| CTRI Number |
CTRI/2025/12/099798 [Registered on: 24/12/2025] Trial Registered Prospectively |
| Last Modified On: |
23/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cross Sectional Study |
| Study Design |
Other |
|
Public Title of Study
|
Neck position awareness in people with forward head posture with neck pain versus without neck pain |
|
Scientific Title of Study
|
Joint position sense in individuals with forward head posture with and without neck pain: A comparative 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 |
Dr Swati Paranjape |
| Designation |
Professor (Additional) |
| Affiliation |
PT School and Centre, Seth GS Medical College and KEM Hospital |
| Address |
Physiotherapy Department, Seth GS Medical College, Parel, Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02224107000 |
| Fax |
|
| Email |
swati.paranjape@kem.edu |
|
Details of Contact Person
Scientific Query
|
| Name |
Pratiksha Khude |
| Designation |
Post Graduate Student |
| Affiliation |
PT School and Centre, Seth GS Medical College and KEM Hospital |
| Address |
Physiotherapy Department, Seth GS Medical College, Parel, Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02224107000 |
| Fax |
|
| Email |
khudepratiksha44@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Pratiksha Khude |
| Designation |
Post Graduate Student |
| Affiliation |
PT School and Centre, Seth GS Medical College and KEM Hospital |
| Address |
Physiotherapy Department, Seth GS Medical College, Parel, Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02224107000 |
| Fax |
|
| Email |
khudepratiksha44@gmail.com |
|
|
Source of Monetary or Material Support
|
| Seth G S Medical College and KEM Hospital, Parel, Mumbai |
|
|
Primary Sponsor
|
| Name |
Seth G S Medical College |
| Address |
Seth G S Medical College, Parel, Mumbai- 400012 |
| Type of Sponsor |
Government medical college |
|
|
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 Pratiksha Khude PT |
KEM Hospital |
OPD Number 402, Orthopedic Center, Opposite Tata Hospital, Parel, Mumbai
Mumbai
MAHARASHTRA |
02224107000
khudepratiksha44@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee (IEC-III) Relating to Biomedical and Health Research (BHR) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M953||Acquired deformity of neck, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Nil |
Nil |
| Intervention |
Nil |
Nil |
| Intervention |
Nil |
Nil |
| Intervention |
Nil |
Nil |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
45.00 Year(s) |
| Gender |
Both |
| Details |
INCLUSION CRITERIA FOR STUDY GROUP
1)Patients with mechanical neck pain extending from C3 vertebral level to C7 vertebral level
2)Neck pain present more than 3 months
3)Pain intensity- 3 to 7 as per visual analogue scale
4)Individuals with forward head posture assessed by craniovertebral angle(less than 50 degrees)
5)Age- 18 to 45 years
6)Both males and females
INCLUSION CRITERIA FOR CONTROL GROUP
1)Subjects with no neck pain
2)No previous history of neck pain
3)Individuals with forward head posture assessed by craniovertebral angle( less than 50 degrees)
4)Age- 18 to 45 years
5)Both males and females
|
|
| ExclusionCriteria |
| Details |
EXCLUSION CRITERIA
1)Patients with Non-mechanical causes of neck pain like- Prolapsed intervertebral disc, Positive Radicular Symptoms, infection, tumor, etc.
2)Congenital or acquired musculoskeletal disorders like Scoliosis, Klippel Feil syndrome, etc.
3)Traumatic conditions affecting Cervical Spine- Fractures, Whiplash related disorders, etc.
4)History of surgery of spine
5)Vestibular impairments such as Vertigo, Tinnitus, etc.
6)Migraine and Headache
7)Auditory impairments without correction
8)Any neurological impairments- Stroke, Cervical myelopathy, Spinal cord injury, Posterior column lesions, Multiple sclerosis, Basal ganglia related disorders
9)Comorbid conditions such as Diabetes Mellitus
10)Seronegative Autoimmune disorders such as Rheumatoid arthritis, Ankylosing spondylitis, Systemic lupus erythematosus, Psoriatic arthritis
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
CERVICAL JOINT POSITION SENSE: It is assessed using Head Repositioning Accuracy test
HEAD POSTURE: Head Posture is assessed for severity of Forward Head Posture using Photogrammetry method. Craniovertebral Angle is calculated using Photogrammetry method.
NECK PAIN INTENSITY: Neck pain intensity is measured using Visual Analogue Scale (VAS) |
ONCE |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
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
|
N/A |
|
Date of First Enrollment (India)
|
05/01/2026 |
| 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="0"
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
|
Proprioception provides sensory feedback from the body to the nervous system, thus contributes to maintenance of optimal body alignment. Joint position sense is a primary measure to operationalize proprioception. Joint position sense is altered by several factors which include muscle fatigue, whiplash injuries, degenerative changes in muscles etc. Head posture is also a crucial factor affecting joint position sense. Poor ergonomics, excessive smartphones and computer usage are crucial factors leading to forward head posture, which ultimately results in neck pain. Various studies have assessed joint position sense in individuals with neck pain and forward head posture independently, however there is lack of comparative research focusing on individuals with forward head posture who have neck pain versus those who do not have neck pain. There is a need to bridge the gap in the current research by comparing joint position sense in individuals with forward head posture with neck pain versus those without neck pain. Thus, this study aims to compare joint position sense in individuals with forward head posture who have neck pain versus those who do not have neck pain. Total 28 participants with forward head posture will be recruited in the study. 14 participants will be with neck pain and 14 without neck pain. Participants will be recruited in the study by purposive sampling method and according to the inclusion and exclusion criteria. Participants will be assessed for pain intensity using visual analogue scale, head posture will be assessed using photogrammetry method and craniovertebral angle will be calculated. Cervical joint position sense will be assessed using head repositioning accuracy test in study group and control group. Data will be collected in a single session. The data will be analyzed by comparing mean values of joint position sense error between individuals with forward head posture with neck pain and those without neck pain using appropriate parametric or non-parametric tests depending on data normality. The study will also analyze the odds of finding altered joint position sense in those exposed to neck pain. |