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CTRI Number  CTRI/2026/01/100541 [Registered on: 08/01/2026] Trial Registered Prospectively
Last Modified On: 07/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of repetitive peripheral magnetic stimulation and exercises on neck posture, neck muscle trigger points and neck muscle endurance in young adults with text neck syndrome 
Scientific Title of Study   Additive effect of repetitive peripheral magnetic stimulation along with exercises on myofascial trigger points, forward head posture and cervical muscle endurance in young adults with text neck syndrome: A randomized control 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  Pinto Eden Sybil Roland 
Designation  Postgraduate Physiotherapy Student 
Affiliation  Institute of Physiotherapy, Srinivas university 
Address  Institute of Physiotherapy, Srinivas University, Department of Musculoskeletal and sports physiotherapy, Ground floor, Pandeshwar campus, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  8291053018  
Fax    
Email  edensybil99@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr R Kamalakannan 
Designation  HOD cum Associate Professor 
Affiliation  Institute of Physiotherapy, Srinivas University 
Address  Institute of Physiotherapy, Srinivas University, Department of Musculoskeletal and Sports Physiotherapy, Ground floor, Pandeshwar campus, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9500931424  
Fax    
Email  kamalakannan.pt@gmail.com  
 
Details of Contact Person
Public Query  
Name  Pinto Eden Sybil Roland 
Designation  Postgraduate Physiotherapy Student 
Affiliation  Institute of Physiotherapy, Srinivas University 
Address  Institute of physiotherapy, Srinivas University, Department of Musculoskeletal and Sports Physiotherapy, Ground floor, Pandeshwar campus, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  8291053018  
Fax    
Email  edensybil99@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Pinto Eden Sybil Roland 
Address  Institute of Physiotherapy, Srinivas University, MSD Physiotherapy Department, Pandeshwar, Mangaluru-575001 
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 
DrPinto Eden Sybil Roland  Institute of Physiotherapy, Srinivas University  Institute of Physiotherapy, Srinivas University, MSD Physiotherapy Department Pandeshwar, Mangaluru-575001
Dakshina Kannada
KARNATAKA 		 8291053018

edensybil99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board and Ethics Committee (IRBEC), Srinivas University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Text Neck Syndrome associated with neck pain, forward head posture, and myofascial trigger points in young adults 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Exercise Therapy  Participants will receive a structured exercise program including cervical strengthening, stretching and postural correction exercises without rPMS. The exercises will be administered daily for a duration of two weeks. 
Intervention  Repetitive Peripheral Magnetic Stimulation (rPMS) with Exercise Therapy   Repetitive Peripheral Magnetic Stimulation (rPMS) will be applied over identified myofascial trigger point of cervical musculature, along with a structured exercise program. The exercise program will include cervical strengthening, stretching and postural correction exercises. Repetitive peripheral magnetic stimulation will be given for three sessions per week for a duration of two weeks. Exercises will be administered daily for two weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  26.00 Year(s)
Gender  Both 
Details  Males and females between 18 to 26 years
Screen time of at least 5 hours per day.
Pain more than 3 months.
Numeric pain rating scale (NPRS) (mild to moderate pain intensity)
At least one Active Myofascial trigger point in one of the upper trapezius muscle (Pain Pressure threshold of 2.90 to 6.54 newtons)
Craniovertebral angle(to assess forward head posture) less than 50 degree
No medical or physiotherapy treatment in the past 3 months.
Not presently undergoing medical or physiotherapy treatment for neck pain and shoulder pain.
No metal implants, pacemakers, Pregnancy (contraindications of rPMS)
 
 
ExclusionCriteria 
Details  Inability to follow study protocol (non-compliance)
Metallic Implants (eg cochlear Implants).
Subjects diagnosed with Neurological Disorders.
Subjects who are diagnosed with neck or shoulder surgery or fractures.
Subjects who are diagnosed with Rheumatological or systemic conditions.
Subjects who received trigger point injection at upper trapezius muscle within the last 6 months.
Use of muscle relaxants, pain medication in the past 2 weeks.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Craniovertebral angle (CVA)
Pain Pressure Threshold (PPT)
Numeric Pain Rating Scale (NPRS) 		 Baseline (Pre-intervention)
Post-intervention
1 month follow up 
 
Secondary Outcome  
Outcome  TimePoints 
Cervical muscle endurance assessed using Pressure Biofeedback   Baseline (Pre-intervention)
Post-intervention
1 month follow up 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
Final Enrollment numbers achieved (Total)= "52"
Final Enrollment numbers achieved (India)="52" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/02/2026 
Date of Study Completion (India) 28/05/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 randomized control trail aims to evaluate the additive effect of repetitive peripheral magnetic stimulation (rPMS) along with exercises on myofascial trigger points, forward head posture, and cervical muscle endurance in young adults with text neck syndrome. Participants will be randomly allocated to receive either rPMS along with a structured exercise program or exercises alone. Outcome measures will include pain intensity, craniovertebral angle, pain pressure threshold, and cervical muscle endurance. 
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