Effect of Chin Tuck Exercise with Pectoralis Muscles Stretching Exercise v/s Chin Tuck Exercise with Scapular Retraction Strengthening Exercise on CVA, SA And Active Cervical ROM in Young Adults Patients in Text Neck Syndrome - A Randomized Clinical Trial

Authors

  • Khot Preeti Intern, Miraj Medical Centre, College of Physiotheapry, Wanless Hospital,Miraj
  • Noor Ahmad Assistant Professor, Miraj Medical Centre, College of Physiotheapry, Wanless Hospital, Miraj
  • Bhore Vrushali Assistant Professor, Miraj Medical Centre, College of Physiotheapry, Wanless Hospital, Miraj
  • Gachhi Shruti Assistant Professor, Miraj Medical Centre, College of Physiotheapry, Wanless Hospital, Miraj

DOI:

https://doi.org/10.46858/VIMSJPT.6110

Keywords:

Text Neck Syndrome, Posture, Physiotherapy

Abstract

BACKGROUND: Text Neck Syndrome refers to repetitive stress injury, having an individual’s head hung forward looking at the mobile for a longer period of time. Most common symptoms of this syndrome are forward head posture, forward shoulder posture and reduced active cervical ranges of motion. 

AIM: To find the effect of chin tuck exercise with pectoralis muscles stretching exercise versus chin tuck exercise with scapular retraction strengthening exercise on cranio-vertebral angle, shoulder angle and active cervical ROM in young adult patients in text neck syndrome.

METHOD: The study was conducted in College of Physiotherapy, Wanless hospital, Miraj Medical Centre, Miraj. It was a cross over study conducted on college going students using a simple random sampling method. Participants (n=48) who fulfilled inclusion criteria were included and were divided into two groups. The duration of the study was of 6 months. Participants were assessed using SAS-SV for pre-assessment and Smartphone protractor application and Goniometer for both pre- and post-assessment. The participants in a group A were given pectoralis muscle stretching exercise and participants in group B were given scapular retraction strengthening exercise both including chin tuck exercise over the span of 4 weeks. After which the outcome measures like CVA, SA And Active Cervical ROM were assessed again.  

RESULT: Statistical analysis was done using unpaired t test between the groups and paired t test among the groups. The within-group analysis of pre- and post-treatment measurement of the techniques showed clinical and statistical significance whereas, the between group analysis showed no significant difference.

CONCLUSION: It can be concluded that chin tuck exercise with scapular retraction strengthening exercise is more effective as compared to chin tuck exercise with pectoralis muscles stretching exercise in the treatment of text neck syndrome.

References

Thiyagarajan S, Telegbal SV. Text Neck: Is it a new term for physiotherapist?. Indian Journal of Medical & Health Sciences. 2015 Jul 1;2(2):119.

Vijayakumar M, Mujumdar S, Dehadrai A. Assessment of co-morbid factors associated with text-neck syndrome among mobile phone users. IJSRST. 2018;4(9):38-46.

Nishanth H, Aishwarya A. Immediate Effect of Chin Tuck Exercises on Craniovertebral Angle and Shoulder Angle Among Collegiates with Forward Head Posture. Biomedical and Pharmacology Journal. 2021 Dec 30;14(4):2295-8

Sathya P, Tamboli SA. Prevalence of text neck syndrome in young-adult population. Int J Med Exerc Sci. 2020;6:749-59.

Kokiwar PR, Shruthi C, Vaishnavi I, Sirisha SK, Manognya K, Ghouse M, Sajid S, Shravya G, Tejaswini S, Snigdha P, Mounika S. Prevalence and risk factors of text neck syndrome among medical students. MRIMS Journal of Health Sciences. 2020 Jan 1;8(1):10.

Goosheh M, Shafizadegan Z, Rezaieian ZS, Salamehzadeh F, Baharlouei H. Comparing the immediate effect of chin tuck and turtle exercises on forward head posture: A single blind randomized clinical trial. Polish Annals of Medicine. 2019 Jan 1;26(1).

Yoo WG. Comparison of the effects of pectoralis muscles stretching exercise and scapular retraction strengthening exercise on forward shoulder. Journal of Physical Therapy Science. 2018;30(4):584-5.

Nikolic A, Bukurov B, Kocic I, Soldatovic I, Mihajlovic S, Nesic D, Vukovic M, Ladjevic N, Grujicic SS. The validity and reliability of the Serbian version of the smartphone addiction scale—short version. International Journal of Environmental Research and Public Health. 2022 Jan 22;19(3):1245.

Farooq MN, Mohseni Bandpei MA, Ali M, Khan GA. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons. Pak J Med Sci. 2016 Mar-Apr;32(2):457-61. doi: 10.12669/pjms.322.8747. PMID: 27182261; PMCID: PMC4859044.

Mamania JA, Anap DB, Tanksale D. Validity and Reliability of 'on Protractor' smartphone Application for Measurement of Craniovertebral and Cranio-Horizontal Angle. International journal of physiotherapy. 2017 Aug 1;4(4):207-11.

Kunkle WA, Madden M, Potts S, Fogelson J, Hershman S. Validity of a smartphone protractor to measure sagittal parameters in adult spinal deformity. The Spine Journal. 2017 Oct 1;17(10):1559-64.

Karthik V, Arulpragassame S, Felix AJ, Parkavi K. Prevalence of Forward Head Posture And Its Association With Gender, BMI And Neck Pain Among College Going Students–A Cross Sectional Study. Journal of Positive School Psychology. 2022 Oct 30;6(9):5084-90.

Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014 Oct 10;4(3):123-32.0

Kumari S, Kumar R, Sharma D. Text neck syndrome: the pain of modern era. International Journal of Health Sciences and Research. 2021 Nov;11(11):161-5.

Namwongsa S, Puntumetakul R, Neubert MS, Boucaut R. Effect of neck flexion angles on neck muscle activity among smartphone users with and without neck pain. Ergonomics. 2019 Dec 2;62(12):1524-33.

Shinde S, Bhende R. Evidence based treatment strategies for “Text Neck Syndrome”: a review. International Journal of Occupational Safety and Health. 2023 Mar 15;13(2):245-57.

Alsarwani RM, Alshaikh SA, Howaidi RA, Aljahdali AJ, Bassi MM. The prevalence of text neck syndrome and its association with smartphone use among medical students in Jeddah, Saudi Arabia. Journal of Musculoskeletal Surgery and Research. 2021 Nov 13;5(4):266-72.

Keerthana S. Text neck: a modern concern. International Journal of Community Medicine and Public Health.2023 Nov;10(11):4194.

Tang M, Sommerich CM, Lavender SA. An investigation of an ergonomics intervention to affect neck biomechanics and pain associated with smartphone use. Work. 2021 Jan 1;69(1):127-39.

Soyer O, Akar?rmak ZÜ. The effect of postural correction and exercise on neck pains in cell phone users. Turk Osteoporoz Dergisi. 2020 Aug 1;26(2):81.

Downloads

Published

2024-06-30

How to Cite

Preeti, K., Ahmad, N., Vrushali, B., & Shruti, G. (2024). Effect of Chin Tuck Exercise with Pectoralis Muscles Stretching Exercise v/s Chin Tuck Exercise with Scapular Retraction Strengthening Exercise on CVA, SA And Active Cervical ROM in Young Adults Patients in Text Neck Syndrome - A Randomized Clinical Trial . VIMS JOURNAL OF PHYSICAL THERAPY, 6(1), 3–11. https://doi.org/10.46858/VIMSJPT.6110

Issue

Section

Original Article