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CTRI Number  CTRI/2024/09/073675 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 07/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To identify the effect of Jandas approach versus Functional corrective exercise on neck posture and functional disability on the college going students with the forward head posture - Comparative study 
Scientific Title of Study   Effectiveness of Jandas approach versus Functional corrective exercise on neck posture and functional disability in the individuals with the forward head posture - A Comparative study 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rivoli Bhimani 
Designation  Student 
Affiliation  Parul University 
Address  division - Parul university department - department of physiotherapy and engneering room no - 208 and 310

Vadodara
GUJARAT
391760
India 
Phone  8269175306  
Fax  391760  
Email  rivolibhimani2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dwija Yagnik 
Designation  Assistant Professor  
Affiliation  Parul University 
Address  division - Parul university department - department of physiotherapy and engneering room no - 208 and 310

Vadodara
GUJARAT
391760
India 
Phone  9909021553  
Fax  391760  
Email  dwija2988@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Dwija Yagnik 
Designation  Assistant Professor  
Affiliation  Parul University 
Address  division - Parul university department - department of physiotherapy and engneering room no - 208 and 310


GUJARAT
391760
India 
Phone  9909021553  
Fax  391760  
Email  dwija2988@gmail.com  
 
Source of Monetary or Material Support  
Parul University ,limda waghodia ,Vadodara , Gujarat , India 391760 
 
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 
Rivoli Bhimani  Parul Institute of Physiotherapy and Parul Institute of Engineering and Technology  Division - Parul University Department - Department of Physiotherapy and Engineering Room no - 208 and 310
Vadodara
GUJARAT 
8269175306
391760
rivolibhimani2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Parul University (IECHR)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M638||Disorders of muscle in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Functional Corrective Exercise  Duration - 40 mins Frequency - 12 repetations 12 sessions for 4 week (3 sessions per week) 
Comparator Agent  Jandas Approach   Duration - 45 mintues Frequency - 10 repetations 12 sessions for 4 weeks ( 3 sessions per week) 
 
Inclusion Criteria  
Age From  17.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1)Willing to participate
2)Both male and female
3)Cranioverterbral (cv) angle less than 48 degrees
4)Pain present more than 2 months
5)Participants who didn’t take part in previous study
6)Subjects agree to give written informed conset.
 
 
ExclusionCriteria 
Details  1)Cervical surgery and cervical spine fracture
2)Congenital abnormalities
3)Temporomandibular surgery
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Kinovea Software
 
4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Neck disability index  4 weeks 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
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)   26/09/2024 
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="1"
Months="0"
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   AIM : To find out the effectiveness of Jandas approach versus functional corrective exercises on neck posture and functional disability on individuals with the forward head posture.
INTRODUCTION : The most common way to define forward head posture (FHP) is as excessively anterior head orientation with respect to a vertical reference line (1) It shifts the centre of gravity forward from the vertebrae. As a result, the cervical musculature experiences excessive stress, leading to muscular imbalanced There are the various study that proves the high prevalence of forward head posture. Researchers have estimated that upto 63.93% of individuals including male and female having forward head posture (2) The anterior position of the cervical spine is also known as "text neck" or forward head posture (FHP)."Reading neck," "wearies neck," and "scholar’s neck”. This postural issue is brought on by a number of things, such as sleeping with the head raised too high, using computers, laptops, and cell phones In UCS, pectoralis major tightness crosses over with dorsal side levator scapula and upper trapezius tightness and small. The middle and lower trapezius muscles are weak in conjunction with the deep cervical flexors ventrally crossed. In particular, at the atlanto-occipital joint, C4-C5 segment, cervicothoracic joint, glenohumeral joint, and T4-T5 segment, this pattern of imbalance results in joint dysfunction. Specific postural changes are seen in UCS, including forward head posture
NEED OF THE STUDY : An increase in cervical lordosis, rounded shoulders, kyphosis, and pain are caused by restricted conditions and repetitive tasks that shorten and stiffen certain muscles (such as the upper trapezius, levator scapulae, and deep neck flexors) and inhibit and weaken others (such as the lower and middle trapezius). This imbalanced posture results in these abnormalities. Students studying computers and software frequently have a forward head posture This study would probably apply the comparison effect in physiotherapy treatments because no other study compared these two protocols The purpose of Jandas approach was to see the effectiveness of stretching and strengthening exercises in upper cross syndrome and functional corrective exercises used as a therapeutic intervention to target misaligned posture. Conducting a comparative study between these two protocols would focus on specific mechanism and which aspect is more effective in improving neck posture and reduce functional disability.
PROCEDURE : After taking approval from ctri and ethical committee informed consent will be taken from the patients and pre assessment will be done according to the inclusion criteria. Participants will be divided into two equal groups in Group A will receive Janadas approach for 4 weeks and Group B will receive Functional corrective exercise for 4 weeks and post assessment will be taken after for weeks. Conclusion of the study will be made after statistical analysis.
 
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