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NCT07812909

Effects of Sprinter and Skater on Text Neck Syndromes

Sponsor: University of Faisalabad

View on ClinicalTrials.gov

Summary

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.

Official title: Combined Effects of Sprinter and Skater Synergy Training on Pain, Muscle Activation and Postural Alignment in Individuals With Text Neck Syndrome

Key Details

Gender

All

Age Range

25 Years - 45 Years

Study Type

INTERVENTIONAL

Enrollment

Start Date

2026-04-24

Completion Date

2026-08-09

Last Updated

2026-09-10

Healthy Volunteers

Conditions

Text Neck Syndrome

Interventions

OTHER

Coordinative locomotor training group

Participants allocated to the Coordinated Locomotor Training (CLT) group were received an intervention based on Janda's tonic-phasic muscle theory, which aimed to restore reciprocal muscle activation patterns, improve postural alignment, and enhance neuromuscular coordination by facilitating coordinated movement synergies. The intervention were administered over 8 weeks, with three supervised sessions per week, and each session lasts for approximately 25-30 minutes. Each treatment session begun with a warm-up phase, during which an electric hot pack wase applied to the cervical and upper thoracic region for approximately 10 minutes to increase local circulation, reduce muscle stiffness, and improve soft tissue extensibility. Following thermotherapy, participants performed chin tuck exercises (2 sets of 10 repetitions with a 5-10-second hold) to activate the deep cervical flexor muscles, followed by scapular retraction exercises (2 sets of 10 repetitions) to facilitate activation of the

OTHER

control group

Each treatment session were begin with a warm-up phase, during which an electric hot pack were applied to the cervical and upper thoracic region for approximately 10 minutes to increase local circulation, reduce muscle stiffness, and improve soft tissue extensibility. This will be followed by chin tuck exercises (2 sets of 10 repetitions with a 5-10-second hold) to facilitate activation of the deep cervical flexor muscles and scapular retraction exercises (2 sets of 10 repetitions) to activate the scapular stabilizers and promote optimal postural alignment. The cervical stabilization phase was included deep cervical flexor exercises performed in both supine and sitting positions, with participants completing 2 sets of 10-12 repetitions, maintaining each contraction for 5-10 seconds. These exercises ere intended to improve cervical stability, enhance endurance of the deep neck flexor muscles, and correct forward head posture. The scapular strengthening phase was consisted of scapular re

Inclusion Criteria: * Participants who meeted the following criteria, eligible for inclusion in the study: * Age between 25 and 45 years (both male and female participants). * Diagnosed with Clinical signs of Text Neck Syndrome (TNS) * Forward head posture (measured using craniovertebral angle (CVA)). * Rounded shoulders and scapular elevation (measured via postural assessment) * History of at least 4 - 6 hours of computer or mobile device use daily for 6 months or more * Numeric Pain Rating Scale (NPRS) score between 3 and 6 (indicating moderate pain) * Craniovertebral Angle of less than 50°, indicating significant postural deviation * Willingness to provide informed consent and participate in the intervention protocol for 8 weeks. * Participants must be able to commit to completing the 8 week intervention, including in person sessions and home exercises. Exclusion Criteria: Participants were excluded from the study if they meet any of the following criteria * Previous surgery, history of cervical or shoulder surgery, or any major trauma to the neck or shoulder region * Reported neurological or vestibular disorders, any condition affecting posture or balance, such as neurological disorders, vestibular impairments, or dizziness (e.g., vertigo, balance dysfunction) * Reported congenital spinal deformities, diagnosis of congenital spinal deformities such as scoliosis, torticollis, or kyphosis that could interfere with postural assessment or training * Participation in other rehabilitation programs current participation in another rehabilitation program focused on posture correction, neck pain, or musculoskeletal disorders during the study period * Female participants who are pregnant or have medical contraindications to moderate physical exercise * Individuals with serious cardiovascular, musculoskeletal, or neurological diseases that might contraindicate participation in moderate physical activity (e.g., uncontrolled diabetes, severe heart disease, or cancer) * Individuals with a pain level greater than 6 on the NPRS or those with significant functional disability in the neck and upper back, which might impede their participation in the intervention.

Locations (1)

Department of Rehabilitation Sciences, The University of Faisalabad

Faisalābad, Punjab Province, Pakistan