Children, AdultNCT06893705
Pilates Exercises on Pain, Functional Disability and ROM Among Children With Text Neck Syndrome
A study testing Conventional Therapy and Pilates+Conventional Therapy in people with Children, Adult, run by Riphah International University at 1 site in Pakistan.
Trial summary
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Read more about this study
- Who is it for?
- Ages 12 to 17 years
- Conditions the study is for
- Children, Adult
- What is being tested?
- Conventional Therapy and Pilates+Conventional Therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 sitePakistan
- Study dates
- 14 Mar 2025to 12 May 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 12 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- CVA < 48 degree
- Age 12 to 17 years
- Both male and female
- Mobile phone usage more than 4 hr. /day
- More than one year of using any electronic gadgets.
Who cannot join
- Vertigo
- Kyphosis
- Scoliosis
- Trauma/Cervical Fracture
- Torticollis
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects OF Pilates Exercises on Pain, Functional Disability and ROM Among School Going Children With Text Neck Syndrome
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. For improvement with neck pain and activity limitation 24 Children with age 12-17 year will be randomly assign in 2 groups.
Group A will receive conventional physical therapy program for the affected neck like stretching exercises, active range of motion exercise, and neck isometrics for 6 weeks (3 sessions per week). The treatment duration will be of 50 min. On the other hand Group B will receive Pilate's exercises like cat stretch, swan dive/roll up along with conventional therapy for 6 weeks(3 sessions per week). In each session there will be 25 minutes of conventional therapy and 25 minutes of Pilate's exercises program. Then evaluate both groups on follow up.
Read more
All data will be collected from Gov. High School Niaz Baig by using Visual Analogue Scale, Functional Disability Index questionnaire and Goniometer. The reliability and validity of tools are mentioned.
The duration of study will be 6 months. Data will be analyzed with the help of SPSS 25.
Read the detailed description
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. It focuses on postural alignment, which results in increasing craniovertebral angle and decreasing pain. Improving text neck is very important because it can enhance an individual's ability to perform everyday activities.
A randomized controlled trial will be conducted through convenient sampling. Data will be collected from Allied school and The Trust School, Lahore. Sample size of 24 subjects, with age group between 12 to 17 years will be taken. Data will collected from participants that use smart phone for more than 4hr/day. Participants with cervical fracture, trauma and scoliosis will be excluded. Outcome measure will be taken using Visual Analogue Scale (VAS) for pain, Functional Disability Inventory (FDI) for function and Universal Goniometer (UG) for range of motion. An informed consent will be taken. Subjects will be randomly allocated into two groups: experimental group will receive Pilates exercise program like cat/chest stretch, swan dive/spine twist in addition to designed conventional therapy, while the control group will receive designed conventional therapy for the affected neck like stretching exercises, neck isometrics and active range of motion exercises. The treatment duration will be of 6 weeks and 50min/day. Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric or non-parametric test based on the normality.
- Conditions
- Children, Adult
- Being tested
- Conventional Therapy, Pilates+Conventional Therapy
- Keywords
- Pilates, Neck Pain, Range of Motion, School Children, Text Neck
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional TherapyOther
Conventional Therapy Group: Group A will be control group which will receive conventional physical therapy program for the affected neck like stretching exercises, active range of motion exercise, and neck isometrics for 6 weeks (3 sessions per week).
Pilates+Conventional TherapyOther
Group B will be experimental group, which will receive Pilate's exercises like cat stretch, swan dive/roll up along with conventional therapy for 6 weeks(3 sessions per week). In each session there will be 25 minutes of conventional therapy and 25 minutes of Pilate's exercises program.
