| 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
|
|
|
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
|
|
|
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
|
|
|
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. |