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CTRI Number  CTRI/2025/08/093874 [Registered on: 29/08/2025] Trial Registered Prospectively
Last Modified On: 28/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Immediate effect of suboccipital inhibition technique versus muscle energy technique on pain and flexibility in college students with upper trapezitis: A Comparative Study  
Scientific Title of Study   Immediate effect of Suboccipital Inhibition Technique and Muscle Energy Technique on Pain and Flexibility among college students with Upper Trapezitis: A Comparative 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  Dr. Femina Chasia 
Designation  PG Student 
Affiliation  Shree Bhartimaiya College Of Optometry and Physiotherapy  
Address  Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Shree Bhartimaiya College of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Surat
GUJARAT
395007
India 
Phone  7405540425  
Fax    
Email  feminachasia7@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Parul Rakholiya 
Designation  Associate Professor  
Affiliation  Shree Bhartimaiya College Of Optometry And Physiotherapy  
Address  Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Surat
GUJARAT
395007
India 
Phone  9687380736  
Fax    
Email  rakholiya_parul@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Parul Rakholiya 
Designation  Associate Professor  
Affiliation  Shree Bhartimaiya College Of Optometry And Physiotherapy  
Address  Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat
Surat
GUJARAT
395007
India 
Phone  9687380736  
Fax    
Email  rakholiya_parul@yahoo.com  
 
Source of Monetary or Material Support  
Different colleges of Surat 
 
Primary Sponsor  
Name  Dr Femina Chasia 
Address  Shree Bhartimaiya College Of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat 
Type of Sponsor  Other [Shree Bhartimaiya College of Optometry and Physiotherapy] 
 
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 Femina Chasia  Institutional Ethics Committee Shree Bhartimaiya College of Optometry and Physiotherapy  Shree Bhartimaiya College of Optometry and Physiotherapy, Vesu Main Road, Street Vrudhashram, behind Big Bazaar, Piplod, Surat,
Surat
GUJARAT 
7405540425

feminachasia7@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Shree Bhartimaiya College of Optometry and Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Trapezitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Muscle energy technique  Patient lies supine, arms on the side, head/neck side bent away from the side being treated to just short of the restriction barrier, while the therapist stabilizes the shoulder with one hand and cup the mastoid area of the same side of the head with the other : - With the neck fully side bent and fully rotated contralaterally, the posterior fibres of upper trapezius are involved in contraction. - With the neck fully side bent and half rotated, the middle fibres are involved in contraction. - With the neck fully side bent and slightly rotated towards the side being treated, the anterior fibres are being contracted. The patient introduces a light resisted effort to take the stabilized shoulder towards the ear and ear towards the shoulder. The contraction will be sustained for 10 seconds and upon complete relaxation of the effort, the therapist gently eases the head/neck into and increased degree of side bending and rotation. 
Intervention  Suboccopital inhibition technique   Patient position will be supine. Therapist will seat behind the patients head and places both hands under the patients head making contact with the suboccipital muscles in the region of posterior arch of atlas, and the pressure applied was upward towards the ceiling for nearly 4 minutes until the tissues and muscles were relaxed. During the procedure, the patients were asked to keep their eyes closed to avoid eye movements that affect the suboccipital muscle tone. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  College students with upper trapezitis, unilateral or bilateral muscle spasm, trigger points, NPRS 4 to 8, acute, subacute or chronic duration and lateral neck flexion less than 45 degrees. 
 
ExclusionCriteria 
Details  Individuals with a history of neck or upper limb surgery, cervical radiculopathy, cervical spine deformity, cervical spine deformity, congenital neck or upper limb abnormality, those currently taking any analgesics. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain intensity and Range of motion  The outcome measures will be assessed before starting the test and immediately after the test 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   13/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  09/04/2025 
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)   Open to Recruitment 
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   The purpose of this study is to check the effects of suboccipital inhibition technique and muscle energy technique immdiately in trapezitis. The popilation for this is college students having upper trapezitis. The participants will be divided into two groups by shuffling cards method. In this study, there will be two groups, Group A will be Suboccipital inhibition technique and Group B will be Muscle energy technique. The pain intensity and Range of motion of trapezius muscle will be assessed. Participants with pain intensity between 4 to 8 and range of motion <45 degrees will be included. In Group A,  
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