Clinical Research Directory

Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy in Text Neck Syndrome.(PNMCE-TNS)

This study aims to compare the effects of Progressive Neck Motor Control Exercises (PNMCE) with and without conventional physiotherapy in patients with Text Neck Syndrome. It will evaluate the effectiveness of both treatment approaches in reducing neck pain, improving cervical range of motion, correcting posture, and enhancing functional ability. The study will determine which treatment approach provides better clinical outcomes.

Comparative Study Between Proprioceptive Neuromuscular Facilitation and Post-facilitation Stretching in Text Neck Syndrome

this study will be conducted to investigate the effect of Proprioceptive Neuromuscular Facilitation (PNF) stretching and Post Facilitation Stretching (PFS) on neck pain intensity, Cranio Vertebral Angle (CVA), cervical ROM and neck functional disability level in patients with text neck syndrome

Acute Effects of Classical vs. Percussive Massage on Text Neck Syndrome

The aim of our study is to compare the short-term effects of traditional classical massage and percussive massage on neck pain, patient satisfaction level, and upper extremity flexibility in young adults with MBS. Another aim of the study is to contribute to the literature, as there are a limited number of studies that directly evaluate the effectiveness of popular vibration devices (Theragun, etc.) compared to classical massage. Original value: With the development of technology and the increase in mobile device usage times, MBS is increasingly common, especially among young adults and university students. There are limited studies in the literature on the treatment of MBS. No studies comparing the acute effects of classical massage and percussion therapy in the treatment of this syndrome have been found. Therefore, our study has the potential to make a unique contribution to the literature by offering a direct comparison between both traditional classical massage and the modern technological method of percussion gun. Sociodemographic Assessment Form: The form to be prepared before the study will record information such as age (years), gender, body weight (kg) and height (cm) of the participants, as well as trauma-surgery history, systemic problems, and average daily mobile device usage time. Six symptoms reporting MBS diagnostic criteria (neck pain, back pain, shoulder pain, headache, insomnia, tingling and numbness in the hands) will be questioned . Pain Assessment: The pain intensity of individuals with MBS will be assessed using the Visual Analog Scale, which is reported to be valid and reliable. Individuals included in the study will be asked to indicate the pain intensity they experienced in the last week on a vertically positioned 100 mm long line. The marked points will be measured and recorded in millimeters. Neck Disability Index (NDI): It is planned to use the Neck Disability Index, which has Turkish validity and reliability, to determine neck disability. The first four items of the ten-item questionnaire are related to subjective symptoms, while the other six items are related to daily life activities. When the total score of the questionnaire is examined, 0 points indicate no disability, 5-14 points indicate mild disability, 15-24 points indicate moderate disability, 25-34 points indicate severe disability, and 35 points and above indicate complete disability. Evaluation of Patient Satisfaction Level: The treatment satisfaction levels of the participants included in the study will be evaluated with the Patient Satisfaction Scale developed for physical therapy outpatient clinics. The Turkish validity and reliability study of this 24-item scale was carried out by Tüzün et al. (2009) (Cronbach alpha: 0.88). The scale is scored between 0 (strongly disagree) and 4 (strongly agree), and higher scores indicate higher satisfaction. Assessment of Upper Extremity Balance: Participants' upper extremity balance and performance will be assessed using the Upper Extremity Balance Test. While maintaining a push-up position with feet no more than twelve inches (30.5 cm) apart, the individual will reach with maximum effort in three directions (medial, superolateral, and inferolateral) with their free hand relative to the fixed hand, and the distance reached in each direction will be recorded. Each individual will be allowed to make 3 practice trials before the test, and the average of 3 trials will be used for analysis. Assessment of Upper Extremity Flexibility: To assess the upper extremity flexibility of the participants, the Apley Scratch Test will be used. Also called the Dawbarn Test, the Apley Scratch Test provides a rapid assessment of the patient's active range of motion, including internal rotation, extension, and adduction. During the Apley scratch test, the patient attempts to reach upwards from their back, starting from below and aiming to place their hand between their shoulder blades. Then the distance between the two hands is measured with the help of a tape measure. Interventions Percussive Massage Therapy: Percussive massage therapy will be applied with the TheraGun Relief Navy massage gun, which is planned to be supplied within the scope of the project. Percussive massage application will be applied from distal to proximal along the starting points of the trapezius, levator scapulae and cervical paravertebral muscles at a medium speed (level 2, range: 33-40 Hz) and 12 mm amplitude. Percussive therapy will be performed using the soft head of the massage gun with a treatment time of five minutes for each muscle group. Classic Massage Therapy: After carefully protecting patient privacy in a prone position, general stroking is applied to the neck area, followed by massage oil using the 3 Stroking-3 Kneading-3 Stroking technique on the erector spinae, trapezius and levator scapulae muscles, from distal to proximal.

