Effect of Exercise Among Turtle Neck Syndrome in Pakistani Patients

NCT ID: NCT05730868

Last Updated: 2023-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2023-06-30

Brief Summary

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Turtle neck also known as Text neck or anterior head syndrome is an overuse syndrome which occurs due to repetitive stress to neck, either by hanging it down or forward using phone or electronic devices. Typical signs and symptoms include pain and stiffness in the neck, shoulder pain and increase curvature of spine. It is becoming a global burden as people of almost all ages are getting affected.

The objective of the study is to find out theEffect of Exercise among Turtle Neck Syndrome in Pakistani Population. A total of 100 participants will be included in the study having both males and females. The pain pattern will be assessed by Visual Analog Scale and Posture Grid Assessment tool will be used to assess posture before and after the treatment session.

The study will be divided into three main sections or groups. One group will be treated by myofascial release only while other group will be treated by muscle energy technique for the management of turtle neck syndrome. Third group will receive both MFP and MET exercise. People having neck pain and those who will be willing to participate will be included in the study.

Detailed Description

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The participants will be divided into four groups namely group A, B, C and D. Initially all the participants will be assessed by posture grid assessment tool to check their postural deviations. People meeting the inclusion criteria will be recruited. Group A will receive Muscle Energy Technique (MET) exercise, Group B will receive Myofascial release (MFP) therapy, Group C will receive both MFP and MET and group D will receive conventional treatment. Pre and post Visual analog scale (VAS) will be used to check pain scale and posture grid assessment tool to check postural angles .Pre-assessment will be done on day one and post at the last day of session. The total duration of treatment will be four weeks.

Consent will be taken from the patients. Only those patients meeting the inclusion criteria and screening questions will included in the study and those who will be willing to participate.

Conditions

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Neck Pain

Keywords

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text neck syndrome neck pain Turtle neck syndrome tissue hardness pain pressure threshold

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized control trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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group 1 myofascial release

soft tissue release technique to release tension from muscles which relieves pain and increase range of motion

Group Type EXPERIMENTAL

myofascial release

Intervention Type PROCEDURE

Soft tissue release will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 2 muscle energy technique

soft tissue release technique to release tension from muscles which relieves pain and increase range of motion

Group Type EXPERIMENTAL

muscle energy technique

Intervention Type PROCEDURE

Muscle energy Technique will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 3 MFR & MET

combination of two soft tissue release techniques to release tension from muscles which relieves pain and increase range of motion

Group Type EXPERIMENTAL

MFR & MET

Intervention Type PROCEDURE

combination of myofascial release and muscle energy technique will be performed on the trapezius, suboccipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

group 4 conventional therapy

combination of traditional techniques to relieve pain and spasm

Group Type EXPERIMENTAL

conventional therapy

Intervention Type PROCEDURE

traditional physical therapy devices are used to relieve pain and spam. this will include a hot pack, ultrasound, and TENS (Transcutaneous electrical nerve stimulation)

Interventions

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myofascial release

Soft tissue release will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

Intervention Type PROCEDURE

muscle energy technique

Muscle energy Technique will be performed on the trapezius, sub occipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

Intervention Type PROCEDURE

MFR & MET

combination of myofascial release and muscle energy technique will be performed on the trapezius, suboccipital and sternocleidomastoid muscles. The visual analog scale will be used to check pain intensity. Algometer will be used to check the pain pressure threshold and tissue hardness. neck disability index will be used to check neck disability

Intervention Type PROCEDURE

conventional therapy

traditional physical therapy devices are used to relieve pain and spam. this will include a hot pack, ultrasound, and TENS (Transcutaneous electrical nerve stimulation)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* both males and females will be included
* patients having non specific neck pain
* usage of mobile more than six hours
* patients willing to participate

Exclusion Criteria

* pregnant females
* patients having cervical disc bulge or herniation disoriented patients
* patients not willing to participate
* patients having any deformity
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Karachi

OTHER

Sponsor Role lead

Responsible Party

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Khadija Tul Kubra, PT

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khadija Tul Kubra, M.phil

Role: PRINCIPAL_INVESTIGATOR

University of Karachi

Locations

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Khadija

Karachi, Sindh, Pakistan

Site Status

Countries

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Pakistan

References

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Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13.

Reference Type BACKGROUND
PMID: 25603749 (View on PubMed)

Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016 Apr 14;35:5-11. doi: 10.1016/j.hkpj.2015.12.002. eCollection 2016 Dec.

Reference Type BACKGROUND
PMID: 30931028 (View on PubMed)

Related Links

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Other Identifiers

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KTKYasin

Identifier Type: -

Identifier Source: org_study_id