| CTRI Number |
CTRI/2025/06/089657 [Registered on: 26/06/2025] Trial Registered Prospectively |
| Last Modified On: |
26/06/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A Study on Movement Therapy to Improve Shoulder and Upper Back Function in People with Head-Forward Posture: A randomised controlled trail |
|
Scientific Title of Study
|
Effect of functional movement therapy on scapular dyskinesia and intersegmental thoracic mobility in individuals with forward head posture : A randomised controlled trail |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Akanksha Atul Lunkad |
| Designation |
Post Graduate student |
| Affiliation |
Dr.D.Y.Patil College of physiotherapy |
| Address |
Room NO 01 Floor NO 03
Dr.D.Y.Patil College of physiotherapy Department Musculoskeletal Science , sant Tukaram nagar ,pimpri colony ,pimpri-chinchwad ,Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
8888575702 |
| Fax |
|
| Email |
akankshalunkad@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Seema Saini |
| Designation |
Professor |
| Affiliation |
Dr.D.Y.Patil College of physiotherapy |
| Address |
Room No 1 ,Floor no 3 Dr.D.Y.Patil College of physiotherapy Department of Musculoskeletal Science , sant Tukaram nagar ,pimpri colony ,pimpri-chinchwad ,Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
8087564345 |
| Fax |
|
| Email |
seema.saini@dpu.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Akanksha Atul Lunkad |
| Designation |
Post Graduate Student |
| Affiliation |
Dr.D.Y.Patil College of Physiotherapy |
| Address |
Room no 1, Floor no 3 Dr.D.Y.Patil College of physiotherapy , Department of Musculoskeletal Science , sant Tukaram nagar ,pimpri colony ,pimpri-chinchwad ,Maharashtra 411018
Pune
MAHARASHTRA
411018
India |
| Phone |
8888575702 |
| Fax |
|
| Email |
akankshalunkad@gmail.com |
|
|
Source of Monetary or Material Support
|
| Dr.D.Y.Patil College of physiotherapy , sant Tukaram nagar ,pimpri colony ,pimpri-chinchwad ,Maharashtra 411018 |
|
|
Primary Sponsor
|
| Name |
Akanksha Atul Lunkad |
| Address |
Dr.D.Y.Patil College of physiotherapy, sant tukaram nagar, pimpri colony, pimpri -chinchwad, Maharashtra 411018 |
| Type of Sponsor |
Other [self-funded ] |
|
|
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 |
| DrAkanksha Atul Lunkad |
Dr.D.Y.Patil College of physiotherapy OPD |
Outpatient Department , DR.D.Y.Patil college of physiotherapy Sant tukaram nagar pimpri colony ,pimpri-chichwad 411018
Pune
MAHARASHTRA |
08888575702
akankshalunkad@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethical Committee of Dr.D.Y.Patil College of Physiotherapy Pune |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Participant suffering from Scapular dyskinesia |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Control Group |
Group B: The participants in the control group will follow a structured program of conventional exercises over a period of four weeks. In Week 1, the exercise protocol included Chin Tucks (10 repetitions, 1 set), Pectoralis Major Stretching (10-second hold, 10 repetitions, 1 set), Scapular Retraction (10 repetitions, 1 set), and Thoracic Extension Stretch (10 repetitions, 1 set). In Week 2, the routine was progressed with the inclusion of Cervical Rotation Exercises (10 repetitions, 2 sets), Wall Angels with isometric hold (10 repetitions, 2 sets), Neck Isometrics (10 repetitions, 2 sets), and Upper Trapezius Stretching (10-second hold, 10 repetitions, 2 sets). Week 3 included Static Sternocleidomastoid (SCM) Stretching (2 sets of 10-second hold for each side), Sleeper Stretch (10 repetitions, 2 sets), Thoracic Spine Rotation with isometric hold (10 repetitions, 2 sets), and Wall Chest Exercise (10 repetitions, 30-second hold, 2 sets). Finally, Week 4 involved Stretching of the Levator Scapulae (10-second hold, 10 repetitions, 3 sets), Resistive Arm Stretching Exercises (Anterior, 10 repetitions, 3 sets), Wall Chest Resistive Stretching Exercises (10 repetitions, 3 sets), and Cervical Buckling Exercises (10 repetitions, 3 sets). Each week aimed to progressively enhance mobility, strength, and postural alignment of the cervical and upper thoracic regions. |
| Intervention |
Functional Movement therapy |
Group A : The experimental group will follow a 4-week structured functional movement exercise program aimed at improving scapular mobility, shoulder strength, thoracic flexibility, and postural stability. In Week 1, participants performed basic scapular mobility and thoracic extension exercises (10 reps, 1 set) thrice daily. Week 2 introduced dynamic strengthening exercises such as band rows, scapular clocks, and towel slides (10 reps, 2 sets). Week 3 included functional strengthening like lawnmower exercises and dynamic hugs (10 reps, 2 sets), while Week 4 advanced to scapular stabilization using PNF with resistance bands, prone I-Y-T, and dynamic push-up variations (10 reps, 3 sets). Exercises from Week 2 onwards were performed twice daily |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1 Individual aged 20-40 years
2 Both genders are included
3 Clinically diagnosed Scapular dyskinesia (The scapular difference of 1 to 1.8cm tested)
4 Craniovertebral Angle less than 50 degree is considered as Forward head posture
5 symptomatic or asymptomatic scapular dyskinesia
6 Scapular dyskinesia type 2
|
|
| ExclusionCriteria |
| Details |
1 History of recent shoulder or thoracic spine surgery (within the last 6 months)
2 Presence of any neurological disorders affecting upper extremity function
3 Rheumatologic or inflammatory conditions affect the shoulder or spine
4 Pregnancy
5 Severe cardiovascular or pulmonary conditions that limit exercise participation |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1 Craniovertebral angle using MB ruler software
2 Spinal Mouse |
Baseline Assessment, Post Intervention Assessment after 4 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Lateral Scapular slide test |
Baseline Assessment, Post Intervention Assessment after 4 weeks |
|
|
Target Sample Size
|
Total Sample Size="70"
Sample Size from India="70"
Final Enrollment numbers achieved (Total)= "70"
Final Enrollment numbers achieved (India)="70" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
07/07/2025 |
| Date of Study Completion (India) |
15/01/2026 |
| 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 Yet Recruiting |
| 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 (FHP), often accompanied by scapular dyskinesia and thoracic spine stiffness, is commonly seen in individuals with prolonged screen use and sedentary lifestyles. These musculoskeletal imbalances contribute to pain, postural dysfunction, and reduced functional mobility. This study aims to evaluate the effectiveness of Functional Movement Therapy (FMT) as a comprehensive rehabilitation approach in managing FHP. Functional Movement Therapy integrates strengthening, stabilization, and neuromuscular re-education to correct altered movement patterns. Unlike conventional stretching-focused therapy, FMT targets the root of dysfunction by restoring thoracic mobility and scapular mechanics, leading to improved posture and reduced pain. A total of 70 participants with FHP will be selected using purposive sampling and randomly assigned into two groups. The study will be conducted at DY Patil Vidyapeeth, Pune. The intervention duration is 4 weeks, with FMT sessions conducted 5 days per week, focusing on Thoracic mobility drills Scapular stabilization exercises Deep cervical flexor training Postural correction techniques Outcome measures such as intersegmental thoracic mobility and scapular kinematics will be assessed pre- and post-intervention to evaluate the efficacy of the protocol. The study aims to provide evidence for integrating FMT in clinical rehabilitation for postural syndromes like FHP |