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CTRI Number  CTRI/2026/01/101035 [Registered on: 14/01/2026] Trial Registered Prospectively
Last Modified On: 13/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Relationship between Forward Head Posture, Cognitive Performance, and Anxiety with Hand Grip Strength among Elderly population. 
Scientific Title of Study   Relationship between Forward Head Posture, Cognitive function, and Anxiety with Hand Grip Strength in elderly population. 
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. Amit Saraf 
Designation  Head of Department 
Affiliation  Teerthanker Mahaveer University 
Address  Department of Orthopedics, Teerthanker Mahaveer Medical College, Teerthanker Mahaveer University, Moradabad.

Moradabad
UTTAR PRADESH
244001
India 
Phone  9780029750  
Fax    
Email  Amitsaraf_75@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Huma Zahoor Ahmed Siddiqui 
Designation  Research Scholar 
Affiliation  Teerthanker Mahaveer University 
Address  Department of Physiotherapy, Teerthanker Mahaveer University, Moradabad.

Moradabad
UTTAR PRADESH
244001
India 
Phone  8447561028  
Fax    
Email  siddiquihuma132@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Huma Zahoor Ahmed Siddiqui 
Designation  Research Scholar 
Affiliation  Teerthanker Mahaveer University 
Address  Department of Physiotherapy, Teerthanker Mahaveer University, Moradabad.

Moradabad
UTTAR PRADESH
244001
India 
Phone  8447561028  
Fax    
Email  siddiquihuma132@gmail.com  
 
Source of Monetary or Material Support  
Not Applicable 
 
Primary Sponsor  
Name  Huma Zahoor Ahmed Siddiqui 
Address  Department of Physiotherapy, Teerthanker Mahaveer University, Moradabad. 244001, Uttar Pradesh 
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 Amit Saraf  Teerthanker Mahaveer University  Department of Orthopaedics, Teerthanker Mahaveer Hospital, Teerthanker Mahaveer University
Moradabad
UTTAR PRADESH 
9780029750

Amitsaraf_75@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TMU ETHICS COMMITEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Forward Head Posture 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Participants with mild or no cognitive impairment.
Ability to follow instructions.
Willingness to participate and provide informed consent. 
 
ExclusionCriteria 
Details  Neurological disorders.
Psychiatric illness.
Musculoskeletal conditions.
Uncorrected visual or hearing impairments.
Severe cognitive impairments.
Participation in other trials.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Forward head Posture, hand Grip strength and anxiety  At baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="367"
Sample Size from India="367" 
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)   28/01/2026 
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  
As individuals age, they commonly experience changes in posture, muscle strength, cognitive ability, and mental health. Forward head posture (FHP) is a frequent postural issue among the elderly, often linked to musculoskeletal discomfort, poor balance, and reduced mobility. At the same time, declining cognitive performance and increased anxiety are common in this age group and can significantly affect independence and quality of life.

Hand grip strength, a simple and reliable measure of muscular function, has been shown to correlate with overall health status, cognitive function, and psychological well-being in older adults. However, limited research has explored the combined relationships between FHP, grip strength, cognitive decline, and anxiety in elderly populations.

This study aims to assess the interrelationship between forward head posture, hand grip strength, cognitive performance, and anxiety levels in individuals aged 60 years and above. Standardized tools will be used to measure each variable: postural assessment techniques for FHP, a dynamometer for grip strength, for cognitive assessment, and anxiety scales such as HAM-A.

The findings may help identify physical indicators that correlate with cognitive and psychological changes in aging, potentially serving as early screening tools or targets for preventive interventions. Understanding these associations may contribute to improved functional health, early detection of decline, and better management of age-related conditions in the elderly population.


 
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