Cracking the Code of Digital Discomfort Through the Dynamic Fusion of Matrix Rhythm Therapy and Physiotherapy Exercises for Text Neck Syndrome.

Text neck syndrome refers to the excessive use of electronic devices such as laptops, mobile phones, and so on, which causes prolonged and continued forward bending of the neck, leading to a strain in the muscle, causing muscle imbalance, and leading to poor posture. In this article, we focus on a case of a 22-year-old female who has a daily average screen time of around four to five hours, which leads to stress on cervical muscles that further develop into tightness and cause poor posture. She is managed with physiotherapy treatment that focuses on reducing pain and increasing the strength of the individual. The physiotherapy treatment focuses on the prevention of further damage to the cervical muscles and educating the individual to perform minimum forward bending by providing ergonomic advice, reducing pain, and improving range of motion.

Immediate Effect of Ultrasound-Guided Dry Needling on Soleus Muscle Spasticity in Stroke Survivors.

BACKGROUND: Dry needling (DN) is commonly used to treat various neuromuscular syndromes. It is effective in reducing spasticity in stroke and other neurological conditions. The current study explores the immediate effect of ultrasound-guided dry needling on soleus muscle spasticity and thickness in individuals with stroke. METHODS: Approval was obtained from the Institutional Sub-ethics Committee of Dr. D. Y. Patil College of Physiotherapy, Pune. The trial was registered with the Clinical Trials Registry of India. Thirty stroke survivors having soleus muscle spasticity ranging from grade 1 to 4 on the Modified Modified Ashworth Scale (MMAS) were selected. Spasticity was also assessed using the Modified Tardeau Scale (MTS) and H-reflex. Soleus muscle architecture was assessed by using ultrasonography (USG). Participants received a single session of DN for the spastic soleus muscle. Pre and immediate post-DN outcome measures were assessed. RESULTS: Based on USG findings, the thickness of the soleus muscle significantly increased by 2.67 mm (p<0.001) after dry needling treatment. The MMAS showed decreased spasticity by 1.47 (p<0.001) for ankle plantar flexors. A significant reduction of H-reflex values by 1.4 mV (p<0.001) was noted. The MTS also showed a significant increase in the range of ankle motion by 2.7 (p<0.001). All these indicate an immediate reduction of spasticity following DN. CONCLUSION: Based on the findings of the current study, we can conclude that a single session of USG-guided DN has an immediate beneficial effect on reducing soleus muscle spasticity and increased muscle thickness in individuals with stroke.