Text Neck SyndromeYesNCT07892131
Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy in Text Neck Syndrome.(PNMCE-TNS)
A study of Text Neck Syndrome, run by University of Management and Technology Lahore at 1 site in Pakistan.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 to 40 years
- Conditions the study is for
- Text Neck Syndrome
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Oct 2026to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Individuals aged 18-40 years of both gender
- Text Neck Syndrome confirmed by: daily smartphone/tablet use ≥ 4 hours
- AND neck pain onset linked to device use for a minimum of 3 months.
- Forward Head Posture confirmed by craniovertebral angle (CVA) <50° on standardised photographic assessment.
- Neck pain intensity ≥ 4 on the Numerical Pain Rating Scale (NPRS).
Who cannot join
- Cognitive impairment limiting ability to follow instructions.
- Use of cervical orthosis or splint devices.
- Diagnosed systematic joint or muscle disease (e.g., fibromyalgia, rheumatoid arthritis).
- Serious systemic diseases or neurological disorders (e.g., cervical radiculopathy, myelopathy,trigeminal neuralgia).
- Pregnancy or breastfeeding.
- History of surgery or significant trauma to the cervical region.
- Positive vertebrobasilar artery test.
- Confirmed cervical fracture or congenital cervical deformity.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site
University of Management & Technology
Lahore, Punjab Province, 54000
About this study
Official title: Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy on Pain, Range of Motion, Posture and Function Among Patients With Text Neck Syndrome.
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.
- Conditions
- Text Neck Syndrome
- Being tested
- Progressive Neck Motor Control Exercises, Progressive Neck Motor Control Exercises and Conventional Therapy
- Keywords
- Progressive Neck Motor Control Exercises, Craniovertebral Angle, Neck Disability Index, Forward Head Posture, Cervical Range of Motion
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Progressive Neck Motor Control ExercisesOther
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.
Progressive Neck Motor Control Exercises and Conventional TherapyOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Progressive Neck Motor Control Exercises and Conventional Therapy | Experimental | 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. Receives: Other: Progressive Neck Motor Control Exercises and Conventional Therapy |
| Progressive Neck Motor Control Exercises | Active comparator | 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. Receives: Other: Progressive Neck Motor Control Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
Measured: 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
Measured: 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.
Measured: 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.
Measured: 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.
Measured: Baseline and post treatment after six weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2026
- Study start20 Oct 2026 (estimated)
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Text Neck SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 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.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Management and Technology Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Salman Bashir, University of Management and Technology Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07892131
- Sponsor's protocol ID
- RE-168-2026
- Acronym
- Yes
- Status last verified
- Oct 2026
- First submitted
- 17 Oct 2026
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy on Pain, Range of Motion, Posture and Function Among Patients With Text Neck Syndrome.
- ClinicalTrials.gov ID
- NCT07892131
- Acronym / sponsor ID
- Yes / RE-168-2026
- Conditions
- Text Neck Syndrome
- Keywords
- Progressive Neck Motor Control Exercises, Craniovertebral Angle, Neck Disability Index, Forward Head Posture, Cervical Range of Motion
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- University of Management and Technology LahoreUniversity, hospital or other
- Study start
- 20 Oct 2026 (estimated)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 23 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| Progressive Neck Motor Control Exercises and Conventional Therapy | Experimental | Other: Progressive Neck Motor Control Exercises and Conventional TherapyParticipants 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. |
| Progressive Neck Motor Control Exercises | Active comparator | Other: Progressive Neck Motor Control ExercisesParticipants 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. |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Individuals aged 18-40 years of both gender
Key exclusion criteria (8 listed)
- Cognitive impairment limiting ability to follow instructions.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Progressive Neck Motor Control ExercisesParticipants 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 |
| Progressive Neck Motor Control Exercises and Conventional TherapyParticipants 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 |
Primary outcome
NUMERICAL PAIN RATING SCALE
Time frame: Baseline and post treatment after six weeks
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
UNIVERSAL GONIOMETER
Time frame: Baseline and post treatment after six weeks
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
CRANIOVERTEBRAL ANGLE (CVA) - PHOTOGRAPHIC ANALYSIS
Time frame: Baseline and post treatment after six weeks
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.
NECK DISABILITY INDEX (NDI)
Time frame: Baseline and post treatment after six weeks
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.
ANEROID SPHYGMOMANOMETER
Time frame: Baseline and post treatment after six weeks
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2026.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes
Related trials for Text Neck Syndrome
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Comparison of Cervical and TMJ Parameters in Young Adults With and Without Text Neck Syndrome
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Enrolling by invitation
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study of Text Neck Syndrome, run by University of Management and Technology Lahore at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NUMERICAL PAIN RATING SCALE (time frame: Baseline and post treatment after six weeks). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2026.