compare the patient's relaxed position to the ability to move | 3 months |
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Inclusion Criteria:
Individuals using mobile phones for more than 6-8 hours.
Exclusion Criteria:
Specific causes of neck pain (conditions with neurological involvement such as myelopathy with weakness, numbness and sensory loss, cervical disc prolapse, and cervical spinal stenosis)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nosheen Manzoor, MS-OMPT | Contact | 03236877879 | nosheen.manzoor@riphahfsd.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Nosheen Manzoor, MS-OMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Services hospital | Recruiting | Lahore | Punjab Province | 38000 | Pakistan |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D003131 | Combined Modality Therapy |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Combination Therapy | Other |
|
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| D013812 | Therapeutics |