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CTRI Number  CTRI/2024/10/075140 [Registered on: 11/10/2024] Trial Registered Prospectively
Last Modified On: 24/09/2024
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   Management of Forward Head Posture by balancing hip and back 
Scientific Title of Study   Integrative Management of Forward Head Posture Adressing Pelvic and Thoracic Influences: A Randomized Controlled Trial  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dangar Bharti Naranbhai  
Designation  Post Graduate Student 
Affiliation  School of Physiotherapy, RK university 
Address  Research Department,Room no.207, School of Physiotherapy,RK University,Kasturbadham, Rajkot-Bhavnagar Highway,Rajkot, Gujarat,India.

Rajkot
GUJARAT
360020
India 
Phone  9512330853  
Fax    
Email  bdangar677@rku.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Sharma 
Designation  Director, School of Physiotherapy, RK university 
Affiliation  School of Physiotherapy, RK University  
Address  School of Physiotherapy, RK university, Kasturbadham, Rajkot-Bhavnagar highway,Rajkot ,Gujarat,India.

Rajkot
GUJARAT
360020
India 
Phone  9811281520  
Fax    
Email  amit.sharma@rku.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dangar Bharti Naranbhai 
Designation  Post Graduate Student  
Affiliation  School of Physiotherapy, RK university 
Address  Research Department,Room no.207, School of Physiotherapy,RK University,Kasturbadham, Rajkot-Bhavnagar Highway,Rajkot, Gujarat,India.

Rajkot
GUJARAT
360020
India 
Phone  9512330853  
Fax    
Email  bdangar677@rku.ac.in  
 
Source of Monetary or Material Support  
School of Physiotherapy, RK University, kasturbadham, Rajkot-Bhavnagar highway, Rajkot, Gujarat, India, 360020 
 
Primary Sponsor  
Name  School of Physiotherapy, RK University 
Address  Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot,Gujarat, India, 360020 
Type of Sponsor  Research institution 
 
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 
Dangar Bharti Naranbhai  RK Physiotherapy Rehabilitation and Research Center  Physiotherapy Department,Room no. 1, opp Meghani rang Bhuvan, Bhaktinagar circle, Rajkot.
Rajkot
GUJARAT 
9512330853

bdangar677@rku.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, School of Physiotherapy, RK University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M999||Biomechanical lesion, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Integrative Exercise And Range of Motion exercise  This will Consist of Specific Activation of Internal Abdominal Oblique Muscle Along with Lengthening of Pectoralis muscle and Latissimus dorsi Muscle and Cervical Flexion, Extension, Lateral Flexion, Rotation for 3 days per week for 4 weeks. 
Comparator Agent  Range of Motion Exercise  This will consist of Cervical Flexion, Extension, Lateral Flexion, Rotation for 3 days per week for 4 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Patients with Forward Head Posture who have Cervicovertebral Angle less than 50 Degree.
Age criteria between 18yr to 25yr. 
 
ExclusionCriteria 
Details  History of Traumatic injuries and deformities
Uncooperative individual
Individual who will deny to give consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Cervicovertebral Angle  Baseline Day 1 and after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Range of Motion of cervical spine   Baseline Day 1 and After 4 weeks 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   28/11/2024 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Title: Integrative Management of Forward Head Posture Addresing Pelvic and Thoracic Influences - A Randomized Controlled Trial 

Investigator: Bharti Dangar PT, Dr Amit Sharma MPT, PhD, School of Physiotherapy, RK University

Background: Forward Head posture is characterized by hyperextension of the upper cervical vertebrae(C1-C2), forward translation of the cervical vertebrae(C3-C7), and rotation of the C1 vertebra to either side. Previous studies have indicated significant changes in cervical orientation in individuals with FHP. However, current medical practice does not recognize the influence of innate, physiological, human asymmetry on forward head posture. by Exploring the exercises designed based on physiological human asymmetry , the study seeks to provide a more comprehensive understanding of effective strategies for managing Forward head posture, pontentially offering a biomechanichal approach that can be integrated into clinical practice.

Method: Following Ethical Approval, 60 subjects will be selected based on inclusion and exclusion criteria and will recive exercises designed based on human physiological asymmetry. This exercises will be given 3 days per week for 4 weeks. outcome which is CVA  angle will be taken before treatment and after 4 weeks of treatment .
 
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