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This study examines the impact of tongue postural training on cervical alignment, pain relief, and functional improvement in individuals with text neck syndrome.
This study aims to evaluate the effectiveness of tongue postural training on cervical alignment, pain reduction, and functional outcomes in individuals with text neck syndrome.
A randomized controlled trial was carried out involving 60 female university students aged 18-40 years, who were randomly assigned into two groups of 30 participants each. Group A underwent standard postural correction exercises, deep neck flexor strengthening, and stretching, whereas Group B received the same treatment program supplemented with tongue postural training. The primary outcome measures included the Neck Disability Index, Visual Analog Scale (VAS), and craniovertebral angle (CVA). The intervention were administered over a period of 4-6 weeks, with exercise sessions conducted 3-5 times per week, and tongue postural training performed 2-3 times daily.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Physical Therapy | Active Comparator | This group acted as control group and was given conventional physical therapy treatment for neck pain which included basic strengthening and stretching exercises. |
|
| Tongue Training | Experimental | This group acted as experimental group and was treated with conventional physical therapy along with tongue postural training for neck pain |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Physical Therapy | Other | conventional physical therapy treatment for neck pain which included basic strengthening and stretching exercises |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neck disability index | The Neck Disability Index (NDI) is a widely used questionnaire designed to assess how neck pain affects a person's daily life and functional activities. | 4 weeks |
| Visual Analogue Scale | The Visual Analogue Scale (VAS) is a simple and widely used tool for measuring pain intensity. It consists of a straight horizontal line, usually 10 cm long One end represents "no pain" and the other represents "worst imaginable pain" | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Syeda Mahnoor Hassan, MS Physical Therapy | Elite College of Management Sciences, Gujranwala | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Elite College of Management Sciences, Gujranwala | Gujranwala | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39418928 | Background | Sherwin R, Henricksen J, Kapila J, Adams L, Likness A, Hooper TL, Sizer P. The effect of tongue-to-palate on deep neck flexor activity. J Electromyogr Kinesiol. 2024 Dec;79:102938. doi: 10.1016/j.jelekin.2024.102938. Epub 2024 Oct 10. | |
| 32491487 | Background | Jung B, Black AC, Bhutta BS. Anatomy, Head and Neck, Neck Movements. 2023 Nov 9. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK557555/ |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Tongue Training | Other | conventional physical therapy along with tongue postural training for neck pain |
|
| 34366308 | Background | Fiebert I, Kistner F, Gissendanner C, DaSilva C. Text neck: An adverse postural phenomenon. Work. 2021;69(4):1261-1270. doi: 10.3233/WOR-213547. |
| Background | Sathya, P., & Tamboli, S. A. (2020). Prevalence of text neck syndrome in young adult population. Int J Med Exerc Sci, 6, 749-759. |
| 40004916 | Background | 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. |