<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200513047421N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-06-02</date_registration>
      <primary_sponsor>Fatima Hospital, Sargodha</primary_sponsor>
      <public_title>Effects of Muscle Energy Technique with and without Bowen Therapy on pain and function in Text Neck Syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Effects of Muscle Energy Technique with and without Bowen Therapy on pain and function in Text Neck Syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-06-15</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>22</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48572</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Non-probability convenient sampling technique will be used to recruit the individuals for the study and then randomization will be done by lottery method to divide the individuals in control and experimental groups. Sealed envelops will be used for allocation concealment, Randomization description: Randomization by lottery method. Allocation concealment through sealed envelopes.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Text neck or Turtle neck posture, can be described as a repeated stress injury and pain sustained from excessive watching or texting on handheld devices for long periods of time. It can cause many harmful symptoms such as neck pain, shoulder pain, upper back pain, chronic headaches and increased curvature of the spine.Untreated text neck can result into serious permanent damage..</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: After taking baseline measures, Group A will be treated with hot pack for 7-10 min. MET will be performed for trapezius, levator scapulae and rhomboids on both right and left sides. Post isometric relaxation technique will be used. Moderate isometric contraction will be performed for 5 seconds followed by relaxation period of 3 seconds. One set of 5 repetitions for each muscle and 3 sessions per week on alternate days will be given for 6 weeks. Intervention 2: Intervention group: After taking baseline measures, group B will be treated with hot pack for 7-10 min and MET will be performed for trapezius, levator scapulae and rhomboids on both right and left sides. Post isometric relaxation technique will be used. Moderate isometric contraction will be performed for 5 seconds followed by relaxation period of 3 seconds. One set of 5 repetitions for each muscle and 3 sessions per week on alternate days will be given for 6 weeks. In addition to this, Bowen therapy for same muscle groups will be performed. 3 sessions per week on alternate days will be given for 6 weeks. Treatment time of each session will be approximately 15-20 minutes.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no further decision and information is decided yet</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Pakeeza Seemal</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House# 411, street#07, Al Farooq colony, Sargodha</address>
        <city>Sargodha</city>
        <country1>Pakistan</country1>
        <zip>40100</zip>
        <telephone>+92 48 3726938</telephone>
        <email>pakeezaseemal212@gmail.com</email>
        <affiliation>Riphah International University Lahore, Pakistan</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Pakeeza Seemal</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>house#411, street#07, Al Farooq colony, Sargodha</address>
        <city>Sargodha</city>
        <country1>Pakistan</country1>
        <zip>40100</zip>
        <telephone>+92 48 3726938</telephone>
        <email>pakeezaseemal212@gmail.com</email>
        <affiliation>Riphah College of Rehabilitation Sciences (RCRS)</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Young adults (male and females, 18-35 years age)
Using smart phone for more than 2 hours a day
Having neck pain which is increased by sustained posture and feeling of stiffness on turning the head and neck after long usages
Craniovertebral angle&gt;50° and Rounded shoulder angle
Score of more than 5 on NPRS and more than 10 on NDI
Willing to participate</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Spinal infection or inflammatory disorder
Neck surgery or trauma
Torticollis , Scoliosis
Malignancy, pregnancy
Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis and osteoporosis
Current use of any medication or physical therapy treatment</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M54.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Text Neck Syndrome</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: After taking baseline measures, Group A will be treated with hot pack for 7-10 min. MET will be performed for trapezius, levator scapulae and rhomboids on both right and left sides. Post isometric relaxation technique will be used. Moderate isometric contraction will be performed for 5 seconds followed by relaxation period of 3 seconds. One set of 5 repetitions for each muscle and 3 sessions per week on alternate days will be given for 6 weeks.</i_keyword>
      <i_keyword>Intervention group: After taking baseline measures, group B will be treated with hot pack for 7-10 min and MET will be performed for trapezius, levator scapulae and rhomboids on both right and left sides. Post isometric relaxation technique will be used. Moderate isometric contraction will be performed for 5 seconds followed by relaxation period of 3 seconds. One set of 5 repetitions for each muscle and 3 sessions per week on alternate days will be given for 6 weeks. In addition to this, Bowen therapy for same muscle groups will be performed. 3 sessions per week on alternate days will be given for 6 weeks. Treatment time of each session will be approximately 15-20 minutes.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: before treatment, during treatment (3rd week), after treatment (6th week), followup (9th week). Method of measurement: Numeric Pain Rating Scale (NPRS).</prim_outcome>
      <prim_outcome>Functional performance. Timepoint: before treatment, during treatment (3rd week), after treatment (6th week), followup (9th week). Method of measurement: Neck Disability Index (NDI).</prim_outcome>
      <prim_outcome>Cervical AROM. Timepoint: before treatment, during treatment (3rd week), after treatment (6th week), followup (9th week). Method of measurement: Universal Goniometer.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Fatima Hospital, Sargodha</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-11-30</approval_date>
        <contact_name>Riphah College of Rehabilitation Sciences (RCRS) Research Ethical Committee (REC)</contact_name>
        <contact_address>near Hajj Complex, 1-14, Islamabad, Islamabad Capital Territory Islamabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
