FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2025/06/088966 [Registered on: 17/06/2025] Trial Registered Prospectively
Last Modified On: 17/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A Study on How Neck Posture Affects Handwriting in College Students 
Scientific Title of Study   Correlation Between Forward Head Posture and Quality of Handwriting in College Students : A Cross-Sectional 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  Anagha Manoj 
Designation  PG Student 
Affiliation  Father Muller College of Physiotherapy 
Address  Father Muller College of Physiotherapy , Kankanady , Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  8547041341  
Fax    
Email  anaghamanoj29@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Leah Mohandas 
Designation  Professor 
Affiliation  Father Muller College of Physiotherapy , Unit of the Father Muller Charitable Institutions , Affiliated with Rajiv Gandhi University of Health Sciences (RGUHS), Bengaluru 
Address  Department of Musculoskeletal Sciences , Father Muller College of Physiotherapy , Kankanady , Mangalore
Father Muller College of Physiotherapy , Unit of the Father Muller Charitable Institutions , Affiliated with Rajiv Gandhi University of Health Sciences (RGUHS), Bengaluru
Dakshina Kannada
KARNATAKA
575002
India 
Phone  9739863768  
Fax    
Email  leahdas86@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anagha Manoj 
Designation  PG Student - MPT 
Affiliation  Father Muller College of Physiotherapy 
Address  Father Muller College of Physiotherapy , Kankanady , Mangalore


KARNATAKA
575002
India 
Phone  8547041341  
Fax    
Email  anaghamanoj29@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Anagha Manoj 
Address  Father Muller College of Physiotherapy , Kankanady , Mangalore - 575002 
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 Anagha Manoj  Father Muller Medical College  Room No 10 ,Department of Musculoskeletal Sciences,Father Muller College of Physiotherapy,Kankanady Road , Mangalore
Dakshina Kannada
KARNATAKA 
8547041341

anaghamanoj29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Father Muller Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  College students whose age is from 18-25 and who has craniovertebral angle should be less than or equal to 50° 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. CVA should be less than or equal to 500 
 
ExclusionCriteria 
Details  1. Participants are excluded if they have history of cervical spine injuries, deformities, or surgeries
2. Neurological disorders such as stroke .
3. Musculoskeletal conditions affecting upper limb function
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Handwriting Legibility Scale  15 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   01/07/2025 
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   Increasing use of digital devices like smartphones and computers shows that most of its users exhibit incorrect posture. Hyperextension of upper cervical vertebrae and increased displacement of the cervical vertebrae to anterior part are hallmarks of forward head posture (FHP), a bad habitual neck position. It increases the strain on the tissues of the spine, especially on ligaments and facet joints of cervical spine.
The primary movement sensors of the neck are the sensory receptors of the cervical muscles. Compared to the shoulder and thigh muscles, the cervical muscles have a substantially higher spindle density. Fine motor activities are generally linked to tiny muscles with high spindle density. Human deep cervical muscles, especially the small suboccipital muscles, have been found to have a lot of spindles. Complicated proprioceptors of the neck are necessary for complicated integrative systems involving head-eye coordination, which could explain their high spindle content.
While writing , the distal joints of upper limb help in writing and the proximal joints of upper limb are involved in maintaining the position of the writing device. The rotational movement of the proximal joints is approximately proportional to the size of the writing being produced.
With increased digital device use and prolonged sitting, college students often develop poor postural habits, leading to FHP and altered craniovertebral angle (CVA). Poor posture affects upper limb function, shoulder stability, and fine motor skills, crucial for handwriting. While studies link posture to musculoskeletal disorders, limited research examines CVA’s impact on handwriting quality in college students.
Understanding this correlation can aid early detection of postural issues affecting academic skills, enabling timely interventions. Findings can help physiotherapists, educators, and ergonomists develop strategies for posture correction, improving handwriting quality and reducing musculoskeletal disorders.

 
Close