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NCT Number: NCT07450261

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

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Text Neck Syndrome Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

25 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Health Sciences Lahore,Pakistan

Lahore, Punjab Province, 53700, Pakistan

About this study

In this modern era, people are using smartphone, tablets, computers and other digital devices for almost 5 to 8 hours a day. This has led to noticeable musculoskeletal disorders. Text neck syndrome has increasingly prevalent across all age groups, among students, office worker, administrative workers and people with more screen time. Repetitive stress injury and posture strain leads to neck pain, stiffness, headache, shoulder tension and decrease ROM. It determines the effectiveness of instrumental assisted soft tissue mobilization vs. conventional treatment for pain, range of motion and functional mobility on administrative staff for text neck syndrome.

This study is designed as a randomized control trial involving 48 participant with text neck syndrome to evaluate and compare the effectiveness of interventions. Participants will be diagnose by consultant neurologist at DHQ sheikhupura. It will be an Assessor Blinded Randomized Controlled Trial following CONSORT Statement Guidelines. The study will be conducted for 4 weeks and 3 session per week, with data collection at baseline pre intervention and post intervention. Participants will be randomly assigned to a control and experimental group. Control group having isometric strengthening and experimental group will receive isometric strengthening followed by instrumental assisted soft tissue mobilization.

The result will help to identify evidence based treatment approach that can be clinically used

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Participant will be diagnose by consultant neurologist at DHQ sheikhupura on the bases of following criteria :

  • Workers with Text Neck Syndrome diagnosed via Forward head Posture (through measuring craniovertebral angle) <50°
  • Age group between 25-50 year, both genders, using digital gadgets like (computer, laptop and mobile) for more than 4 hours
  • Experiencing neck pain either radiating or not
  • Exhibit forward head posture habits
  • Muscle weakness and NDI score is between 5-24, NPRS score above 3 and having informed consent.

Exclusion criteria

  • Person having history of trauma
  • Pregnant, using neck support gadgets
  • Neck surgery, cervical radiculopathy
  • Currently having fever and infection
  • Myelopathy and not informed consent

Treatment and study plan

progressive isometric exercises

Other

Isometric cervical exercises strengthen the neck muscles by applying resistance with your hand while keeping your head completely still, with no joint movement. These exercises are generally performed in a seated or standing position with upright, relaxed shoulders

Other names: progrssive isometric exercises, progressive resisted excercises, manual therapy

Instrument-Assisted Soft Tissue Mobilization

Device

instrumental assisted soft tissue mobilization will be given by MT2 blade. It will be targeting upper trapezius, levator scapulae, splenius capitis and sternocleidomastoid muscles for text neck syndrome.

Other names: IASTM

Primary outcomes

  1. Numeric Pain Rating Scale

    Time frame: From enrollment to the end of treatment at four weeks.

    It is simple, reliable and valid scale to measure pain intensity scale as simply asked the patient to rate their pain intensity on scale from 0-10. As 0 =no pain and 10=worst pain.The primary expected outcomes for this study will be to measure pain by using Numeric pain rating scale.

  2. Goniometer

    Time frame: From enrollment to treatment at four weeks.

    It is non-invasive measuring tool used in clinic to measure active cervical range of motion in all direction. For Cervical flexion and extension participants will sit on chair in upright position and foot flat on floor. Fulcrum will be placed on ear canal. Stationary arm of goniometer will be align perpendicular to the floor and moving arm with the base of nares.. For lateral flexion fulcrum will be placed on spinous process of C7, stationary arm will align in the spine and moving arm aligned with head midline, reference to occipital protuberance. The patient will be asked to bend head towards shoulder without rotation. Fulcrum will be over centre of cranial aspect of head .stationary arm will align with acromial process and moving arm with the tip of nose, than participant will be instructed to rotate head to each side as far as possible. Data will be recorded in degrees .

  3. Neck Disability Index Scale

    Time frame: From enrollment to the end of treatment at four week.

    NDI is condition specific questionnaire compromising of 10 items to assess pain and functional status which is mostly used for reporting neck pain. NDI is reliable and valid questionnaire. Patient score above 5-24 were included. This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life.

Sponsors and collaborators

Lead sponsor

University of Health Sciences Lahore

Other

Registry information

Official study title

Effectiveness of Instrumental Assisted Soft Tissue Mobilization Versus Conventional Treatment for Pain, Range of Motion and Functional Mobility on Administrative Staff for Text Neck Syndrome.

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Mar 4, 2026
Registry last updated
Mar 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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