Effectiveness of Neck Stabilization Training With Conventional Physical Therapy for Text Neck Syndrome: A Randomized Clinical Trial

Background of the study: Text neck syndrome, a prevalent cervical disorder caused by excessive smartphone use, results in pain and strain in the neck, shoulders, and thoracic region. This study aims to assess the effectiveness of a neck stabilization training program in improving cervical pain, disability, cranio-vertebral angle, range of motion, and cervical endurance. Methodology: A randomized controlled trial was carried out at Aizaz Rehab Clinic, Mandra, Pakistan. Twenty-six participants were selected based on predefined inclusion and exclusion criteria and were randomly assigned to two groups. Group A (n=13) received neck stabilization training in addition to conventional physiotherapy, while Group B (n=13) received only conventional therapy. Results: At baseline, both groups were homogenous (P>0.05). Between-group analysis showed significant improvements (P<0.05) in the experimental group for pain, NDI, CVA, cervical motions, and biofeedback measures. Within-group analysis revealed improvements in all variables for both groups (P<0.05) at follow-up, except for endurance of cervical flexors, rotators (left and right), and right lateral flexors, which were not statistically significant. Conclusions: The neck stabilization training is effective in reducing pain and disability, while improving ROM, craniovertebral angle and pressure biofeedback of cervical muscles in text-neck syndrome population.