Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy in Text Neck Syndrome.(PNMCE-TNS)

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

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

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.

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.

What is being measured

The primary outcome is the main question the study is designed to answer.

1. 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

2. 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

3. 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

4. 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

5. 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.

1. First posted23 Oct 2026
2. Study start20 Oct 2026 (estimated)
3. Primary completion31 Dec 2026 (estimated)
4. 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.