Effects of ElDOA and Post-Facilitation Stretching Technique on Pain and Disability in Patients With Text Neck Syndrome

Study Overview
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Brief Summary
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In this modern era, Text Neck is a new term used to describe neck pain and associated damage caused by continuous flexed posture due to excessive use of smartphones for a long time. The term text neck was first introduced by Dr. Dean L. Fishman, who is US based chiropractor. Text neck can also be described as overuse syndrome caused by repetitive stress on neck due to prolonged flexion. There is coordinated work between cervical spine and surrounding structure such as muscles, ligament, nerves and bones. In addition, any nerve compression at cervical spine leads to radiating pain in neck, shoulder and arm. Previous literature reported use of cell phone is very common in population of 18 to 44 years of age. Seventy nine percent (79%) population have smartphone with them all the time. Technology has become essential part of modern lifestyle. Sustained flexed posture forces the head to exert weight on neck of varying degrees. Weight of neutral head is 10 to 12 pounds and increases 6 times 1 inch forward movement of head. Children are at higher risk because of their large head size. This study will be a Randomized clinical trial with objective to reduce neck pain and disability in patients with text neck syndrome. Two groups will be designed, in one group ElDOA (n=20) and in other group post facilitation technique (n=20) will be applied. Patients will be recruited into two groups by consecutive sampling by non-replacement lottery method with equal no. of chits. Patients will be assessed by Numeric pain rating scale (NPRS), Neck disability index (NDI), smartphone addiction scale before and after treatment. Both groups will receive heating pad as common treatment first after that group A will be treated with ELDOA and group B will be treated with Post-facilitation. Session of 6 weeks with 3 days per week will be conducted. After that post treatment assessment will be done.

Official Title
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Effects of ElDOA and Post-Facilitation Stretching Technique on Pain and Disability in Patients With Text Neck Syndrome

Conditions
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Neck Pain

Intervention / Treatment
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* Other: ELDOA method
* Other: Post-facilitation stretching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Neck pain without unilateral UE symptoms Age 18-35 years Subjects using Phone since past 1 year Neck disability index (NDI) score >10 points Participants able to understand and fill the questionnaire in English Exclusion Criteria: • Subjects having any congenital cervical condition Subjects having traumatic cervical condition such as whiplash injury within the past 6 weeks History of spinal tumors, spinal infection, cervical spine fracture, or previous neck surgery Subjects with cervical radiculopathy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: ELDOA method<br>Twenty (20) patients will be treated with ELDOA method | Other: ELDOA method<br>* group A will receive<br>|
| Active Comparator: Post-facilitation stretching<br>Twenty (20) patients will be treated with Post-facilitation stretching technique. | Other: Post-facilitation stretching<br>* Group B will receive<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rating Scale (NPRS) | will be used for pain measurement. It is a uni-dimensional 11 point scale (0-10) with measure of pain intensity. | 6 weeks | 
| Neck disability index (NDI) | ) will be used to assess neck disability. It consists of 10 sections and each section carries 5 marks. 0 indicate no activity limitation and 5 indicates complete activity limitation. | 6 weeks | 
| Smartphone addiction scale (SAS) | will be used to assess smartphone addiction. It is self-reporting scale consist of 6 factors and 33 items. Score ranges from 33 to 198 and higher the score greater the degree of addiction. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Text Neck Syndrome