Comparison of Cervical and TMJ Parameters in Young Adults With and Without Text Neck Syndrome

The aim of this cross-sectional study is to compare temporomandibular joint (TMJ) and cervical spine parameters between young university students aged 18-30 years with and without text neck syndrome, a modern overuse condition caused by prolonged digital device use and repetitive forward head flexion. Given the anatomical, biomechanical, and functional connections between the stomatognathic system and the cervical region, prolonged altered posture may contribute to TMJ dysfunction, pain, and altered physical metrics. Participants are categorized into two groups based on photographic and self-reported text neck severity (levels 3-4 for text neck vs. levels 1-2 for non-text neck) and evaluated across multiple physical parameters, including craniovertebral and cervicothoracic angles, active cervical and mandibular range of motion, cervical joint position sense, neck and TMJ pain intensity via Visual Analog Scale, TMJ dysfunction severity using the Turkish-validated Fonseca Questionnaire, static balance via the single-leg stance test, and dynamic balance via the Y Balance Test.

Effects of Sprinter and Skater on Text Neck Syndromes

This study will explore the combined effects of sprinter and skater synergy exercises on pain, muscle activation, and postural alignment in individuals with Text Neck Syndrome (TNS). TNS is characterized by forward head posture, neck pain, and muscle imbalance resulting from prolonged use of smartphones and computers. Its prevalence has increased rapidly, particularly among adolescents and young adults who spend long hours on digital devices. The study aims to evaluate Coordinated Locomotor Training (CLT), using sprinter and skater synergy movement patterns, as a novel intervention for managing TNS. These dynamic, whole body movement patterns are designed to promote coordinated muscle activation, improve postural control, and enhance neuromuscular coordination. A randomized controlled trial design will be used, with participants assigned to either an intervention group receiving CLT based training or a control group receiving lifestyle and ergonomic advice only. Outcome measures will include pain intensity, postural alignment measured by craniovertebral angle, muscle activation, and quality of life. The findings will help determine whether synergy based movement training offers a more effective alternative to conventional physiotherapy for TNS management.

Mulligan Mobilization and Stabilization Exercises for Sensorimotor Function in Women With Text Neck Syndrome

Text message neck syndrome represents a significant epidemiological and musculoskeletal concern arising from repetitive strain and prolonged cervical flexion during mobile device operation. Anatomical deviations associated with this syndrome, such as anterior head translation and altered lower cervical alignment, substantially increase the gravitational load exerted on the cervical spine. This progressive mechanical overload predisposes individuals to microtraumas, paraspinal muscle imbalances, and secondary proprioceptive impairments. Kinematic variations further heighten the clinical vulnerability of female populations, as distinct sagittal and thoracic parameters accelerate the progression of postural dysfunction.Conventional therapeutic strategies frequently target localized cervical symptoms, often neglecting the broader kinetic chain and the interdependent relationship between the cervical and thoracic segments. To address these limitations, this clinical trial evaluates a holistic "joint-by-joint" rehabilitation framework by incorporating thoracic spine interventions into both active protocols. The Mulligan Mobilization Technique combines passive manual facet joint glides with active physiological movements to restore biomechanical alignment and reduce nociceptive mechanical stress. Conversely, the Spinal Stabilization Training Protocol focuses on neuromuscular control, utilizing a pressure biofeedback unit and progressive resistance to enhance the endurance of deep cervical flexors and stabilize the scapulothoracic region.A major gap in text neck syndrome literature is the reliance on subjective pain scales, leaving the underlying neurobiological mechanisms under-investigated. This study introduces an objective biochemically validated assessment model by quantifying objective biomarkers of neurogenic inflammation, nociception, and central sensitization. By analyzing pre- and post-intervention serum concentrations of Calcitonin Gene-Related Peptide (CGRP) and Substance P via enzyme-linked immunosorbent assay (ELISA), this trial aims to correlate clinical sensorimotor and postural improvements with neurochemical changes. Ultimately, the findings will clarify whether passive manual joint mobilization or progressive active stabilization exercise provides superior efficacy in restoring sensorimotor function, optimizing postural stability, and mitigating chronic neurogenic pain pathways.

Effects of Exercise Training Delivered Through Telerehabilitation on Text Neck Syndrome

To compare the effectiveness of telerehabilitation exercise program with that of supervised in-person physiotherapy in improving neck muscle endurance, pain intensity, and functional disability in university students with text neck syndrome. Methods: A randomized controlled trial was conducted with 31 university students aged 18-24 diagnosed with text neck syndrome. Participants were randomly assigned to either a telerehabilitation group or a supervised in-person exercise group. Both groups received an identical six-week exercise program, delivered three times per week, including stretching, range of motion, isometric, and postural correction exercises with progressive intensity. Primary outcomes included deep cervical flexor and extensor muscle endurance. Secondary outcomes were neck pain intensity and functional disability. Assessments were performed at baseline and post-intervention.

