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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  
Name  Address 
NIL  NIL 
 
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  
Status 
Not Applicable 
 
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.    

 
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