| 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
|
|
|
Primary Sponsor
|
| Name |
Anagha Manoj |
| Address |
Father Muller College of Physiotherapy , Kankanady , Mangalore - 575002 |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
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
|
|
|
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.
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