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CTRI Number  CTRI/2025/08/093420 [Registered on: 21/08/2025] Trial Registered Prospectively
Last Modified On: 21/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of neck exercise on goldsmith workers of rajkot 
Scientific Title of Study   A study to compare 4 weeks effect of McKenzie exercises and Indirect Cervical stabilization exercises on neck pain intensity, flexibility and strength among goldsmith workers of Rajkot: - A randomized control trial”  
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nidhi Paragbhai Ashar 
Designation  PG Scholar 
Affiliation  Marwadi university 
Address  MB 557, Faculty of physiotherapy, Marwadi University Morbi Rajkot highway At and PO Gauridad, Rajkot

Rajkot
GUJARAT
360003
India 
Phone  08200452435  
Fax    
Email  nidhi.ashar123790@marwadiuniversity.ac.in  
 
Details of Contact Person
Scientific Query  
Name  Nidhi Paragbhai Ashar 
Designation  PG Scholar 
Affiliation  Marwadi university 
Address  MB 557, Faculty of physiotherapy, Marwadi University Morbi Rajkot highway At and PO Gauridad, Rajkot


GUJARAT
360003
India 
Phone  08200452435  
Fax    
Email  nidhi.ashar123790@marwadiuniversity.ac.in  
 
Details of Contact Person
Public Query  
Name  Ashika gordhanbhai Tanna 
Designation  assistant professor 
Affiliation  Marwadi university 
Address  MB 557, Faculty of physiotherapy, Marwadi University Morbi Rajkot highway At and PO Gauridad, Rajkot

Rajkot
GUJARAT
360003
India 
Phone  08200452435  
Fax    
Email  ashika.tanna@marwadieducation.edu.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  NIDHI PARAGBHAI ASHAR 
Address  Marwadi University Morbi Rajkot highway At and PO Gauridad, Rajkot 
Type of Sponsor  Other [MYSELF] 
 
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 Ashish Kakkad  Physiotherapy OPD  MCS001, Marwadi University campus OPD
Rajkot
GUJARAT 		 09824415797

ashish.kakkad@marwadieducation.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Marwadi University Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M999||Biomechanical lesion, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Indirect Cervical stability exercises  Participants will perform postural correction exercises, chin tucks, and scapular stabilization drills. Week 1 emphasizes posture awareness and scapular control. Week 2 introduces deep neck flexor activation with supine nods and stretching. Week 3 integrates cervical isometrics for strength and ergonomic training. Week 4 builds functional stability through dynamic balance and core engagement. Each session lasts 30–45 minutes and is delivered under supervision or guided home-based format. Progress is monitored weekly.  
Intervention  McKenzie exercises   A set of directional preference-based repeated movements and postural correction exercises targeting cervical spine dysfunction. Administered for 4 weeks, 5 days per week, under physiotherapist supervision. Each session includes extension, retraction, lateral movements, and posture education as per McKenzie protocol. 
Comparator Agent  standard treatment   week 1 Neck flexion(5-6 reps). Neck extension(5-6 reps). Neck lateral flexion(5-6 reps.) TENS – continuous mode for 10mins. week2 Neck flexion(5-6 reps). Neck extension(5-6 reps). Neck lateral flexion(5-6 reps). Chin tuck(5-6 reps, 10sec hold). TENS- continuous mode for 10mins week3 Same as 2nd week with increases in repetations and hold. week 4 Same as 3rd week with increase in repetations along with chin tuck and neck extension.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Male and female both.
Age- 18-50years.
Working as goldsmith for more than 4hrs per day for more than 1 year.
Having neck pain for more than 3 months.
 
 
ExclusionCriteria 
Details  Spinal fracture.
Spinal deformity.
Trauma around neck and shoulder region.
Ankylosing spondylitis.
Any neurological involvement.
Surgery around neck.
Rheumatological conditions.
Severe adhesive capsulitis.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Neck pain intensity, Cervical flexibility, Cervical muscle strength and functional load   baseline and end of 4th week  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   01/10/2025 
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 Applicable 
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  
A study to compare 4 weeks effect of McKenzie exercises and Indirect Cervical stabilization exercises on neck pain intensity, flexibility and strength among goldsmith workers of Rajkot: - A randomized control trial
Study aims to compare the effects of McKenzie exercises and indirect cervical stabilization exercises on neck pain intensity, flexibility, and strength in goldsmith workers of Rajkot over a 4-week period. Goldsmiths often adopt poor postures due to the nature of their work, leading to musculoskeletal problems, especially chronic neck pain. This randomized controlled trial will help determine which protocol offers more benefit to this occupational group. Eligible participants will be randomly allocated into three groups: Group A will receive McKenzie exercises; Group B will receive indirect cervical stabilization exercises and Group C will receive conventional therapy. All interventions will be provided 5 days a week for 4 weeks. Pre- and post-intervention assessments will be done using the Numeric Pain Rating Scale (NPRS), cervical range of motion (ROM) via goniometer, muscle strength via Lafayette dynamometer and Pain Pressure Threshold (PPT).
 
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