| CTRI Number |
CTRI/2025/12/098717 [Registered on: 10/12/2025] Trial Registered Prospectively |
| Last Modified On: |
09/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
A study to evaluate how specific exercises that improve muscle coordination can help correct poor posture related to lower back and pelvic imbalance. |
|
Scientific Title of Study
|
Effectiveness of Neuromuscular Exercises in Improving Postural Alignment among Individuals with lower Crossed Syndrome A Quasi experimental 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 |
Sushmita sahani |
| Designation |
PG student |
| Affiliation |
College Of Physiotherapy Dayananda Sagar University |
| Address |
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
Bangalore
KARNATAKA
562112
India |
| Phone |
6294709542 |
| Fax |
|
| Email |
sushmitasahani1501@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Vinod Kumar KC |
| Designation |
Associate Professor |
| Affiliation |
College Of Physiotherapy Dayananda Sagar University |
| Address |
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
Bangalore
KARNATAKA
562112
India |
| Phone |
08778732268 |
| Fax |
|
| Email |
vinnyphysio07@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Siddesh Ganesan |
| Designation |
Assistant Professor |
| Affiliation |
College Of Physiotherapy Dayananda Sagar University |
| Address |
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
College of Physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
Bangalore
KARNATAKA
562112
India |
| Phone |
08778732268 |
| Fax |
|
| Email |
siddesh4544@gmail.com |
|
|
Source of Monetary or Material Support
|
| College of physiotherapy Dayananda Sagar University |
|
|
Primary Sponsor
|
| Name |
College of Physiotherapy Dayananda Sagar University |
| Address |
College of Physiotherapy Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112 |
| Type of Sponsor |
Other [Private university] |
|
|
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 Vinod Kumar KC |
College of physiotherapy Dayananda Sagar University |
College of physiotherapy Musculoskeletal Lab HS208 Dayananda Sagar University Devarakaggalahalli Harohalli Kanakapura Road South Bangalore Dt Karnataka 562112
Bangalore
KARNATAKA |
9036200878
vinnyphysio07@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| College of physiotherapy Dayananda Sagar University |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
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 |
Neuromuscular exercises in improving postural alignment |
The intervention consisted of a structured neuromuscular exercise program designed to improve postural alignment in individuals with Lower Cross Syndrome by enhancing core stability, gluteal activation, pelvic control. Each session focused on activating weak muscles, reducing overactivity in tight muscles, improving control of pelvic and spinal positioning, and integrating proper movement patterns during functional Activities. The intervention will be administered for 30 minutes per session, three sessions per week, over a period of six weeks. |
| Comparator Agent |
NIL |
NIL |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
Participants willing to participate.
Individuals Aged 18 to 40 years.
Diagnosed with lower crossed syndrome(confirmed by screening)
|
|
| ExclusionCriteria |
| Details |
Presence of Neurological disorders affecting posture.
History of recent injuries to the spine.
Individuals with severe low back pain.
Pregnant women population.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Postural Analysis tool |
Day0, 6 weeks, 8 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Visual Analog Scale
Modified oswestry Disability Index |
Day 0, 6 weeks and 8 weeks |
|
|
Target Sample Size
|
Total Sample Size="30"
Sample Size from India="30"
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)
|
20/12/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
20/12/2025 |
| 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) |
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
|
The Study Titled Effectiveness of Neuromuscular Exercises in Improving Postural Alignment Among Individuals with Lower Crossed Syndrome A Quasi Experimental Study
Aims to evaluate whether neuromuscular exercises can correct the postural deviations seen in Lower Crossed Syndrome
A condition caused by weak abdominal and gluteal muscles with tight hip flexors and lumbar extensors. Lower Crossed Syndrome if untreated can lead to pain reduced mobility and further musculoskeletal issues and although exercise based rehabilitation is essential evidence on the most effective protocol is limited
This quasi experimental pre and post test study will include 30 individuals aged 18 40 years diagnosed with Lower Crossed Syndrome recruited from a physiotherapy outpatient department after baseline assessment and informed consent participants will undergo a structured neuromuscular exercise program three times per week with post intervention reassessment at eight weeks using digital photogrammetry pain scales and disability index
The collected data will be analyzed using paired t tests or non parametric tests to determine whether neuromuscular exercises significantly improve posture reduce pain and enhance function supporting their use as an effective rehabilitation strategy for Lower Crossed Syndrome |