Eyeball Exercises and Cervical Stabilization in Text Neck Syndrome

The prolonged use of electronic devices in the population nowadays contributes to the development of various musculoskeletal disorders affecting the neck. One such condition is the Text neck syndrome characterized by neck pain and muscular imbalance in the region as well as development of forward head posture. Some additional symptoms include headaches, impaired range of motion and eye strain. Eyeball exercises have been shown to improve symptoms of neck pain, and cervical stabilization has demonstrated positive effects on the deep cervical flexors, thereby improving forward head posture and other neck-associated symptoms. However, the combined effect of these two interventions has not been studied to treat text neck syndrome before. The primary outcome measures include the pain measured through Numeric Pain Rating Scale (NPRS) and pain pressure threshold (algometer), whereas the secondary outcome measures include the craniovertebral angle (CVA) and functional disability measured through neck disability index (NDI).

Comparative Effects of SNAG Vis GONG's Mobilization in Text Neck Syndrome Patients

Text neck syndrome is a common musculoskeletal disorder caused by prolonged smartphone and computer use, resulting in neck pain, forward head posture, and functional disability. Manual therapy techniques, including Sustained Natural Apophyseal Glides (SNAG) and GONG's Mobilization, are frequently used to manage cervical dysfunction. This quasi-experimental pretest-posttest comparative study aimed to compare the effectiveness of SNAG and GONG's Mobilization on pain intensity, craniovertebral angle, and neck disability in individuals with text neck syndrome. Participants divided into 2 groups (Treatment group A and B) were undergo baseline and post-intervention assessments followed a 12-week treatment program

Effects of Instrument Assisted Soft Tissue Mobilization on Sensory Motor Mismatch in Text Neck Syndrome.

Text Neck Syndrome is increasingly common in young adults due to prolonged smartphone use and is linked to postural changes and impaired sensorimotor control. Although its effects on visual-vestibular integration, balance, and proprioception are still unknown, Instrument-Assisted Soft Tissue Mobilization (IASTM) may improve neuromuscular function by enhancing afferent input and mechanoreceptor stimulation. This study investigates whether IASTM can improve sensorimotor processing in individuals with Text Neck Syndrome.

Mckenzie Exercises Versus Mulligan Mobilization in Text Neck Syndrome

Neck pain is an important public health issue that affects the whole population. Consequently, there is a significant decrease in the quality of work and life and can have a negative socioeconomic impact on both individuals and society. For the treatment of pain in the spine and extremities, especially the neck, the McKenzie method of mechanical diagnosis and therapy (MMDT) is a popular choice. Mulligan mobilization approach was found to be beneficial for both pain and functioning in individuals with mechanical neck discomfort.

Effects of Cervical Stabilization Exercises With and Without Reverse Natural Apophyseal Glides in Text Neck Syndrome

Text neck syndrome is one such disorder within that group, increasingly affecting individuals worldwide across various age groups. The phenomenon of text neck may occur in individuals who frequently and for prolonged periods adopt a forward-flexed neck and head position while looking at the screens of mobile electronic devices. This posture puts stress on the neck muscles and spine, leading to various symptoms like neck pain, stiffness, and headaches.

Effectiveness of Instrumental Assisted Soft Tissue Mobilization Versus Conventional Treatment on Administrative Staff for Text Neck Syndrome

The goal of this randomize control trial is to compare two interventions to treat text neck syndrome on administrative staff. The main questions it aims to answer are: * There is no significant difference in outcomes between instrumental assisted mobilizations vs. isometric strengthening exercises for treating text neck syndrome in office workers * There is significant difference in outcomes between instrumental assisted mobilizations vs. isometric strengthening exercises for treating text neck syndrome in office workers. It will compare two intervention and which work better on treating text neck syndrome. Interventions will be applied for consecutive 4 weeks and 3 session for one week

Effect of Myofascial Release Therapy on University Students With Text Neck Syndrome.

This randomized controlled trial aims to determine the effectiveness of myofascial release therapy in university students with text neck syndrome as prolonged smartphone and digital gadgets use has been associated with neck pain, forward head posture, and increased perceived stress among young adults with screen time more than 3 hours. Participants will be randomly allocated into control group and intervention group and will be treated for 4 weeks. Clinical outcomes including neck pain, neck pain intensity, craniovertebral angle for posture assessment, and perceived stress levels will be measured at baseline and post-intervention. The study seeks to determine whether Myofascial Release Therapy acts as a non-invasive technique in improving musculoskeletal and psychosocial parameters related to text neck.

Comparing Muscle Energy Technique and Bowen Therapy for Pain, Movement, and Disability in Text Neck Syndrome

This study compared the effects of Muscle Energy Technique and Bowen Therapy on patients with Text Neck Syndrome's pain, function ROM, and posture. Today, text neck syndrome is a growing issue. The majority of us experience this unpleasant condition to some extent. There is no study that has compared the effects of muscle energy technique and Bowen therapy, although they can both be quite effective in helping individuals with text neck syndrome reduce their discomfort, improve their range of motion, and improve their functional impairment. So, the goal of this study was to compare the two treatments' results in order to determine whether one was a better method for treating text neck syndrome patients' discomfort by enhancing range of motion and functional impairment.