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CTRI Number  CTRI/2025/01/079053 [Registered on: 20/01/2025] Trial Registered Prospectively
Last Modified On: 17/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Evaluating cervicogenic Headaches in People with Upper Crossed Syndrome 
Scientific Title of Study   Assessing the occurrence of the Cervicogenic Headache in Upper Crossed Syndrome 
Trial Acronym  N/A 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vaishnavi R Nair 
Designation  PG Student 
Affiliation  Lovely Professional University 
Address  LPU OPD, 3rd block, School of Allied Medical Sciences, Lovely Professional University, Jalandhar-Delhi, Grand trunk(GT) road, Near Chaheru, Phagwara

Kapurthala
PUNJAB
144411
India 
Phone  9381781929  
Fax    
Email  vaishnavi.r.nair0721@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Thiagarajan Subramanian 
Designation  Professor 
Affiliation  Lovely Professional University 
Address  Block 4, School of Allied Medical Sciences, Lovely Professional University, Jalandhar-Delhi, Grand trunk(GT) road, Near Chaheru, Phagwara

Kapurthala
PUNJAB
144411
India 
Phone  9789247047  
Fax    
Email  strajanpt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Thiagarajan Subramanian 
Designation  Professor 
Affiliation  Lovely Professional University 
Address  Block 4, School of Allied Medical Sciences, Lovely Professional University, Jalandhar-Delhi, Grand trunk(GT) road, Near Chaheru, Phagwara- 144411, Punjab, India

Kapurthala
PUNJAB
144411
India 
Phone  9789247047  
Fax    
Email  strajanpt@gmail.com  
 
Source of Monetary or Material Support  
Lovely Professional University, jalandhar- Delhi, Grandtrunk (GT) road, Near chaheru, Phagwara-144411, Punjab, India 
 
Primary Sponsor  
Name  Vaishnavi . R .Nair 
Address  Room no 105, LPU OPD, 3rd block, School of Allied Medical Sciences, Lovely Professional University, Jalandhar-Delhi, Grand trunk(GT) road, Near Chaheru, Phagwara-144411, Punjab 
Type of Sponsor  Other [Self] 
 
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 
VaishnaviRNair  LOVELY PROFESSIONAL UNIVERSITY  Room no.105, LPU OPD, 3rd block, School of Allied Medical Sciences, Lovely Professional University, Jalandhar-Delhi, Grand trunk road
Kapurthala
PUNJAB 
9381781929

vaishnavi.r.nair0721@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Upper Cross Syndrome 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Male and Female participants
Aged - 18-25 years
Headache triggered by neck movements, sustained or awkward neck postures
Ipsilateral neck, shoulder and arm pain
Unilateral head pain without side-shifts
• Restricted active neck ROM; neck stiffness
 
 
ExclusionCriteria 
Details  Structural abnormalities such severe kyphosis or scoliosis were excluded.
Neuromuscular disorders
Malignancy
Any recent surgical intervention
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Pain Pressure Threshold
2.Cervical Flexion Rotation Test 
1. Baseline
2. Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
1. Maximum Inspiratory Pressure
(MIP) Maximum Expiratory Pressure (MEP) 
1time 
 
Target Sample Size   Total Sample Size="57"
Sample Size from India="57" 
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)   01/02/2025 
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="1"
Months="0"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [vaishnavi.r.nair0721@gmail.com].

  6. For how long will this data be available start date provided 01-02-2025 and end date provided 31-01-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   All the 57 participants were given consent to voluntarily participate in this study. Each participant was aware about the objective of this study to find the cause for the problem and solution. The demographic characters Age, Gender, BMI, Waist hip Ration, Chest Hip Ratio, were measured prior to documenting the outcomes. .This study is going to be conducted using three outcome measures they are Pain Pressure Threshold, Cervical Flexion Rotation Test and Maximal inspiratory and expiratory pressure which are considered reliable and valid for assessing prevalence of Cervicogenic headache in Upper Cross Syndrome and show the relation between Cervicogenic headache and Upper Cross Syndrome. The algometers are the devices that quantify the amount of pressure needed to induce pain in a particular area.. The commonly included areas are upper trapezius, levator scapulae, pectoralis major and minor, scalene muscle and deep cervical flexors. Participants are  made to be seated or in lying comfortably with good support for neck and back. Muscles being tested are relaxed. The algometer is placed on the trigger points with gentle pressure, gradually the pressure is increased in a controlled manner, until the participants reports any discomfort. Note the pressure reading with the baseline data. Secondly is the Cervical Flexion Rotation test this clinical examination assesses the cervical spine mobility with individuals suspected with CGH. Participants are made to be seated or in supine lying comfortably. The purpose of the test is explained to the participants with their consent.. Emphasizing that it assesses cervical spine mobility and its physical association with their headache symptom.  A brief assessment of cervical spine ROM is noted, if any limitation is present during cervical rotation. Participants are asked to perform cervical flexion by lowering the chin towards their chest while keeping the shoulders relaxed. The degree of upper cervical rotation ROM in the position of maximum cervical flexion was measured using relative segmental motion of the head. Lastly the Maximal inspiratory and expiratory pressure is checked  were the  participant are instructed to secure the capsule sensing pressure device gauge and place their lips around the mouthpiece. Following that, the participant was told to exhale the residual air. The next step was to take three maximum inspiration breaths with a one-minute interval between each one. The participant was then required to perform maximum expiration three times, with a one-minute gap between each breath. These instructions ensured participant compliance with study requirements and consistent, accurate data collection. 
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