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CTRI Number  CTRI/2025/08/092945 [Registered on: 12/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
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   Online vs Offline Education and Exercise Programs for Young Adults with Text Neck: Which Works Better for Reducing Pain, Disability, and Poor Posture 
Scientific Title of Study   comparison of online v/s offline mode of awareness and education program along with conventional physiotherapy on pain, disability and posture among young adults with text neck syndrome a randomized controlled trial  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shubham Jha  
Designation  PG Student 
Affiliation  SPB Physiotherapy college surat  
Address  SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
Surat
GUJARAT
395009
India 
Phone  9824536726  
Fax    
Email  shubhamjha5579@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dharti pansala 
Designation  Associate Profesor  
Affiliation  SPB Physiotherapy college surat 
Address  SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
Surat
GUJARAT
395005
India 
Phone  8141570075  
Fax    
Email  physiodharti@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Dharti pansala 
Designation  Associate Profesor  
Affiliation  SPB Physiotherapy college surat 
Address  SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
Surat
GUJARAT
394105
India 
Phone  8141570075  
Fax    
Email  physiodharti@yahoo.co.in  
 
Source of Monetary or Material Support  
SPB Physiotherapy College OPD Ugat Bhesan Road Morabhagal Surat Gujarat India 395005 
 
Primary Sponsor  
Name  Shubham Jha 
Address  SPB Physiotherapy College OPD Ugat Bhesan Road Morabhagal SuratGUJARAT INDIA 395005 
Type of Sponsor  Research institution 
 
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 
Shubham Jha  SPB Physiotherapy College   SPB Physiotherpy college ughat bhesan road morabhagal surat
Surat
GUJARAT 
09824536726

shubhamjha5579@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee SPB Physiotherapy College   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 
Intervention  Awareness and education along with conventional physiotherapy in patient with Text neck syndrome.   GROUP A (Experimental group): Subject will undergo awareness and education through online lecture + conventional exercises will be taught online. GROUP B (Experimental group): Subject will undergo awareness and education through offline lecture + conventional exercises will be taught personal. GROUP C (Control group): Subject will undergo only conventional exercises. The exercise protocol is same in all group. 5 times per week for 6 weeks.  
Comparator Agent  COMPARISON OF ONLINE V/S OFFLINE MODE OF AWARENESS AND EDUCATION PROGRAM ALONG WITH CONVENTIONAL PHYSIOTHERAPY.  To compare effect of online v/s offline mode Along with Conventional Physiotherapy on pain, disability and posture in patients with Text neck syndrome. By evaluating the comparative impact of online and offline awareness and education programs, with conventional physiotherapy to determine the most effective strategies for preventing and managing text neck syndrome.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Patients who are ready to give consent and willing to participate if they meet following criteria.
Both males and females aged 18 to 25years.
Smartphones must be used for at least 3 hours each day for at least 1year.
Having any of the signs and symptoms of text neck; i.e neck pain, upper back pain, shoulder pain, headache, stiff neck, eye strain, tingling, numbness in hands, forward head posture.
Those who are having NPRS £7/10.
 
 
ExclusionCriteria 
Details  History of any trauma or severe injury around neck, upper back or shoulder in past 6 months.
Any known disease that may cause pain in the neck, upper back or shoulder.
History of pain before using smartphone.
History of any neurological or cardiovascular problem.
Any known Cervicogenic headache, or migraine.
History of congenital deformities around neck, upper back and shoulder.
History of surgery around neck, upper back or shoulder area.
Adults who are using other gadgets like laptop, computer etc.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain,Disability and posture  AT BASELINE,4 WEEKS  
 
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)   15/09/2025 
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="0"
Months="8"
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  

Title: Comparison of online v/s offline mode of awareness and education program along with conventional physiotherapy  on pain, disability and posture among young adults with text neck syndrome – a randomized controlled trial

Text neck is the term used to describe the neck pain and damage sustained from looking down at the cell phone, tablets or other wireless device too frequently and for too long. The injury may be due to poor posture because, during smartphone use, the neck goes into forward flexion and the normal curvature of the cervical spine is flattened and stretched on the neck musculature. The poor posture of the head and neck has been correlated with chronic musculoskeletal pain of the cervical spine and upper back, tightness, and spasm in the upper extremity muscles. The consequence of text neck syndrome if not detected early and treated will lead to serious permanent damage such as: flattening of the spinal curve, early arthritis, muscle and nerve damage, disc compression, headache and depression. There have been many vigorous debates and thorough studies on the differences between online and face-to-face classroom teaching, this study’s focus is on examining the positive aspects and strategies of the online learning and teaching process and how it has been implemented successfully. purpose of the study is to find out Comparison of Online v/s Offline mode of awareness and education program on pain, disability and posture among young adults with text neck syndrome.

Patient with text neck syndrome between age of 18 to 25 years will be screened on the basis of inclusion and exclusion criteria and their demographic data will be taken by an assessment Performa. Prior to the Commencement of the study, detailed procedure of the study will be explained to the Patients and a signed informed consent form will be taken from them. Pre-interventional outcome measures will be taken prior of intervention.  They will be randomly allocated into three groups by Random table method. Group A (Experimental group): Subject will undergo awareness and education through online lecture + conventional exercises will be taught online.  Group B (Experimental group): Subject will undergo awareness and education through offline lecture + conventional exercises will be taught personal.  Group C (Control group): Subject will undergo only conventional exercises.

 
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