An interventional study of Progressive Neck Motor Control Exercises and Progressive Neck Motor Control Exercises and Conventional Therapy in Text Neck Syndrome, sponsored by University of Management and Technology Lahore. Not yet recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-10-23.
Sponsored by University of Management and Technology Lahore · Not applicable, Interventional, and Treatment
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.
University of Management and Technology Lahore is the lead sponsor of 6 studies on the registry; 5 are open to participants now.
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Individuals aged 18-40 years of both gender
Exclusion Criteria:
Cognitive impairment limiting ability to follow instructions.
Participants will receive conventional physiotherapy, including hot pack and TENS application (15 minutes), cervical joint mobilization (Maitland Grades I-III, 3 sets of 30 seconds per segment), and soft tissue mobilization/myofascial release of the upper trapezius, levator scapulae, and sternocleidomastoid (10 minutes). Postural correction and ergonomic education will be provided, followed by the full PNMCE program.
Other: Progressive Neck Motor Control Exercises and Conventional Therapy
Participants will receive patient education on disease management, diet, activity modification, and posture, followed by a 6-week Progressive Neck Muscle Control Exercise (PNMCE) program. Weeks 1-2: Supine/prone chin tucks, craniocervical flexion (20-22 mmHg), and upper/lower limb exercises; Weeks 3-4: Quadrupedal/standing chin tucks, limb exercises, wall angels, and craniocervical flexion (24-26 mmHg). Weeks 5-6: Swiss ball exercises, resisted chin tucks, and upper limb strengthening with TheraBand (red to green to blue), progressing to 28-30 mmHg; all exercises performed for 2 sets of 10 repetitions, with resistance increased according to tolerance.
Other: Progressive Neck Motor Control Exercises
Participants will receive patient education on disease management, diet, activity modification, and posture, followed by a 6-week Progressive Neck Muscle Control Exercise (PNMCE) program. Weeks 1-2: Supine/prone chin tucks, craniocervical flexion (20-22 mmHg), and upper/lower limb exercises; Weeks 3-4: Quadrupedal/standing chin tucks, limb exercises, wall angels, and craniocervical flexion (24-26 mmHg). Weeks 5-6: Swiss ball exercises, resisted chin tucks, and upper limb strengthening with TheraBand (red to green to blue), progressing to 28-30 mmHg; all exercises performed for 2 sets of 10 repetitions, with resistance increased according to tolerance.
Participants will receive conventional physiotherapy, including hot pack and TENS application (15 minutes), cervical joint mobilization (Maitland Grades I-III, 3 sets of 30 seconds per segment), and soft tissue mobilization/myofascial release of the upper trapezius, levator scapulae, and sternocleidomastoid (10 minutes). Postural correction and ergonomic education will be provided, followed by the full PNMCE program.
NUMERICAL PAIN RATING SCALE
11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain
Time frame: Baseline and post treatment after six weeks
UNIVERSAL GONIOMETER
Cervical range of motion (ROM) will be assessed using a universal goniometer in sagittal, frontal, and transverse planes. Measurements will be taken in sitting with the thoracic spine stabilized, except rotation (supine), using anatomical landmarks (tragus, occiput, acromion, and C7). Three trials per direction will be averaged with 30-second rest intervals
Time frame: Baseline and post treatment after six weeks
CRANIOVERTEBRAL ANGLE (CVA) - PHOTOGRAPHIC ANALYSIS
Head and neck posture will be assessed using standardised photographic methods consistent with those described in the reference study.(1) The tragus, pogonion, eye corner, and acromion process are anatomical features that will be delineated at C7. A digital camera will be placed three meters away from the subject at shoulder height, and image analysis software will be used to determine the CVA.
Time frame: Baseline and post treatment after six weeks
NECK DISABILITY INDEX (NDI)
0-8% indicates no disability, 10-28% indicates mild disability, 30-48% indicates moderate impairment, 50-64% indicates severe disability, and ≥65% indicates complete disability. The total scores range from 0 to 50 and are converted to percentages.
Time frame: Baseline and post treatment after six weeks
ANEROID SPHYGMOMANOMETER
To simplify and track craniocervical flexion exercises for deep cervical flexor muscle training, a modified aneroid sphygmomanometer is employed as a pressure biofeedback tool. The sphygmomanometer\'s inflatable bladder was placed under the cervical lordosis and inflated to a baseline pressure of 20 mmHg. There is evidence that the Craniocervical Flexion Test (CCFT) has excellent reliability and acceptable validity when using a modified aneroid sphygmomanometer.
Time frame: Baseline and post treatment after six weeks
Plan to share: Yes
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: 6 months after the publication of the manuscript.
Access criteria: This data can be requested from the corresponding author.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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University of Management and Technology Lahore