Effect of Global Postural Re-Education in Individuals With Text Neck Syndrome: A Randomized Controlled Trial.

چکیده اصلی

BACKGROUND AND PURPOSE: This study investigated the effect of Global Postural Re-Education (GPR) versus conventional physical therapy in text neck syndrome (TNS). A prospective, single-blinded, parallel-group randomized controlled trial design was used. METHODS: Sixty participants with TNS (aged 18-40 years) were randomly assigned to either conventional treatment or GPR plus conventional treatment. Both groups received supervised therapy for three sessions per week over 4 weeks. Outcome measures included craniovertebral and shoulder angles assessed by photogrammetry, pain intensity via Visual Analog Scale, and Cervical Range of Motion via a smartphone application (Clinometer). Measured before and after the intervention. RESULTS: Within-group analyses showed significant improvements in pain and CROM in both groups (p < 0.001). However, the between-group analysis revealed no superiority of GPR for pain or CROM (p > 0.05). In contrast, GPR demonstrated statistically significant superiority in postural correction, with greater improvements in craniovertebral angle (MD: 2.14°; 95% CI: 0.69-3.59; p = 0.005) and shoulder angle (MD: 3.2°; 95% CI: 0.33-6.07; p = 0.03), exceeding MCID thresholds and indicating clinically meaningful benefits. However, these findings should be interpreted with caution because of the longer session duration in the GPR group. DISCUSSION: Incorporating Global Postural Reeducation (GPR) into conventional treatment provided significant additional benefits for postural parameters (craniovertebral and shoulder angles) in individuals with text neck syndrome. However, GPR demonstrated no added superiority over conventional treatment alone regarding pain intensity and cervical range of motion outcomes.

ترجمه فارسی چکیده

این مطالعه اثر آموزش مجدد وضعیت عمومی (GPR) در برابر درمان فیزیکی متداول در سندرم گردن متنی (TNS) را بررسی کرد. طرح مطالعه پیش‌رونده، تک‌سو، گروه موازی و کنترل شده تصادفی بود. ششاهده participant با TNS (سن ۱۸-۴۰ سال) به طور تصادفی به درمان متداول یا GPR به همراه درمان متداول تقسیم شدند. هر دو گروه دریافت درمان نظارتی به مدت سه جلسه در هفته به مدت ۴ هفته. شاخص‌های خروجی شامل زاویه کرونوورتیکال و شانه ارزیابی شده توسط فتوگرامتری، شدت درد از طریق مقیاس آنالوگ بصری، و محدوده حرکتی گردن از طریق یک برنامه موبایل (کلینومتر) بودند. قبل و بعد از مداخله اندازه‌گیری شدند.

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