CTRI

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CTRI Number

CTRI/2025/05/086332 [Registered on: 05/05/2025] Trial Registered Prospectively

Last Modified On:

03/05/2025

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

A study comparing the effects of scapular stabilization exercises and conventional exercises on shoulder range of motion and grip strength in college students with high smartphone dependency.

Scientific Title of Study

Effect of scapular stabilization exercises on shoulder range of motion and grip strength in college students with high smartphone dependency: 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	Diya Mathew
Designation	Post graduate
Affiliation	Nitte Institute of Physiotherapy
Address	Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru Dakshina Kannada KARNATAKA 575018 India
Phone	9947355217
Fax
Email	diyaalappatt@gmail.com

Details of Contact Person
Scientific Query

Name	Saumya Srivastava
Designation	Associate professor
Affiliation	Nitte Institute of Physiotherapy
Address	Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru Dakshina Kannada KARNATAKA 575018 India
Phone	9740244077
Fax
Email	saumyasri2000@nitte.edu.in

Details of Contact Person
Public Query

Name	Saumya Srivastava
Designation	Associate professor
Affiliation	Nitte Institute of Physiotherapy
Address	Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru Dakshina Kannada KARNATAKA 575018 India
Phone	9740244077
Fax
Email	saumyasri2000@nitte.edu.in

Source of Monetary or Material Support

Nitte Institute of Physiotherapy Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka 575018, India

Primary Sponsor

Name	Nitte Institute of physiotherapy
Address	Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka 575018, India
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
Dr Diya Mathew	Nitte Institue of Physiotherapy	Department of Physiotherapy, Room number 20, second base division, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka 575018, India Dakshina Kannada KARNATAKA	9947355217 diyaalappatt@gmail.com

Details of Ethics Committee

No of Ethics Committees= 1
Name of Committee	Approval Status
Institution ethical committee of Nitte Institute of Physiotherapy	Approved

Regulatory Clearance Status from DCGI

Status

Not Applicable

Health Condition / Problems Studied

Health Type	Condition
Healthy Human Volunteers	Smartphone addiction

Intervention / Comparator Agent

Type	Name	Details
Comparator Agent	Conventional therapy	The program includes three supervised sessions per week for three weeks, each lasting 10 minutes. Exercises: 1)Middle Scalene Stretch: Seated stretch with lateral head tilt, 1 set, 30-sec hold, 5 reps. 2)Levator Scapula Stretch: Chin tuck with downward head tilt, 1 set, 30-sec hold, 5 reps. 3)Neck Isometrics: Resistance applied to the forehead, sides, and back, 1 set, 30-sec hold, 10 reps. 4)Pectoral Stretch: Wall-assisted stretch with torso rotation, 1 set, 30-sec hold, 5 reps. 5)Shoulder Rolls: Forward and backward rotations, 1 set, 10 reps. 6)Shoulder ROM: Adduction, abduction, flexion, extension, internal/external rotation, 1 set, 5 reps each. All exercises will be performed under therapist supervision to ensure proper execution.
Intervention	Scapular stabilization exercises	The intervention consists of three supervised sessions per week for three weeks, each lasting 20 minutes. Sessions include a 5-minute warm-up followed by targeted scapular stabilization exercises under therapist supervision. Exercises (1 set, 10 reps, 3-sec hold): 1)Prone ‘T’: Lie face down, arms in "T" shape, lift arms, squeeze shoulder blades. 2)Prone ‘Y’: Lie face down, arms in "Y" shape, lift arms, engage shoulder blades. 3)Seated Row: Pull resistance band toward chest, keeping elbows close, squeeze shoulder blades. 4)Elbow Push Back: Hold resistance band behind, push elbows back, squeeze shoulder blades. 5)Retraction in Supine: Lie on back, pull resistance band apart, retract shoulder blades. All exercises focus on strengthening the serratus anterior, trapezius, and rhomboids.

Inclusion Criteria

Age From	18.00 Year(s)
Age To	25.00 Year(s)
Gender	Both
Details	1.Age 18-25 years 2. Students with forward head with CVA less than 50 3. Students with rounded shoulder by checking the scapular index 4. Moderate to high smartphone dependency using the SAS-SV (females with more than 33 and males with more than 31 score) 5. Both males and females

ExclusionCriteria

Details

1. Pre-existing Shoulder or Upper Limb Injury
2. Neurological Conditions
3. Students undergoing other physiotherapy treatment
4. Severe Musculoskeletal Deformities
5. Students with any injury to the hand

Method of Generating Random Sequence

Computer generated randomization

Method of Concealment

Sequentially numbered, sealed, opaque envelopes

Blinding/Masking

Outcome Assessor Blinded

Primary Outcome

Outcome	TimePoints
GONIOMETER AND HAND-HELD DYNAMOMETER	APRIL 2025 TO FEBRUARY 2026

Secondary Outcome

Outcome	TimePoints
NIL	NIL

Target Sample Size

Total Sample Size="50"
Sample Size from India="50"
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)

23/05/2025

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 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

This study aims to evaluate the effect of scapular stabilization exercises on shoulder range of motion (ROM) and grip strength in college students with high smartphone dependency. A total of 50 participants will be recruited and randomly assigned to either an experimental or control group using a computer-generated randomization system. Baseline measurements of shoulder ROM (goniometer) and grip strength (hand-held dynamometer) will be recorded before intervention. The experimental group will undergo a three-week scapular stabilization program (three sessions per week, 20 minutes per session) focusing on strengthening the serratus anterior, trapezius, and rhomboids. The control group will receive conventional therapy, including upper body stretching, neck isometric exercises, shoulder rolls, and ROM exercises (three sessions per week, 10 minutes per session). Post-intervention assessments will be conducted immediately and at a two-month follow-up to analyze both short- and long-term effects of the intervention. The study ensures participant safety, proper exercise performance, and adherence monitoring throughout the program.