Global Postural Reeducation Versus Neck Stabilization Training on Text Neck Syndrome.
Condition: Neck Syndrome
MeSH terms: Syndrome
Study type: Interventional

Summary: 
      The study will be randomized control trial. The study will be conducted in Iqbal Mehmooda
      Trust Hospital. Group A will be treated with global postural reeducation. Group B will be
      treated with neck stabilization training. Non probability consecutive sampling technique will
      be used. Patient below 20-40 years, participants who use smart phones for 8 hours per
      day(guidelines), angle of forward head pasture above 15, screening picture tool.

      Neurological defects, trauma, tumor, shoulder injury, cervical disc disease. REBA
      questionnaire, NDI, Goniometry, NPRS will be used as a tool. The global postural reeducation
      will be applied on group A while neck stabilization training will be applied on group B. The
      aim of this study will be to compare the effects of of global postural reeducation and neck
      stabilization training on text neck syndrome.
    

Detailed description: 
      ''Text neck syndrome'' describes the neck pain and looking down at the smart gadgets
      repeatedly and for prolonged duration that leads to damage of various structures. The
      cervical spine consists of bundles of nerves, bones, joints and muscles. If nerves are
      compressed then pain can radiate to shoulder, arm and hand. 79% of the population between the
      age of 18-44 use their cell phones almost all the time except only 2 hours of their walking
      time without the usage of their cell phones. The forward head posture/Turtle neck posture
      causes strain on the muscles, ligaments and joints that leads to compression of nerves and it
      causes tingling and numbness in the hands. The usage of smart gadgets for prolonged duration
      has negative impact on our anxiety and depression. Excessive use of smart phones leads to
      postural problems like forward neck posture, slouched posture or rounded shoulders.
    

Intervention name(s): global postural reeducation; neck stabilization training
Intervention type(s): Other; Other
Intervention description(s): GPR interventions will last 9 sessions, 1 hour each, with one-to-one supervision, once or twice a week according to the participant's needs. All participants will receive advice to follow written ergonomic suggestions and to repeat the exercises in the first physical therapy session at home twice a week for 15 minutes. Each group will get a home exercise program, which will differ according to the type of treatment received. Participants in the GPR group will execute one "posture" routine.; Each exercise session will be comprised 10-minute warm-up exercises, 40-minute stabilization exercises, and 10-minute cool-down and stretching exercises, including neck and shoulder girdle muscles. The whole program will be carried out 3 days per week for 4 weeks.
performed. The participants will be asked to maintain the positions and contractions during the exercises and throughout the day as much as possible. The combination and progression of the exercises will be designed according to condition of the patient.
Other intervention name(s): posture training
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Text neck syndrome, REBA questionnaire, Turtle neck posture.