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CTRI Number  CTRI/2024/07/070182 [Registered on: 08/07/2024] Trial Registered Prospectively
Last Modified On: 07/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Enhancing Schoolchildrens Posture: Strengthening and Stretching Effects on Scapular and Neck Muscles in Forward Head Posture  
Scientific Title of Study   Effects of strengthening and stretching on the scapular and neck muscles in schoolchildrens forward head:A Pilot study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NA  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Surbhi Singh 
Designation  Student 
Affiliation  Galgotias University 
Address  E-005,Galgotias University Plot No. 2, Yamuna Expresway, opposite Buddha International Circuit, Sector 17A, Greater Noida, Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  6204874418  
Fax    
Email  surbhirajput62048@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  NEERAJ KUMAR 
Designation  Assistant Professor 
Affiliation  Galgotias University 
Address  Galgotias university ,E-005,Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida, Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  9810434830  
Fax    
Email  neeraj9953@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Surbhi Singh 
Designation  Assistant Professor 
Affiliation  Galgotias University 
Address  Galgotias University,E-005, Plot No. 2, Yamuna Expressway, opposite Buddha International Circuit, Sector 17A, Greater Noida, Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  6204874418  
Fax    
Email  surbhirajput62048@gmail.com  
 
Source of Monetary or Material Support  
Galgotias University Sector-17A, Yamuna Expressway, Gautam Buddh Nagar, Greater Noida - 203201 
 
Primary Sponsor  
Name  Galgotias University 
Address  Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida, Uttar Pradesh 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Neeraj Kumar  Department of physiotherapy   B-512, Galgotias University, Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida,
Gautam Buddha Nagar
UTTAR PRADESH 
9810434830

neeraj9953@gmail.com 
Neeraj Kumar  School Of Allied Health Sciences Galgotias University   B512,Galgotias University Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH 
9810434830

neeraj9953@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Departmental Research committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy school students 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Perform Conventional exercises exercises on Group B   Active and passive exercises of Upper Trapezius, Levator scapulae, Sternocleidomastoid, and Posterior cervical extensor muscles for 2 time per week for 4 weeks 
Intervention  Stretching and Strenghthening on Group A   Stretching and Strenghthening Exercise,Side Flexion and Extension,Neck rotationChin-to-chest- in 2 time per week for 4 weeks 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  School student
 
 
ExclusionCriteria 
Details  Neuromuscular disorder including, Congenital muscular dystrophy, congenital myopathies, limb girdle muscular dystrophy, friedreich ataxia and musculoskeletal disorders including dysplasia of the hip, legg-Calve Perthes disease, slipped capital femoral epiphysis, osgood-Schlatter disease, patellofemoral syndrome, and radial head subluxation
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Strenghthening exercises used during four weeks training program And Stretching exercises used during four weeks training program   4 week 
 
Secondary Outcome  
Outcome  TimePoints 
Strengthening intervention for assessing forward head posture  4 week 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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   Phase 3 
Date of First Enrollment (India)   18/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  18/07/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
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  

Posture-
Position or attitude of the body, the relative arrangement of bodily components for a particular task, or a distinctive way of bearing one’s body are all considered forms of posture .Increased flexion of the upper thoracic region and lower cervical spine, as well as increased extension of the upper cervical spine are characteristics of forward head posture (FHP). Poor posture is a major health issue that increases the risk of musculoskeletal diseases as people age.(Kang et al., 2018) 
FHP(Forward Head Posture)- When the head and upper neck bones are extended and the lower neck bone is bent, the cervical spine is positioned anteriorly, creating forward head posture.(Kang et al., 2018)

It can occur because of anterior translation of the head, lower cervical flexion, or both, and it is claimed to be associated with an increase in upper cervical extension. It is associated with shortening of the upper trapezius, the posterior cervical extensor muscles, the sternocleidomastoid muscle, and levator scapulae muscle. It can occur because of anterior translation of the head, lower cervical flexion, or both, and it is claimed to be associated with an increase in upper cervical extension. It is associated with shortening of the upper trapezius, the posterior cervical extensor muscles, the sternocleidomastoid muscle, and levator scapula muscle.(Verma, 2018).It can occur because of anterior translation of the head, lower cervical flexion, or both, and it is claimed to be associated with an increase in upper cervical extension. It is associated with-

1.Shortening of the upper trapezius. 2.The posterior cervical extensor muscles. 3.The sternocleidomastoid muscle 4. Levator scapulae muscles (Verma, 2018)

Over time, this posture results in shorter adaptability in the suboccipital muscles, posterior ligaments, and membranes associated with the atlanto- axial and atlanto-occipital joints [8]. This causes an increase in lordosis and shortening of the occipital muscles. It further causes abnormal and continuous muscle contraction and relative compensatory action of the muscles of the occipital bone, neck, and shoulders, resulting in a change in the shape of the cervical lordosis [9]. Eventually, the forward neck posture causes muscle weakness in the deep flexors of the cervical spine, which not only reduces neck stability but also causes pain. 
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