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CTRI Number  CTRI/2025/07/090291 [Registered on: 07/07/2025] Trial Registered Prospectively
Last Modified On: 04/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Analytical study 
Study Design  Other 
Public Title of Study   Measurement of neck positioning angle in people with commonly seen deviation of the neck in the age group of 18 to 25 years 
Scientific Title of Study   Range of Craniovertebral angle in individuals with forward head posture in the age group of 18-45 years: An Analytical 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  Vaishnavi Vikas Balwadkar 
Designation  Postgraduate Student 
Affiliation  DES Brijlal Jindal College of Physiotherapy, Pune 
Address  DES Brijlal Jindal College of Physiotherapy, Musculoskeletal Department, Divison 1, Room Number 2, Fergusson College Campus, Shivaji Nagar, Pune

Pune
MAHARASHTRA
411004
India 
Phone  8378950139  
Fax    
Email  vaishnavi.balwadkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Namrata Bhadbhade 
Designation  Assistant Professor 
Affiliation  DES Brijlal Jindal College of Physiotherapy, Pune 
Address  DES Brijlal Jindal College of Physiotherapy, Musculoskeletal Department, Divison 1, Room Number 2, Fergusson College Campus, Shivaji Nagar, Pune

Pune
MAHARASHTRA
411004
India 
Phone  7709404336  
Fax    
Email  namrata.sidhaye@despune.org  
 
Details of Contact Person
Public Query
 
Name  Namrata Bhadbhade 
Designation  Assistant Professor 
Affiliation  DES Brijlal Jindal College of Physiotherapy, Pune 
Address  DES Brijlal Jindal College of Physiotherapy, Musculoskeletal Department, Divison 1, Room Number 2, Fergusson College Campus, Shivaji Nagar, Pune

Pune
MAHARASHTRA
411004
India 
Phone  7709404336  
Fax    
Email  namrata.sidhaye@despune.org  
 
Source of Monetary or Material Support  
Self 
 
Primary Sponsor  
Name  Vaishnavi Balwadkar 
Address  Geetanjali Nivas, Sr. No. 1/10, Balewadi, Pune, Maharashtra, India -411045 
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 Vaishnavi Balwadkar  Seth Tarachand Ramnath Dharmarth Ayurvedic Hospital, Rasta Peth, Pune.  Physiotherapy OPD, Division 2, Room Number 21, Rasta Peth, Pune, Maharashtra-411011
Pune
MAHARASHTRA 
8378950139

vaishnavi.balwadkar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Forward Head Posture Individuals 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Age: 18 to 45 years
Gender: both male and female
 
 
ExclusionCriteria 
Details  Individuals with any frontal plane deformity at all levels of spine
Systemic disorders like rheumatoid arthritis, ankylosing spondylitis
Any acute pain (duration less than 3 months) in the cervical spine, thoracic spine and lumbar region, shoulders, and headache.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Craniovertebral angle measurement using MB Ruler software  one time- at same time of assessment of craniovertebral angle. 
 
Secondary Outcome  
Outcome  TimePoints 
APECS App  one time- at same time of assessment of forward head posture 
 
Target Sample Size   Total Sample Size="345"
Sample Size from India="345" 
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)   29/09/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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   In this study, range of Craniovertebral angle in individuals with forward head posture in the age group of 18-45 years. A total of 345 participants will be enrolled in this study by purposive sampling after screening on the basis of inclusion and exclusion criteria. Individuals sagittal posture analysis will be done by Plumb line and if the individual is suspected to have forward head posture then he will be photographed using APECS app for confirming forward head posture. Then the Craniovertebral angle will be analyzed using mb ruler software.The data will be documented, analyzed and results will be calculated using statistical test. 
Forward head posture (FHP) is the most prevalent postural deviation which is more prevalent in young individuals using smartphone, laptops and computers for prolonged period. It is associated with musculoskeletal conditions such headaches, temporomandibular problems, and muscular dysfunctions. Hence it is essential to find out the range of CVA in age group of 18-45 years. The Craniovertebral angle (CVA), measured using digital imaging, photogrammetry or radiographic techniques is a widely accepted parameter to objectively assess FHP. Still there are no consensus for defining forward head posture objectively. So by conducting this study, we can identify the range of CVA in individuals with FHP, providing an objective measure for diagnosing FHP. This will help establish clinical thresholds for diagnosis and assess the severity of postural deviations in the Indian population.

 
 
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