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CTRI Number  CTRI/2025/07/090328 [Registered on: 07/07/2025] Trial Registered Prospectively
Last Modified On: 05/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Super Inductive System Therapy and Conventional Physiotherapy in Treating Upper Cross Syndrome: A Randomized Controlled Trial 
Scientific Title of Study   Efficacy of Super Inductive System Therapy and Conventional Therapy in subjects with Upper Cross Syndrome - Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sanjana A Pammannavar 
Designation  Assistant Professor 
Affiliation  K.L.E Institute of Physiotherapy 
Address  KLE Dr Prabhakar Kore Hospital and Research Center Advance Physiotherapy Sports department OPD no. 8 Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  9380358281  
Fax    
Email  sanjanapammannavar@klekipt.edu.in  
 
Details of Contact Person
Scientific Query  
Name  Dr Santosh Metgud 
Designation  Vice Principal and Professor 
Affiliation  K.L.E Institute of Physiotherapy 
Address  KLE Dr Prabhakar Kore Hospital and Research Center Advance Physiotherapy Sports department OPD number 8 Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  9164646484  
Fax    
Email  santoshmetgud@klekipt.edu.in  
 
Details of Contact Person
Public Query  
Name  Dr Santosh Metgud 
Designation  Vice Principal and Professor 
Affiliation  K.L.E Institute of Physiotherapy 
Address  KLE Dr Prabhakar Kore Hospital and Research Center Advance Physiotherapy Sports department OPD number 8 Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  9164646484  
Fax    
Email  santoshmetgud@klekipt.edu.in  
 
Source of Monetary or Material Support  
KLEs Dr. Prabhakar Kore Hospital and medical Research Center Neharu Nagar Belagavi Karnataka India 590010  
 
Primary Sponsor  
Name  Dr Sanjana A Pammannavar 
Address  KLEs Dr Prabhakar hospital and research center Neharu nagar Belagavi Karnataka India 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 Sanjana A Pammannavar  Advance Physiotherapy OPD room number 8 sports department  KLEs hospital and research center, Neharu nagar Belagavi 590010
Belgaum
KARNATAKA 		 09380358281

sanjanapammannavar@klekipt.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KLE Academy of Higher Education and Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M959||Acquired deformity of musculoskeletal system, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional therapy Group B  •Hot Moist Pack: 10 min •Therapeutic Ultra sound: 3 sessions per week •Postural Education: 10 minutes (corrective posture training) •Stretching Exercises And Soft tissue Release: Upper trapezius, levator scapulae, pectoralis major/minor, SCM, Rhomboids •Hold for 30 seconds, repeat 3 times •Strengthening Exercises: deep cervical flexors, rhomboids, and lower trapezius •Home Exercise Plan: Recommended 10–15 minutes daily  
Intervention  Super Inductive System plus Conventional therapy Group A  Frequency: 3 sessions per week Duration: 15 minutes per session Intensity: As per tolerance, starting at low intensity and gradually increasing based on participant feedback Placement: Focus on Upper and lower trapezius, Levator scapule, Pectoralis major and minor, Sternocleidomastoid, Rhomboids Conventional Therapy Protocol Hot Moist Pack: 10 min Therapeutic Ultra sound: 3 sessions per week Postural Education: 10 minutes (corrective posture training) Stretching Exercises And Soft tissue Release: Upper trapezius, levator scapulae, pectoralis major/minor, Sternocleniod muscle, Rhomboids Hold for 30 seconds, repeat 3 times Strengthening Exercises: deep cervical flexors, rhomboids, and lower trapezius Home Exercise Plan: Recommended 10–15 minutes daily  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Adults aged 18–45 years diagnosed with Upper Cross Syndrome based on clinical assessment.
Complaints of neck pain for at least three months.
Pain Pressure Threshold more or equal 2.5 N per cm2 over UCS-affected muscles.
Craniovertebral angle more or equal48 degrees indicating forward head posture.
Neck Disability Index score less or equal 10 percent, indicating functional limitations.
Willingness to participate in the study.
 
 
ExclusionCriteria 
Details  History and recent diagnosis of cervical spine pathology such as herniated disc, cervical spondylosis, or spinal fractures.
Neurological disorders affecting muscle function.
Recent trauma, surgery, or injury to the neck, shoulder, or upper back within the last six months.
Severe musculoskeletal conditions such as rheumatoid arthritis, ankylosing spondylitis.
Pregnant or lactating women.
Implants or Pacemaker in the Upper quadrant of the body.
Skin infections, open wounds, or dermatological conditions in the treatment area.
Uncontrolled metabolic disorders.
Presently on any other Alternative therapy.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)Pain
2)ROM
3)Craniovertebral angle
4)Strength. 		 Day of intervention and post intervention 4th week 
 
Secondary Outcome  
Outcome  TimePoints 
1)Posture
2)Kyphotic angle
3)Shoulder angle
4)Functional mobility. 		 On Day 1 of intervention and 4th week of intervention 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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 
Date of First Enrollment (India)   26/08/2025 
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="3"
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  

This randomized controlled trial aims to evaluate the efficacy of Super Inductive System (SIS) therapy combined with conventional physiotherapy, compared to conventional therapy alone, in individuals diagnosed with Upper Cross Syndrome (UCS). UCS is a postural disorder characterized by muscle imbalances, including tightness in the upper trapezius and pectoral muscles and weakness in deep neck flexors and scapular stabilizers, leading to neck pain, postural deviations, and functional limitations.

A total of 66 participants aged 18–45 years with UCS will be randomly assigned to either the SIS + conventional therapy group or the conventional therapy-only group. Interventions will be conducted over four weeks, and outcomes will be assessed pre- and post-intervention using electromyography (EMG), pain pressure threshold, craniovertebral angle, postural assessment, kyphotic and shoulder angles, functional mobility (NDI), and cervical ROM.

The study aims to provide objective evidence on the effectiveness of SIS in improving muscle activation, posture, and reducing pain in UCS patients.

 
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