| CTRI Number |
CTRI/2025/07/090204 [Registered on: 04/07/2025] Trial Registered Prospectively |
| Last Modified On: |
03/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA)
Other (Specify) [Yoga Eye exercises] |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Improving Neck Posture in People with Forward Head and Nearsightedness Using Visual Guidance and Yoga-Based Eye Exercises |
|
Scientific Title of Study
|
Effect of visual feedback on cervical stabilisation exercises combined with yoga eye exercises in myopic individuals with forward head posture : A randomised 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 |
Mayuri Milind Inamdar |
| Designation |
Post Graduate Student |
| Affiliation |
Dr. D.Y.Patil College Of Physiotherapy, Pimpri, Pune |
| Address |
Musculoskeletal department, 3rd floor, Dr. D.Y.Patil College Of Physiotherapy, Dr. D.Y.Patil Vidyapeeth, Sant tukaram nagar, Pimpri, Pune, Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
9405362948 |
| Fax |
|
| Email |
mayuri.29.inamdar@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Roopa Desai |
| Designation |
Professor |
| Affiliation |
Dr. D.Y.Patil College Of Physiotherapy, Pimpri, Pune |
| Address |
Musculoskeletal department, 3rd floor, Dr. D.Y.Patil College Of Physiotherapy, Dr. D.Y.Patil Vidyapeeth, Sant tukaram nagar, Pimpri, Pune, Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
9890992383 |
| Fax |
|
| Email |
roopa.desai@dpu.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Mayuri Milind Inamdar |
| Designation |
Post Graduate Student |
| Affiliation |
Dr. D.Y.Patil College Of Physiotherapy, Pimpri,Pune |
| Address |
Musculoskeletal department, 3rd floor, Dr. D.Y.Patil College Of Physiotherapy, Dr. D.Y.Patil Vidyapeeth, Sant tukaram nagar, Pimpri, Pune Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
9405362948 |
| Fax |
|
| Email |
mayuri.29.inamdar@gmail.com |
|
|
Source of Monetary or Material Support
|
| Dr. D. Y. Patil college of Physiotherapy, Dr. D.Y.Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Maharashtra, 411018 |
|
|
Primary Sponsor
|
| Name |
Mayuri Milind Inamdar |
| Address |
Dr. D. Y. Patil college of Physiotherapy, Dr.D.Y.Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Maharashtra, 411018 |
| Type of Sponsor |
Other [Self Funded] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 2 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Mayuri Milind Inamdar |
Dr. D. Y. Patil college of Physiotherapy Out Patient Department |
Out Patient Department, Dr. D.Y.Patil College of Physiotherapy, Dr.D.Y.Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Maharashtra 411018
Pune
MAHARASHTRA |
9405362948
mayuri.29.inamdar@gmail.com |
| Dr Mayuri Milind Inamdar |
Dr. D. Y. Patil General Hospital - Opthalmology Out Patient Department |
Opthalmology Out Patient Department,Dr. D.Y.Patil Medical College, Hospital and Research Centre, Dr. D.Y.Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Maharashtra 411018
Pune
MAHARASHTRA |
9405362948
mayuri.29.inamdar@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: H521||Myopia, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Routine spectacle use with ergonomic postural advice via brochure |
Group B (Control group ) - Participants in the control group will continue using their spectacles as prescribed by their ophthalmologist and will receive only ergonomic and postural advice through an informational brochure. The brochure includes guidelines for eye care such as maintaining an arm’s length distance from screens, reducing glare with matte filters, following the 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds), using artificial tears or a humidifier to manage dry eyes, and adjusting screen brightness and contrast to reduce strain. For posture, the brochure outlines the risks associated with forward head posture (FHP), including spinal degeneration, headaches, and respiratory dysfunction. It provides recommendations for proper posture while using mobile and desktop devices, including keeping the head aligned with the spine, supporting the elbows, avoiding slouching and prolonged static postures, and maintaining ergonomic alignment of wrists, legs, and feet. Rest break guidelines advise users to stand or walk every 20–30 minutes to reduce fatigue and improve circulation. This comparator does not include any exercise-based or therapist-supervised intervention. |
| Intervention |
Yoga Eye Exercises and Cervical stabilisation exercises with visual feedback |
