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Effectiveness of neck stabilization training with conventional physical therapy for text neck syndrome: a randomized clinical trial
Qazi ZN, Qureshi WN, Sabir S, Javaid S
Pakistan Journal of Rehabilitation 2025 Jan;14(1):39-48
clinical trial
This trial has not yet been rated.

BACKGROUND OF THE STUDY: Text neck syndrome, a prevalent cervical disorder caused by excessive smartphone use, results in pain and strain in the neck, shoulders, and thoracic region. This study aims to assess the effectiveness of a neck stabilization training program in improving cervical pain, disability, cranio-vertebral angle, range of motion, and cervical endurance. METHODOLOGY: A randomized controlled trial was carried out at Aizaz Rehab Clinic, Mandra, Pakistan. Twenty-six participants were selected based on predefined inclusion and exclusion criteria and were randomly assigned to two groups. Group A (n = 13) received neck stabilization training in addition to conventional physiotherapy, while Group B (n = 13) received only conventional therapy. RESULTS: At baseline, both groups were homogenous (p > 0.05). Between-group analysis showed significant improvements (p < 0.05) in the experimental group for pain, NDI, CVA, cervical motions, and biofeedback measures. Within-group analysis revealed improvements in all variables for both groups (p < 0.05) at follow-up, except for endurance of cervical flexors, rotators (left and right), and right lateral flexors, which were not statistically significant. CONCLUSIONS: The neck stabilization training is effective in reducing pain and disability, while improving ROM, craniovertebral angle and pressure biofeedback of cervical muscles in text-neck syndrome population.

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