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CTRI Number  CTRI/2025/04/085898 [Registered on: 29/04/2025] Trial Registered Prospectively
Last Modified On: 17/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Improving Forward Head Posture using two types of exercises: A Study on their effectiveness 
Scientific Title of Study   The Effectiveness of Muscle Energy Technique and Kendall Exercises in Managing Forward Head Posture 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kishore kumar D 
Designation  Student 
Affiliation  SRM Institute of Science and Technology 
Address  Room No.PT 22, 4th floor, SRM College of Physiotherapy, SRM Medical College, Kattankulathur Campus, Kancheepuram district, Tamil Nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  7010619373  
Fax    
Email  kishorekumaran2120178@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs G Yasmeen Imtiaz 
Designation  Associate Professor 
Affiliation  SRM Institute of Science and Technology 
Address  Room No.PT 15, 5th floor, SRM College of Physiotherapy, SRM Medical College, Kattankulathur Campus, Kancheepuram district, Tamil Nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  9500182105  
Fax    
Email  yasmeeng@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Mrs G Yasmeen Imtiaz 
Designation  Associate Professor 
Affiliation  SRM Institute of Science and Technology 
Address  Room No.PT 15, 5th floor, SRM College of Physiotherapy, SRM Medical College, Kattankulathur Campus, Kancheepuram district, Tamil Nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  9500182105  
Fax    
Email  yasmeeng@srmist.edu.in  
 
Source of Monetary or Material Support  
SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram District, Tamil Nadu, India - 603203 
 
Primary Sponsor  
Name  Kishore kumar D 
Address  Room No.PT 22, 4th floor, SRM College of Physiotherapy, SRM Medical College, Kattankulathur Campus, Kancheepuram district, Tamil Nadu, India - 603203 
Type of Sponsor  Other [Self funded] 
 
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 D Kishore kumar   SRM Medical College Hospital And Research Center  Room no.20, C-1 Outpatient Physiotherapy department, SRM Medical College Hospital And Research Center, Kattankulathur Campus, Kancheepuram district , Tamil Nadu - 603203
Kancheepuram
TAMIL NADU 
7010619373

kishorekumaran2120178@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE  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  Kendall exercises  Exercises: Deep Cervical Flexor Strengthening,Shoulder Retractor Strengthening, Neck Extensor Stretching, Pectoralis stretching (12 reps for first 2 weeks and 15 reps for 3rd and 4th week of 3 sessions per week for a duration of 4 weeks ) 
Comparator Agent  Muscle Energy Technique  Post Isometric Relaxation for Upper Trapezius, Sternocleidomastoid and Pectoralis Major (5 reps for 3 sessions per week for a duration of 4 weeks) 
Intervention  Muscle Energy Technique and Kendall Exercises   1.Muscle Energy Technique: Post Isometric Relaxation for Upper Trapezius, Sternocleidomastoid and Pectoralis Major (5 reps for 3 sessions per week for a duration of 4 weeks) 2. Kendall Exercises: Deep Cervical Flexor Strengthening,Shoulder Retractor Strengthening, Neck Extensor Stretching, Pectoralis stretching (12 reps for first 2 weeks and 15 reps for 3rd and 4th week of 3 sessions per week for a duration of 4 weeks ). Both Muscle Energy Technique and Kendall exercises will be given in combined manner on a same day. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Age : 20-45 years
2.All genders are included
3.A crania-vertebral angle (CVA) of less than 52°
4.Shoulder Angle (SA) less than 52°
5.A Neck Disability Index (NDI) score of greater than 10 
 
ExclusionCriteria 
Details  1.Participants with Osteoporosis.
2.Participants with Recent fractures or injuries on cervical region.
3.Participants with Cervical dysfunction.
4.Participants with Ankylosing spondylitis.
5.Pregnant ladies.
6.Participants with Scoliosis.
7.Participants with Pathology in the spine or upper limbs.
8.Participants with Neurological disorders such as cervical spondylosis, spondylolisthesis, disc prolapse and rheumatic disease.
9.Participants with Facet joint inflammation 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Craniovertebral angle(CVA)
2.Shoulder angle(SA)
3.Neck Disability Index(NDI)
4.Cervical Range Of Motion (CROM) 
Baseline and after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   30/04/2025 
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="0"
Months="9"
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 - NO
Brief Summary   The Participants will be selected based on the inclusion criteria and exclusion criteria. The Participants will be recruited based on convenient sampling method .Selected participants will be given an informed consent after detailed explanation of the procedure .Among 72 participants, Group A (24 participants) will receive Muscle Energy Technique, Group B (24 participants) will receive Kendall exercise and Group C (24 participants) will receive combined therapy of Muscle Energy Technique and Kendall exercise. Before starting the intervention program, pre-test will be conducted using Image J software, Neck Disability Index (NDI) and Goniometer to assess the Cranio-vertebral angle, shoulder angle, functional ability of neck and Cervical Range of motion. Further exercise program will be given for 3 days per week for 4 weeks (12 sessions), at the end of 4th week post test will be done by assessing the cranio- vertebral angle, shoulder angle, functional ability of neck and Cervical Range of motion. 
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