| Study group | Role | What they receive |
|---|---|---|
| Group A | Active comparator | Control : For group A Conventional Therapy Program for 50 min, 3 days per week during a 6 week period. Receives: Other: Conventional Therapy |
| Group B | Experimental | Experimental: For group B 25 min of pilates and 25 min of conventional therapy 3 days per week during a 6 week period Receives: Other: Pilates+Conventional Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
FDI(Functional Disability Inventory Questionnaire)
The functional disability inventory: measures a neglected dimension of child health status. It assesses activity limitations in children and adolescents. High score indicate 'greater functional disability'. A clinical tool for measuring impact of neck pain on patient's daily life. It consists of 15 items. Internal consistency reliability is excellent(R=0.86 to 0.91)(p<0.05)
Measured: Baseline,3rd week, 6th week
VAS(Visual Analogue Scale)
A clinical tool used for measuring the intensity of pain. It is a horizontal 10cm line with '0' at one end which indicate no' pain', and '1' at the other end which indicate 'worst pain'. Subject is asked to mark his/her pain according to the severity.(R=0.97)(p=0.02)
Measured: Baseline, 3rd week,6th week
Goniometer
Goniometer is used to measure range of motion .It also measures cervical ROM in flexion, extension, rotation and side bending. Reliability score of cervical goniometer ranged from(R= 0.999 to 0.931) (p<0.05) for cervical region
Measured: Baseline,3rd week, 6th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Mar 2025
- Study start14 Mar 2025
- Primary completion28 Apr 2025
- Study completion12 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Children, AdultStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A randomized controlled trial performed through convenient sampling, in which 24 TNS children with the age 12-17 years will be taken randomly after screening and meeting inclusion criteria. Children will be divided in two groups. Control Group will receive conventional therapy for 50 min in a day for 3 days per week. Experimental Group will receive Pilates with Conventional Therapy for 50 min in a day for 3 days per week. Pre values were taken at 1st week , 3rd week and post values of intervention will be taken after 6th week to measure the effects of both therapies.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Aira Eman, MS-PPT, Principal investigator, Study Principal Investigator
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06893705
- Sponsor's protocol ID
- REC/RCR/AHS/24/0745
- Status last verified
- Sep 2025
- First submitted
- 19 Mar 2025
- Last updated
- 26 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
David D, Giannini C, Chiarelli F, Mohn A. Text Neck Syndrome in Children and Adolescents. Int J Environ Res Public Health. 2021 Feb 7;18(4):1565. doi: 10.3390/ijerph18041565.
PubMed 33562204
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects OF Pilates Exercises on Pain, Functional Disability and ROM Among School Going Children With Text Neck Syndrome
- ClinicalTrials.gov ID
- NCT06893705
- Acronym / sponsor ID
- REC/RCR/AHS/24/0745
- Conditions
- Children, Adult
- Keywords
- Pilates, Neck Pain, Range of Motion, School Children, Text Neck
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 14 Mar 2025 (actual)
- Primary completion
- 28 Apr 2025 (actual)
- Study completion
- 12 May 2025 (actual)
- First posted
- 25 Mar 2025 (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.
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. For improvement with neck pain and activity limitation 24 Children with age 12-17 year will be randomly assign in 2 groups.
Group A will receive conventional physical therapy program for the affected neck like stretching exercises, active range of motion exercise, and neck isometrics for 6 weeks (3 sessions per week). The treatment duration will be of 50 min. On the other hand Group B will receive Pilate's exercises like cat stretch, swan dive/roll up along with conventional therapy for 6 weeks(3 sessions per week). In each session there will be 25 minutes of conventional therapy and 25 minutes of Pilate's exercises program. Then evaluate both groups on follow up.
All data will be collected from Gov. High School Niaz Baig by using Visual Analogue Scale, Functional Disability Index questionnaire and Goniometer. The reliability and validity of tools are mentioned.
The duration of study will be 6 months. Data will be analyzed with the help of SPSS 25.
Detailed description
Text Neck' is a term used to describe a posture that is caused by leaning forward for long period of time such as reading or texting on smartphone. Neck pain, discomfort, reduced function and limited range of motion are the signs of text neck. Forward head posture is the most common cervical issue in the sagittal plane. Neck pain interferes with daily life activities. Pilates exercise program is the most appropriate exercise program for the prevention of forward head posture. It focuses on postural alignment, which results in increasing craniovertebral angle and decreasing pain. Improving text neck is very important because it can enhance an individual's ability to perform everyday activities.
