Clinical trial NCT05730868: Effect of Exercise Among Turtle Neck Syndrome in Pakistani Patients
Official title: Effect of Exercise Among Turtle Neck Syndrome in Pakistani Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: text neck syndrome
neck pain
Turtle neck syndrome
tissue hardness
pain pressure threshold
Lead sponsor: University of Karachi
Sponsor class: OTHER
First posted: 2023-02-16
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized control trial
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: 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

Primary outcomes:
measure: visual analog scale
timeFrame: 2 years
measure: Neck disability Index
timeFrame: 2 years
measure: The tissue hardness assessed by Algometer measured in Newtons
timeFrame: 2 years
measure: Pain pressure threshold assessed by Algometer measured in Newtons
timeFrame: 2 years
Secondary outcomes:
Other outcomes:
Locations:
city: Karachi
country: Pakistan
facility: Khadija
state: Sindh
Study officials:
affiliation: University of Karachi
name: Khadija Tul Kubra, M.phil
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.