Group A (Interventional Group)- Participants in the experimental group will receive a combined intervention consisting of yoga-based eye exercises and cervical stabilization exercises with visual feedback. The yoga eye exercises will be administered four days per week for a duration of four weeks. Each session will include eight traditional yoga eye practices: palming, blinking, sideways viewing, front and sideways viewing, up and down viewing, rotational viewing, preliminary Nasikagra Drishti (nosetip gazing), and near and distant viewing. Each exercise will be performed for 10 repetitions across 3 sets. Sessions will conclude with relaxation in the shavasana posture. These exercises are designed to improve ocular muscle function, relieve visual strain, and promote relaxation. In addition to eye exercises, participants will undergo cervical stabilization training three times per week for four weeks. This structured physiotherapy program will include progressive exercises focused on activating deep neck flexors, improving postural awareness, and enhancing dynamic cervical control. Week 1 will include basic chin tucks, isometric neck flexion, and scapular retractions. Week 2 will progress to deep neck flexor endurance exercises, wall-supported chin tucks, and shoulder blade squeezes. Week 3 will incorporate resisted cervical movements using therabands and wall angels. Week 4 will involve advanced integration exercises such as chin tuck planks, resisted cervical extension, and bird-dog exercises with chin tucks. Each session will last approximately 30 minutes and conclude with neck stretches. A visual feedback device will be used throughout the cervical exercises to provide real-time feedback on head and neck posture, helping participants maintain proper alignment during movements. |
|
|
Inclusion Criteria
|
| Age From |
19.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1 Individuals aged 19-40 years
2 Diagnosed with myopia by ophthalmology dept
3 Presence of asymptomatic forward head posture - CV angle less than 48 degrees
4 Consent to participate in the study
|
|
| ExclusionCriteria |
| Details |
1 Individuals with other significant ocular or neurological disorders
2 History of recent cervical spine trauma
3 Participation in other postural or ocular rehabilitation programs
4 History of recent cervical or ocular surgery
5 Any dental surgeries in the past 6 months
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1 Improvement in visual acuity (Snellen chart)
2 Reduction in intraocular pressure (tonometry)
|
Baseline assessment and Post intervention assessment after 4 weeks
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 1 Increase in craniovertebral angle (MB Ruler) |
Baseline assessment and Post intervention assessment after 4 weeks
|
|
|
Target Sample Size
|
Total Sample Size="60"
Sample Size from India="60"
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
|
Phase 1/ Phase 2 |
|
Date of First Enrollment (India)
|
18/07/2025 |
| 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="0"
Months="6"
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
|
Myopia has become increasingly prevalent among young adults, largely due to prolonged screen time and decreased outdoor activity. Forward head posture (FHP), seen in approximately 58.95% of individuals with myopia, is associated with neck pain, shoulder discomfort, and tension headaches, and can lead to chronic musculoskeletal issues if left untreated. While cervical stabilization exercises help improve posture and muscular control, visual feedback enhances movement accuracy, postural awareness, and exercise effectiveness. Additionally, yoga eye exercises are known to promote ocular health by improving blood circulation and reducing eye strain. Although both interventions have proven benefits individually, limited research exists on their combined effect. This randomized controlled trial aims to assess the effectiveness of combining yoga-based eye exercises with cervical stabilization exercises using visual feedback in young adults (aged 19–40 years) diagnosed with myopia and forward head posture. The study will be conducted at the Physiotherapy and Ophthalmology Outpatient Departments of Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, with a total of 60 participants selected through non-probability convenient sampling. The results may help guide clinical practices for early intervention and prevention of postural and visual health issues in young adults. |