| CTRI Number |
CTRI/2025/07/090318 [Registered on: 07/07/2025] Trial Registered Prospectively |
| Last Modified On: |
26/06/2025 |
| 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
|
Effect of stretching and nerve exercises on people with forward head posture |
|
Scientific Title of Study
|
Combined effect of proprioceptive neuromuscular facilitation and neural mobilization on forward head posture |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Sandeep Singh |
| Designation |
Assistant Professor |
| Affiliation |
Punjabi University, Patiala |
| Address |
Department of Physiotherapy, Punjabi University, Patiala
Patiala PUNJAB 147001 India |
| Phone |
9417802490 |
| Fax |
|
| Email |
sandyraina248@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Konica Kashyap |
| Designation |
Student |
| Affiliation |
Punjabi University, Patiala |
| Address |
Department of physiotherapy, Punjabi University, Patiala Department of physiotherapy, Punjabi University, Patiala Patiala PUNJAB 147001 India |
| Phone |
848657911 |
| Fax |
|
| Email |
kkashyap0696@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Sandeep Singh |
| Designation |
Assistant Professor |
| Affiliation |
Punjabi University, Patiala |
| Address |
Department of Physiotherapy, Punjabi University, Patiala
Patiala PUNJAB 147001 India |
| Phone |
9417802490 |
| Fax |
|
| Email |
sandyraina248@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department of Physiotherapy, Punjabi University, Patiala India. Pin code-147001 |
|
|
Primary Sponsor
|
| Name |
NIL |
| Address |
NIL |
| Type of Sponsor |
Other [NIL] |
|
|
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 Sandeep Singh |
Punjabi University, Patiala |
OPD 1, 2, Department of Physiotherapy Patiala PUNJAB |
9417802490
sandyraina248@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethical Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Forward Head Posture |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Proprioceptive Neuromuscular Facilitation |
Total 4 weeks of duration with one session per day thrice a week |
| Intervention |
Proprioceptive Neuromuscular Facilitation and Neural Mobilisation |
Total 4 weeks of duration with one session per day thrice a week. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
45.00 Year(s) |
| Gender |
Both |
| Details |
Individuals who have screen timing for more than 6 hours/day
CVA (craniovertebral angle) less than 50 degree as measured by Kinovea software.
Patient having localised neck pain for minimum 4 weeks.
Age group of 18 to 45 years
Both male and female
|
|
| ExclusionCriteria |
| Details |
Pregnant females
Any history of cervical fracture or trauma and cervical surgery
Any history of diagnosis of cervical radiculopathy and myelopathy
Participants having local skin problems in region to be mobilised
Any other condition that precludes their participation in study
|
|
|
Method of Generating Random Sequence
|
Other |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Craniovertebral angle (measuring FHP)
Neck disability index (NDI)
Numeric pain rating scale (NPRS for pain)
|
At the base line and at the end of 4 weeks
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Craniovertebral angle (measuring FHP)
Neck disability index (NDI)
Numeric pain rating scale (NPRS for pain)
|
At the baseline & at the end of 4 weeks |
|
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
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)
|
10/07/2025 |
| 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="1" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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
|
The use of computer and laptop for work in inappropriate pattern has led to increased prevalence of Forward Head Posture (FHP) in young adults. The FHP is causing many symptoms such as neck pain, poor cervical sensorimotor control. Muscle fatigue and tightness. More recently studies have found impairments in nervous tissues of individuals suffering from FHP, hence it is being stressed that there is need to address the neural impairments while treating FHP. Neural mobilisation is popular physiotherapeutic approach used to manage symptoms arising from neural structures Many physiotherapeutic interventions such as stretching and strengthening of muscles, posture correction strategies and ergonomics, heat therapy, joint mobilization, isometrics, endurance exercises, kinesio taping, myofascial release and PNF have been used in FHP. Amongst all, proprioceptive neuromuscular facilitation has been reported to be more efficient method for correcting FHP in university students, but neural mobilization has not been studied for its effectiveness in FHP. Need is there to examine the combined effect of PNF and neural mobilisation on FHB as it is hypothesized that cumulative effect of PNF and neural mobilisation would render better results as neural impairments would also be taken care off, which so far had remained unaddressed in FHP. |