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.
Text Neck Syndrome is a growing musculoskeletal concern among university students due to prolonged use of smartphones, tablets, and other digital devices in a posture that involves prolonged neck flexion. Sustained cervical flexion postures contribute to mechanical neck pain, reduced craniovertebral angle, muscular tightness, and increased psychological stress. Early intervention is important to prevent chronic dysfunction and long-term disability. This study is designed as a randomized controlled trial involving university students who meet the inclusion criteria for Text Neck Syndrome. Eligible participants will be randomly assigned into two groups: an experimental group receiving Myofascial Release Therapy and a control group receiving conventional physiotherapy consisting of postural correction strategies and structured stretching exercises. The intervention will be delivered for 3 times a week for 4 weeks. Outcome measures will be recorded at baseline and after completion of the intervention period. Outcome variables include neck pain assessed using VAS , neck pain intensity measured through the Neck Disability Index, forward head posture quantified using craniovertebral angle measurement through a valid and reliable software; Kinovea Software and perceived stress assessed using PSS-10. Data will be analyzed to compare within-group and between-group differences to determine the relative effectiveness of Myofascial Release Therapy in improving musculoskeletal alignment, reducing neck pain and addressing stress-related components associated with Text Neck Syndrome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
62
Participants will receive Myofascial Release Therapy targeting neck and upper back muscles, 3 sessions per week for 4 weeks. This is a physical therapy intervention.
Participants will receive conventional physiotherapy including postural correction exercises, stretching of neck and upper back muscles, and ergonomic education. Outcomes will be measured after the intervention.
Zara Zahid
Lahore, Punjab Province, Pakistan
RECRUITINGDr. Wajeeha Mahmood
Lahore, Pakistan
RECRUITINGNeck Pain
Neck pain will be assessed using the Visual Analog Scale (VAS), where participants rate their pain intensity on a scale from 0 (no pain) to 10 (worst imaginable pain)
Time frame: Baseline and after 4 weeks of intervention
Perceived Stress
Perceived stress will be assessed using the Perceived Stress Scale (PSS), a validated questionnaire measuring the degree to which situations in one's life are appraised as stressful.
Time frame: Baseline and after 4 weeks of intervention
Forward Head Posture
Forward Head Posture will be measured using the craniovertebral angle (CVA) from lateral photographs using Kinovea Software. A smaller angle indicates a more pronounced forward head posture.
Time frame: Baseline and after 4 weeks
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