A randomized controlled trial will be conducted through convenient sampling. Data will be collected from Allied school and The Trust School, Lahore. Sample size of 24 subjects, with age group between 12 to 17 years will be taken. Data will collected from participants that use smart phone for more than 4hr/day. Participants with cervical fracture, trauma and scoliosis will be excluded. Outcome measure will be taken using Visual Analogue Scale (VAS) for pain, Functional Disability Inventory (FDI) for function and Universal Goniometer (UG) for range of motion. An informed consent will be taken. Subjects will be randomly allocated into two groups: experimental group will receive Pilates exercise program like cat/chest stretch, swan dive/spine twist in addition to designed conventional therapy, while the control group will receive designed conventional therapy for the affected neck like stretching exercises, neck isometrics and active range of motion exercises. The treatment duration will be of 6 weeks and 50min/day. Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric or non-parametric test based on the normality.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- A randomized controlled trial performed through convenient sampling, in which 24 TNS children with the age 12-17 years will be taken randomly after screening and meeting inclusion criteria. Children will be divided in two groups. Control Group will receive conventional therapy for 50 min in a day for 3 days per week. Experimental Group will receive Pilates with Conventional Therapy for 50 min in a day for 3 days per week. Pre values were taken at 1st week , 3rd week and post values of intervention will be taken after 6th week to measure the effects of both therapies.
| Arm | Type | Receives |
|---|---|---|
| Group A | Active comparator | Other: Conventional TherapyControl : For group A Conventional Therapy Program for 50 min, 3 days per week during a 6 week period. |
| Group B | Experimental | Other: Pilates+Conventional TherapyExperimental: For group B 25 min of pilates and 25 min of conventional therapy 3 days per week during a 6 week period |
Who may qualify
- Ages
- 12 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- CVA < 48 degree
- Age 12 to 17 years
- Both male and female
- Mobile phone usage more than 4 hr. /day
- More than one year of using any electronic gadgets.
Key exclusion criteria (5 listed)
- Vertigo
- Kyphosis
- Scoliosis
- Trauma/Cervical Fracture
- Torticollis
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 |
|---|---|---|
| Conventional TherapyConventional Therapy Group: Group A will be control group which will receive conventional physical therapy program for the affected neck like stretching exercises, active range of motion exercise, and neck isometrics for 6 weeks (3 sessions per week). | Other | Group A |
| Pilates+Conventional TherapyGroup B will be experimental group, which will receive Pilate's exercises like cat stretch, swan dive/roll up along with conventional therapy for 6 weeks(3 sessions per week). In each session there will be 25 minutes of conventional therapy and 25 minutes of Pilate's exercises program. | Other | Group B |
Primary outcome
FDI(Functional Disability Inventory Questionnaire)
Time frame: Baseline,3rd week, 6th week
The functional disability inventory: measures a neglected dimension of child health status. It assesses activity limitations in children and adolescents. High score indicate 'greater functional disability'. A clinical tool for measuring impact of neck pain on patient's daily life. It consists of 15 items. Internal consistency reliability is excellent(R=0.86 to 0.91)(p<0.05)
VAS(Visual Analogue Scale)
Time frame: Baseline, 3rd week,6th week
A clinical tool used for measuring the intensity of pain. It is a horizontal 10cm line with '0' at one end which indicate no' pain', and '1' at the other end which indicate 'worst pain'. Subject is asked to mark his/her pain according to the severity.(R=0.97)(p=0.02)
Goniometer
Time frame: Baseline,3rd week, 6th week
Goniometer is used to measure range of motion .It also measures cervical ROM in flexion, extension, rotation and side bending. Reliability score of cervical goniometer ranged from(R= 0.999 to 0.931) (p<0.05) for cervical region
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2025.
- Background: PubMed 33562204David D, Giannini C, Chiarelli F, Mohn A. Text Neck Syndrome in Children and Adolescents. Int J Environ Res Public Health. 2021 Feb 7;18(4):1565. doi: 10.3390/ijerph18041565.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
Aira Eman, MS-PPT principal investigator
Study Principal Investigator
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Therapy and Pilates+Conventional Therapy in people with Children, Adult, run by Riphah International University 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 5 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: finished, as of the sponsor's last update on 26 Sep 2025. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
FDI(Functional Disability Inventory Questionnaire) (time frame: Baseline,3rd week, 6th week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06893705, which also lists 1 linked publication.
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 26 Sep 2025.