| CTRI Number |
CTRI/2025/08/093738 [Registered on: 27/08/2025] Trial Registered Prospectively |
| Last Modified On: |
26/08/2025 |
| 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
|
To compare the Effect of Suboccipital Muscle Inhibition Technique and Positional Release Technique on Craniovertebral angle and Pain in people with Text Neck Syndrome |
|
Scientific Title of Study
|
Effectiveness of Suboccipital Muscle Inhibition Technique and Positional Release Technique on Craniovertebral angle and Pain in Individuals with Text Neck Syndrome- A Randomized Clinical 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. Reva Nitin Dhuri [PT] |
| Designation |
Post Graduate Student |
| Affiliation |
YMT college of Physiotherapy |
| Address |
Room no. 305, Department of Musculoskeletal Physiotherapy, Dr. G.D. Pol Foundation YMT College of Physiotherapy, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra, 410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
7710880205 |
| Fax |
|
| Email |
revadhuri02@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr. Rincy Sibi [PT] |
| Designation |
Associate Professor |
| Affiliation |
YMT college of Physiotherapy |
| Address |
Room no. 305, Department of Musculoskeletal Physiotherapy, Dr. G.D. Pol Foundation YMT College of Physiotherapy, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra, 410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
8600647937 |
| Fax |
|
| Email |
rincy.mathews60@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr. Reva Nitin Dhuri [PT] |
| Designation |
Post Graduate Student |
| Affiliation |
YMT college of Physiotherapy |
| Address |
Room no. 305, Department of Musculoskeletal Physiotherapy Dr. G.D. Pol Foundation YMT College of Physiotherapy, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra, 410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
7710880205 |
| Fax |
|
| Email |
revadhuri02@gmail.com |
|
|
Source of Monetary or Material Support
|
| YMT college of Physiotherapy |
|
|
Primary Sponsor
|
| Name |
Reva Nitin Dhuri |
| Address |
Dr. G.D. Pol Foundation YMT College of Physiotherapy, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra, 410210 |
| Type of Sponsor |
Other [Self] |
|
|
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 Reva Nitin Dhuri PT |
Dr. G.D. Pol Foundation YMT College of Physiotherapy |
Room no.305,Department of Musculoskeletal Physiotherapy, MSK OPD, Dr. G.D. Pol Foundation YMT College of Physiotherapy, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra, 410210
Raigarh
MAHARASHTRA |
771080205
revadhuri02@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| YMTCOP Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M402||Other and unspecified kyphosis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Positional Release
Technique |
Dosage- 2weeks, 3days
per week |
| Intervention |
Sub-occipital
Muscle Inhibition
Technique |
Dosage- 2weeks, 3days
per week
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1. Mobile phone usage 4 hours per day or
more
2. Recurrent history of neck pain since 4
months with pain levels greater than or
equal to 4 on 10 on NPRS
3. FHP as determined by the CVA less than or equal to 48 degrees-50 degrees
4. SAS-SV score of more than 31 in males and more than 33 in females
5. Individuals with ability to read,
understand and write basic English |
|
| ExclusionCriteria |
| Details |
1. Patient with a previous history of neck
disorders involving local trauma or History
of surgeries around neck
2. Cervicogenic dizziness or Vestibular
disorders
3. Tumor, infection, inflammatory,
degenerative conditions
4. Neurological signs like with
radiculopathy or neuropathy of the neck
and upper limb.
5. Herniated cervical disc or PIVD
6. Congenital and developmental diseases
in the head and neck
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
On-site computer system |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Cranio-vertebral Angle using Kinovea software and Pain using NPRS |
2 weeks |
|
|
Secondary Outcome
|
|
|
Target Sample Size
|
Total Sample Size="36"
Sample Size from India="36"
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)
|
15/09/2025 |
| 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="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
|
The use of smartphones is a global trend, and is an essential tool in our everyday lives. In addition to making calls, it also includes various technologies like SMS, internet access, photography, Bluetooth, low-end compact digital cameras, video-cameras, high internet capabilities, etc. Despite taking into consideration of the ease it has brought, smartphone has its negative effects that has resulted in behavioral addictions. The text neck syndrome, is the term coined by Dr. Dean L. Fishman, an US Chiropractor for a repetitive stress injury caused by long hours of forward flexion of head while use of smartphones. The term thus describing the pain and the damage it has caused to the muscles by looking down at cell phones with poor posture repeatedly or for long periods. People usually have their head hung low in a flexed position while using their smartphones for prolonged periods of time and over use of phones for various tasks. Senthil Kumar et al suggested that 33% of smartphone users use the head-to-front posture while using smartphones. The most common symptoms are Neck pain, stiffness, and soreness. The additional symptoms are Radiating discomfort, upper back pain, shoulder pain, headache, tingling, numbness in the hands and many more. It was observed that the presence of trigger points in the suboccipital muscles of individuals with forward head posture, both in those experiencing symptoms and those without. Commonly used manual therapies to directly target these trigger points are suboccipital muscle inhibition technique and positional release technique. Sub occipital release is a technique applied to the craniocervical region, targeting the inhibition of suboccipital muscles to reduce stress on the deep upper cervical tissues. Positional Release Therapy (PRT) is a safe and useful technique for treating elicited myofascial trigger points. Various techniques have been studied for their effect on text neck syndrome like self-management corrective exercises, acupuncture, Pilates, progressive resisted exercises, Kinesio taping and many more. As per our knowledge the sub occipital muscle inhibition technique and positional release technique are commonly used methods for treating pain, and are effective in their own ways. Medical literature lacks clinical/evidence-based articles on the effects of both sub occipital inhibition technique and positional release technique on text neck syndrome. This study is to compare the effectiveness of the Sub occipital muscle inhibition technique and the positional release technique on craniovertebral angle and pain in individuals with text neck syndrome. Each treatment protocol will be given for 3 days per week for 2 weeks. pre and post values of the Craniovertebral angle and Pain will be recorded for comparison. |