Effect of Exercise Among Turtle Neck Syndrome in Pakistani Patients
Condition: Neck Pain
MeSH terms: Syndrome; Neck Pain
Study type: Interventional

Summary: 
      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: 
      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.
    

Intervention name(s): myofascial release; muscle energy technique; MFR & MET; conventional therapy
Intervention type(s): Procedure; Procedure; Procedure; Procedure
Intervention description(s): 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; 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; 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; traditional physical therapy devices are used to relieve pain and spam. this will include a hot pack, ultrasound, and TENS (Transcutaneous electrical nerve stimulation)
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized control trial
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: text neck syndrome; neck pain; Turtle neck syndrome; tissue hardness; pain pressure threshold