| CTRI Number |
CTRI/2026/02/104398 [Registered on: 20/02/2026] Trial Registered Prospectively |
| Last Modified On: |
19/02/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparing Muscle Energy Technique and McKenzie Exercises Combined with ELDOA for Text Neck syndrome |
|
Scientific Title of Study
|
Efficacy of Multimodal Manual and Postural Techniques: Muscle Energy
Technique (MET) and McKenzie Exercises, each combined with ELDOA in
Text Neck Syndrome |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Ishika Sahu |
| Designation |
Postgraduate Scholar |
| Affiliation |
Khalsa College |
| Address |
P.G. Department of Physiotherapy, Khalsa College, Amritsar PUNJAB-143002
India
Amritsar
PUNJAB
143002
India |
| Phone |
8287052285 |
| Fax |
|
| Email |
ishikasahu0202@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Kiran Arora |
| Designation |
Assistant Professor |
| Affiliation |
Khalsa College |
| Address |
P.G. Department of Physiotherapy, Khalsa College, Amritsar PUNJAB-143002
India
Amritsar
PUNJAB
143002
India |
| Phone |
7986121298 |
| Fax |
|
| Email |
arorakiran842@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Kiran Arora |
| Designation |
Assistant Professor |
| Affiliation |
Khalsa College |
| Address |
P.G. Department of Physiotherapy, Khalsa College, Amritsar PUNJAB-143002
India
Amritsar
PUNJAB
143002
India |
| Phone |
7986121298 |
| Fax |
|
| Email |
arorakiran842@gmail.com |
|
|
Source of Monetary or Material Support
|
| Khalsa College, Amritsar-143002 ,Punjab,India |
|
|
Primary Sponsor
|
| Name |
Ishika Sahu |
| Address |
P.G. Department of Physiotherapy, Khalsa College, Amritsar PUNJAB-143002,India
|
| Type of Sponsor |
Other [Self ] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Ishika Sahu PT |
Khalsa College |
P.G. Department of Physiotherapy, Khalsa College, Amritsar PUNJAB-143002
India
Amritsar
PUNJAB |
8287052285
ishikasahu0202@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Khalsa College Ehics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M542||Cervicalgia, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Muscle Energy
Technique(MET)combined with Elongation longitudinaux avec decoaption osteo-articulaire (ELDOA) in Text Neck Syndrome |
The participants diagnosed with text neck syndrome are allocated to group A: 23 participants Allocated in the group.(Muscle Energy Technique (MET) With ELDOA): The participants are given Elongation longitudinaux avec decoaption osteo-articulaire (ELDOA) with Muscle Energy Technique for Duration of 6 weeks for Frequency of 3 sessions per week |
| Intervention |
Mckenzie Exercises combined with Elongation longitudinaux avec decoaption osteo-articulaire (ELDOA) in Text Neck Syndrome |
The participants diagnosed with text neck syndrome are allocated to group A: 23 participants Allocated in the group.(Mckenzie Exercises With ELDOA): The participants are given Elongation longitudinaux avec decoaption osteo-articulaire (ELDOA) with Mckenzie Exercises for Duration of 6 weeks for Frequency of 3 sessions per week |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Both |
| Details |
1.Age of participant 18-35 years (both males and females are included)
2.Using their mobile phone or any other electronic device for 3 hrs or more than 3 hrs
3.The presence of Non-specific neck pain (NPRS more than or equal to 5)
4.Disability (Mild to Moderate Disability)
5.Range of Motion (Restricted cervical extension)
6.Craniovertebral Angle(Tragus to Wall test more than or equal to 10cm) |
|
| ExclusionCriteria |
| Details |
1.Osteoporosis
2.Stenosis
3.Scoliosis
4.Spondylolisthesis
5.Torticollis
6.Spinal infections or inflammatory disorders
7.Malignancies
8.Herniation and trauma
9.Any radiation of symptoms present |
|
|
Method of Generating Random Sequence
|
Adaptive randomization, such as minimization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Pain:Numeric Pain Rating Scale
2.Craniovertebral Angle: Tragus to Wall Test
3.Cervical Range of Motion: Universal Goniometer
4.Disability:Neck Disability Index |
1.Baseline, Post Intervention 3weeks and Post Intervention 6weeks
2. Baseline, Post Intervention 3weeks and Post Intervention 6weeks
3.Baseline, Post Intervention 3weeks and Post Intervention 6weeks
4.Baseline,Post Intervention 3weeks and Post Intervention 6weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="46"
Sample Size from India="46"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
02/03/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0"
Months="6"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This research study titled *“Efficacy of Multimodal Manual and Postural Techniques: Muscle Energy Technique (MET) and McKenzie Exercises, each combined with ELDOA in Text Neck Syndrome”* aims to compare the effectiveness of two physiotherapy intervention combinations in individuals suffering from Text Neck Syndrome (TNS). Text Neck Syndrome is a modern musculoskeletal condition caused by prolonged use of smartphones and electronic devices, leading to sustained forward head posture, increased cervical spine load, neck pain, reduced range of motion, and functional disability. With increasing screen time, especially among young adults, the prevalence of TNS has significantly risen, creating the need for effective conservative management strategies.
This study is designed as a randomized controlled trial conducted at Khalsa College, Amritsar, with a sample size of 46 participants aged 18–35 years who use electronic devices for more than three hours daily and present with moderate neck pain and disability. Participants are randomly divided into two groups: Group A receives ELDOA combined with Muscle Energy Technique (MET), and Group B receives ELDOA combined with McKenzie exercises. The intervention duration is six weeks, with three sessions per week. Outcome measures include the Numeric Pain Rating Scale (NPRS) for pain, Neck Disability Index (NDI) for functional disability, cervical range of motion measured using a goniometer, and posture assessment using the Tragus to Wall Test (craniovertebral angle).
The study is based on the research gap that although ELDOA, MET, and McKenzie exercises are individually effective, there is limited comparative evidence regarding which combination provides superior outcomes in managing Text Neck Syndrome. Statistical analysis will be performed using mean, standard deviation, and t-tests. The findings of this study are expected to provide evidence-based guidance for physiotherapists in selecting the most effective multimodal treatment approach for reducing pain, correcting posture, improving cervical mobility, and enhancing functional ability in individuals with Text Neck Syndrome. |