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CTRI Number  CTRI/2024/12/078132 [Registered on: 16/12/2024] Trial Registered Prospectively
Last Modified On: 13/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effect of Exercises Versus Taping In individuals with Forward Head Posture without pain  
Scientific Title of Study   Effect Of Egoscue Exercises Vs Rigid Taping In Asymptomatic Individuals With Forward Head Posture:A Randomized Clinical 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  Dr Santosh Metgud 
Designation  Professor and Vice Principal 
Affiliation  Professor and Vice Principal 
Address  Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010 India
Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010
Belgaum
KARNATAKA
590010
India 
Phone  9880088400  
Fax    
Email  santoshmetgud@klekipt.edu.in  
 
Details of Contact Person
Scientific Query  
Name  Dr Santosh Metgud 
Designation  Professor and Vice Principal 
Affiliation  Professor and Vice Principal 
Address  Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010 India
Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010
Belgaum
KARNATAKA
590010
India 
Phone  9880088400  
Fax    
Email  santoshmetgud@klekipt.edu.in  
 
Details of Contact Person
Public Query  
Name  Priyanka Naik 
Designation  Post Graduate 
Affiliation  KAHER Institute of Physiotherapy 
Address  Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010

Belgaum
KARNATAKA
590010
India 
Phone  9606698749  
Fax    
Email  priyankanaik1510@gmail.com  
 
Source of Monetary or Material Support  
KLE Dr Prabhakar Kore hospital and research cente, Nehru Nagar, Belgavi-590010 India 
 
Primary Sponsor  
Name  Priyanka Niak 
Address  Advanced physiotherapy center,room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010 
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 
Dr Santosh Metgud  KAHER institute of physiotherapy  Advanced physiotherapy center, room no.39, Department of orthopaedic manual therapy room no.13, sagar floor, Belgaum Karnataka-590010 India
Belgaum
KARNATAKA 		 9880088400

santoshmetgud@klekipt.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and ethical committee KAHER institute of physiotherapy  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 
Intervention  EGOSCUE EXERCISES(GROUP A)  1.Static back: Static Back exercise involves lying on your back with your legs resting on a block or chair. Your arms should be extended out to the sides, positioned approximately 45 degrees from your body, with palms facing up and your thumbs lightly touching the floor. While in this position, focus on relaxing the upper back and flattening your lower back, ensuring your body, head, and neck are aligned in a neutral position. This posture should be held for 30 seconds to facilitate relaxation and help reduce tension in the back and neck. 2’ Gravity Drop: The "Gravity Drop" exercise requires the patient to stand on the edge of a box while holding onto a stable object, such as a pillar, for support. In this position, allow gravity toalign the load-bearing joints vertically. Ensure that you maintain a straight posture without bending your knees, allowing your body weight to drop naturally while staying stable. Hold this position for 30 seconds to encourage proper alignment and stability in the joints. 3. Static Wall: Patient lies supine upper body resting on the floor both lower limbs touching the wall with less gap between both the legs and exercises allow the ankle, knees and hips to function and then pressure should be applied to upper back. Hold the position 30 seconds. 4. Sitting Floor: The patient is sitting on the floor with back supported by wall and lower limb extended and they should hold the shoulder blades firmly without raising. Hands placed on the thigh. Hold the position for 30 seconds hold. 3 times in a week for 2 weeks 1st week everyday 3 Days - 3 times repetition - 4 exercises with 30 seconds hold 3 Days - 5 times repetition - 4 exercises with 30 seconds hold 2nd week everyday 3 Days - 15 times repetition- 4 exercises with 30 seconds hold 3 Days - 20 times repetition- 4 exercises with 30 seconds hold.  
Comparator Agent  RIGID TAPING FOR FORWARD HEAD POSTURE(GROUP B)  Underwrap tape will be applied without tension extending from middle of the clavicle anteriorly to the spinous process posteriorly. Participants will be asked to retract both scapula maximally and hold. and the Rigid tape will be than applied by holding the bulk of upper trapezius with the left hand, while applying the tape with right hand. Participants will be asked to keep the tape for atleast six hours, for a maximum for 24 hours. A total of six sessions will be given for three days per week for two weeks.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1.Age group of 18-30 years.
2.Asymptomatic subject with either gender.
3.Craniovertebral angle less than 48-50 degree.
4.Willing to particicpate. 
 
ExclusionCriteria 
Details  1.Fracture around shoulder complex.
2.History of allery to tape.
3.Hypersensitive skin
4 Neurological deficit in upper extremity, surgical intervension affecting thorax and scapula.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Craniovertebral angle
 		 Pre assessment and Post assessment of outcome measures will be done after 2 week of follow up. 
 
Secondary Outcome  
Outcome  TimePoints 
2.Pectoralis minor index  Pre assessment and Post assessment of outcome measures will be done after 2 week of follow up. 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
Final Enrollment numbers achieved (Total)= "52"
Final Enrollment numbers achieved (India)="52" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/12/2024 
Date of Study Completion (India) 04/04/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 an epidemic that has become more prevalent in modern studies.This is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all population and increasing use of new information and communication technologies has led to an increase in time spent texting messages on mobile phones or using computers.The key muscles affected by FHP are the serratus anterior, scapula elevators and trapezius .A novel form of exercise known as the Egoscue exercises, was developed where focus was to target the musculoskeletal dysfunction with the theory to bring back the postural balance through corrective exercises.Rigid taping which had beneficial effect on pain and pressure threshold in latent trigger point and lead to reduction in pain and improvement in pressure sensitivity in individuals with FHP study is used to determine the effect of Egoscue exersises versus rigid taping in asymptomatic individuals on forward head posture in terms of Craniovertebral angle and pectoralis minor index. allocation will be done in two different groups my Computerized Randomization table method.  Group A will perform Egoscue exercises and Group B Rigid taping will be applied for forward head posture which will be given for  3times in a week for 2 weeks.

 

 
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