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CTRI Number  CTRI/2024/07/070835 [Registered on: 18/07/2024] Trial Registered Prospectively
Last Modified On: 17/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   To assess the effectiveness of exercise of plank on correcting slouched posture among young adults 
Scientific Title of Study   Effectiveness of Reverse Plank Exercise on Forward Head Posture in Young Adults 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Swati Paranjape 
Designation  Assistant Professor 
Affiliation  Seth G S Medical College, KEM Hospital 
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  swati.paranjape@kem.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nishita Naik PT 
Designation  Post Graduate Student 
Affiliation  Seth G S Medical College, KEM Hospital 
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  naiknishita2499@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nishita Naik PT 
Designation  Post Graduate Student 
Affiliation  Seth G S Medical College, KEM Hospital 
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  naiknishita2499@gmail.com  
 
Source of Monetary or Material Support  
Seth G S Medical College and KEM Hospital, Parel, Mumbai,400012, Maharashtra, India  
 
Primary Sponsor  
Name  Seth G S Medical College 
Address  Seth G S Medical College, Parel, Mumbai 400012 
Type of Sponsor  Government medical college 
 
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 Nishita Naik  Seth G S Medical College,& KEM Hospital  OPD Number 402, Orthopedic Centre, Opp Tata Hospital, Parel, Mumbai
Mumbai
MAHARASHTRA 
02224107000

naiknishita2499@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee IEC II, Relating to Biomedical and Health research (BHR)  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  Not Applicable  Not Applicable 
Intervention  Reverse Plank Exercise  The subject will be in the long sitting position with knees straight. Shoulders should be kept in slight extension and palms should be placed on the floor behind and outside the hips. The subject will be asked to raise the hips off the floor until the body is straight. The arms and legs should be kept straight and supported on the ground. The subject must look at the ceiling with the neck in extension. The entire body should form a straight line from head to the heels. The subject must squeeze the core and maintain a straight line. Subject will have to perform a total of 3 sets, each set lasting for 30 seconds with resting period of 30 seconds with follow up for 2 weeks, three visits per week.  
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  24.00 Year(s)
Gender  Both 
Details  1.Young adults having forward head posture i.e. craniovertebral angle less than 50 degrees.
2.Age group: 19 to 24 years.
3.Adults willing to participate in the study.
 
 
ExclusionCriteria 
Details  1.Upper extremity, lower extremity, or spinal fractures.
2.Upper extremity, lower extremities, or spine surgeries.
3.Acute or chronic neck pain.
4.Any congenital or acquired neuromuscular impairments.
5.Congenital or acquired deformities in the upper extremities, lower extremities or spine.
6.Any regular professional or recreational sports activity.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Craniovertebral angle will be defined as the angle between the horizontal line passing through C7 spinous process and the line extending from the tragus of the external auditory meatus to the C7 spinous process through photogrammetry method.   Assessment will be done at the baseline, 3rd visit ,and 6th visit
 
 
Secondary Outcome  
Outcome  TimePoints 
Forward shoulder angle will be defined as the angle between the horizontal line passing through C7 spinous process and the line extending from C7 spinous process to the acromion process of the shoulder through photogrammetry method.   Assessment will be done at the baseline, 3rd visit ,and 6th visit
 
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
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)   30/07/2024 
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  

Forward head posture is defined as anterior projection of head with respect to the trunk. Many studies have reported increasing occurrence of forward head posture among young adults. Increased screen time and prolonged sedentary activities due to advanced technologies are some of the common causes leading to adaptation of forward head posture. There is muscular imbalance between flexors and extensors of neck and upper back muscles which increases load on cervical spine causing complications including neck pain, cervical radiculopathy and muscle spasm. It can sometimes be associated with rounded shoulders, adding to complications of forward head posture further to shoulder impingement and scapular dyskinesia. While research has identified different methods for correction of forward head posture, there remains a significant gap in understanding the effectiveness of specific exercises for posture correction. Reverse plank exercise has been suggested as a potential intervention for correction of rounded shoulders in young adults. However specific effects of reverse plank on craniovertebral angle in young adults is unclear. Total 33 participants with forward head posture will be included in the study. Participants will be recruited according to the inclusion and exclusion criteria. Craniovertebral angle and forward shoulder angle will be assessed using photogrammetry method. Measurements will be taken three times and the average of all the measurements will be calculated. Reverse plank exercise will be demonstrated and three trials will be given. Participants will perform reverse plank exercise on firm mattress placed on the ground for 3 days per week for 2 weeks with 3 sets of 30 seconds hold and 30 seconds rest interval per session. Reassessment of craniovertebral angle and forward shoulder angle will be done on 3rd and 6th visit. Descriptive analysis of data will be performed and appropriate parametric and non-parametric tests will be used based on distribution of samples.

 
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