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CTRI Number  CTRI/2025/12/099765 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 23/12/2025
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   A study comparing two physiotherapy techniques to reduce pain, increase movement, and improve daily activities in people with upper crossed syndrome. 
Scientific Title of Study   Comparison between effectiveness of muscle energy technique and active release technique on pain, range of motion and functional disability in patients with upper crossed syndrome - a randomised 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  Dr Anwiksha Mahadik  
Designation  PG Student  
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  8355915715  
Fax    
Email  anwikshamahadik@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepali Rathod  
Designation  Associate professor  
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9082390287  
Fax    
Email  dr.deepali.pankaj.rathod@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Deepali Rathod  
Designation  Associate professor  
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9082390287  
Fax    
Email  dr.deepali.pankaj.rathod@gmail.com  
 
Source of Monetary or Material Support  
TMVs Lokmanya Tilak college of physiotherapy  
 
Primary Sponsor  
Name  TMVs Lokmanya Tilak college of physiotherapy  
Address  TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai  
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
TMVs Lokmanya Tilak College of Physiotherapy   TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anwiksha Mahadik   TMVs Lokmanya Tilak College of Physiotherapy  TMVs Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Musculoskeletal Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block ,Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai
Raigarh
MAHARASHTRA 
8355915715

anwikshamahadik@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TMVs Lokmanya Tilak College of Physiotherapy Institutional ethics committee (Academics)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M799||Soft tissue disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Active Release technique   Active Release technique addresses trigger point in upper trapezius muscle. Conventional treatment includes scapular strengthening exercises 10 repetition 3 sets. Above treatment is given twice a week for 6 week  
Intervention  Muscle Energy Technique   Muscle Energy Technique given for upper trapezius muscle. Conventional treatment includes scapular strengthening exercises 10 repetition 3 sets. Above treatment is given twice a week for 6 week. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Patients with uppercrossed syndrome  
 
ExclusionCriteria 
Details  fracture of cervical spine
Myelopathy
Thoracic outlet syndrome 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Visual Analogue Scale,
Neck lateral Flexion Range of motion using Goniometer,
Neck Disability Index  
6 week  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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 3 
Date of First Enrollment (India)   15/01/2026 
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="1"
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   This study is a randomised control trial to study comparison between effectiveness of muscle energy technique and active release technique on pain, range of motion and functional disability in patient with upper crossed syndrome. This study includes 64 patients diagnosed with upper crossed syndrome within the age limit 18 to 45 years. The outcome measures used in the above study are visual analogue scale, range of motion of neck lateral flexion using goniometer and neck disability index.In the previous studies there is limited literature about the long term effects of these two techniques.There is little evidence regarding the use of the two techniques in upper crossed syndrome along with conventional protocol.Using these two manual techniques we will offer an opportunity for the nervous system and the musculoskeletal system to reset and see which one works better.

 
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