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CTRI Number  CTRI/2025/11/097063 [Registered on: 07/11/2025] Trial Registered Prospectively
Last Modified On: 03/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Combined effects of Mackenzie and Scapular strengthening Exercises In individuals with Computer vision syndrome To Improve Craniovertebral angle, Muscle Strength and Scapulohumeral Rhythm. 
Scientific Title of Study   Combined Effects Of Mackenzie And Scapular Strengthening Exercises on craniovertebral Angle, Muscle Strength and Scapulohumeral Rhythm in Individuals with Computer Vision Syndrome 
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 Varsha Huddar  
Designation  Assistant Professor, Department of Biomechanics Physiotherapy 
Affiliation  KAHER Institute of physiotherapy 
Address  Advanced physiotherapy Centre, Room no. 39, Department of Biomechanics, Sagar floor , KLE Dr Prabhakar Kore hospital and Medical Research centre , Belgaum, Karnataka, 590010

Belgaum
KARNATAKA
590010
India 
Phone  9880733370  
Fax    
Email  varshahuddar@klekipt.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Varsha Huddar  
Designation  Assistant Professor, Department of Biomechanics Physiotherapy 
Affiliation  KAHER Institute of physiotherapy 
Address  Advanced physiotherapy Centre, Room no. 39, Department of Biomechanics, Sagar floor , KLE Dr Prabhakar Kore hospital and Medical Research centre , Belgaum, Karnataka, 590010

Belgaum
KARNATAKA
590010
India 
Phone  9880733370  
Fax    
Email  varshahuddar@klekipt.edu.in  
 
Details of Contact Person
Public Query
 
Name  Khushi Naik 
Designation  Intern 
Affiliation  KAHER Institute of physiotherapy 
Address  Advanced physiotherapy Centre, Room no. 39,Sagar floor , KLE Dr Prabhakar Kore hospital and Medical Research centre , Belgaum, Karnataka, 590010

Belgaum
KARNATAKA
590010
India 
Phone  08208775425  
Fax    
Email  naikkhushi23@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  KAHER Institute Of Physiotherapy 
Address  KAHER Institute Of Physiotherapy,JNMC Campus,Nehru Nagar,Belgavi-590010 
Type of Sponsor  Research institution and hospital 
 
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 Varsha Huddar  KAHER Institute Of Physiotherapy   Advanced physiotherapy centre, Room no. 39, Department of Biomechanics, Sagar floor, KLE Dr Prabhakar Kore hospital and Medical Research centre , Belgaum, Karnataka, 590010
Belgaum
KARNATAKA 
9880733370

varshahuddar@klekipt.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC KLE ACADEMY OF HIGHER EDUCATION   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Individuals with Computer Vision syndrome and reduced craniovertebral angle and altered scapulohumeral rhythm 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL   NIL 
Intervention  Scapular strengthening exercises  Scapular strengthening exercises strengthen scapular muscles and improve the forward head posture Exercises are 1. Shoulder press 2. One-arm row 3. Press-up 4. Prone abduction with external rotation 5. Prone flexion 6. Push-ups with plus 7. Prone full can at 100 degrees of abduction Prescription Repetitions: 1–5 Sets: 2–3 Frequency: 3 times a week for 4 weeks Intensity: Progresses from low to high Time: 45–50 minutes per session Type of intervention: strengthening exercises 
Intervention  The McKenzie technique   The McKenzie technique is used as a set of exercises for patients with mechanical problems of the spine, posture correction and ensuring that there is maintenance of correct posture, which is a vital characteristic of the McKenzie exercise. Exercises include 1. Chin tucks 2. Head retraction with overpressure 3. Neck extension 4. Neck rotation 5. Neck flexion Prescription Hold time: 5 seconds. 6 Repetitions Frequency: 3 times per week for 4 weeks Intensity: Low to high as tolerated Duration: 15–20 minutes per session Type of intervention: Mobility and mobilisation exercises progression Gradually increase hold time and repetitions.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  All gender participants in the age group of 18 to 30 willing to participate in the study
All participants with diagnosed computer vision syndrome.
Participants with a cranio-vertebral angle less than 48-50 degrees.
Participants with altered scapulohumeral rhythm. 
 
ExclusionCriteria 
Details  Individuals who are undergoing strength training.
The individuals who have a history of neurological disorders.
The individuals with recent trauma or fracture in the neck or
shoulder region for the last 6 months.
Individual unable to comply with the study protocol/follow instructions.
Pregnant women
Individual with a BMI of more than 30 according to the Asia Pacific scale for BMI 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Improvement in craniovertebral angle muscle strength and scapulohumeral rhythm in individuals with computer vision syndrome  Pre post intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Whether there is improvement of craniovertebral angle, muscle strength, scapulohumeral rhythm post the intervention  nil 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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   Phase 2 
Date of First Enrollment (India)   17/11/2025 
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 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   Prolonged use of digital devices has led to an increased occurrence of computer vision syndrome. Computer vision syndrome not only causes ocular symptoms but can also cause musculoskeletal issues such as neck pain, forward head posture and upper cross syndrome. Forward head posture can lead to a reduction of craniovertebral angle and reduce the strength of muscles. Mackenzie exercises have been used as a means of treating individuals with spinal mechanical issues and have been proven effective for forward head posture and neck pain. Scapular strengthening exercises are used to strengthen the muscles and have been shown to improve the strength of scapular muscles and improve forward head posture. Our study aims to combine both Mackenzie and scapular strengthening exercises to understand their effects on craniovertebral angle , muscle strength and scapulohumeral rhythm in individuals with computer vision syndrome.   
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