| CTRI Number |
CTRI/2025/09/094984 [Registered on: 17/09/2025] Trial Registered Prospectively |
| Last Modified On: |
23/10/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Effect of a soft tissue release technique on neck posture, pain and disability in dentists with slouch neck. |
|
Scientific Title of Study
|
Effect of Kinetic Chain Activation Technique on craniovertebral angle, pain and disability in dentists with forward head posture: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 |
Apoorva Dalvi |
| Designation |
1st Year Master of Physiotherapy Student in Musculoskeletal and Sports Physiotherapy |
| Affiliation |
Goa Medical College and Hospital |
| Address |
Allied health science courses
Department of orthopaedics
Goa Medical College and Hospital
N17 Bambolim Tiswadi Goa India
403202
North Goa
GOA
403001
India |
| Phone |
7620107775 |
| Fax |
|
| Email |
apoorvadalvi25@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Alisha Gracias |
| Designation |
Assistant Professor in Physiotherapy |
| Affiliation |
Goa Medical College and Hospital |
| Address |
Allied Health Sciences
Department of Orthopaedics
Goa Medical College and Hospital
Bambolim Goa
North Goa
GOA
403202
India |
| Phone |
9881887175 |
| Fax |
|
| Email |
alisha.gracias@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Apoorva Dalvi |
| Designation |
1st Year Master of Physiotherapy Student in Musculoskeletal and Sports Physiotherapy |
| Affiliation |
Goa Medical College and Hospital |
| Address |
A-4 S-3 Esar Residency
Taleigao Goa
North Goa
GOA
403202
India |
| Phone |
7620107775 |
| Fax |
|
| Email |
apoorvadalvi25@gmail.com |
|
|
Source of Monetary or Material Support
|
| Goa Medical College and Hospital
N17 Bambolim Tiswadi Goa India
Pincode 403202 |
|
|
Primary Sponsor
|
| Name |
Apoorva Dalvi |
| Address |
Goa Medical College and Hospital
N17 Bambolim Tiswadi Goa India
403202 |
| 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 Apoorva Dalvi |
Goa Medical College and Hospital |
Allied health science courses
Department of orthopaedics
Goa Medical College and Hospital
N17 Bambolim Tiswadi Goa India pincode 403202
North Goa
GOA |
7620107775
-
apoorvadalvi25@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| GOA MEDICAL COLLEGE INSTITUTIONAL ETHICS COMMITTE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M998||Other biomechanical lesions, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Kinetic Chain Activation Technique |
Kinetic Chain Activation Technique(K-CAT) is developed by Dr.K.M Annamalai and done by licensed physiotherapist trained in K-CAT through workshop.
Session duration is 15-20 minutes.
Frequency is 3 session per week for 2 weeks.
Lubrication used is vaseline to facilitate gliding.
Participant is supine lying
Technique used is cervical fascia release that is therapist uses knuckles to apply light sustained pressure along fascial plane posterior to the sternocleidomastoid from above clavicle to the occipital region while participant actively rotates head to the opposite side during release.Three repetitions per side.
For clavipectoral fascia release participant postion is supine, shoulder abducted to 90 degrees, elbow flexed to 90 degrees, makes a fist. Therapist will roll the tennis ball distal to proximal over clavipectoral fascia with light pressure while participant performs external rotation of the shoulder during release. Three repetitions per side.
This technique is used to reduce fascial restrictions. |
| Comparator Agent |
NIL |
NIL |
|
Inclusion Criteria
Modification(s)
|
| Age From |
24.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1.Dentists working in Goa Dental College and Hospital or identified through a neck screening programme.
2.Dentists having forward head posture as measured by craniovertebral angle less than 49.9 degrees.
3.Dentists having neck disability index score of more than 5.
4.Dentists having chronic nonspecific neck pain as measured by numeric pain rating scale of more than or equal to 3.
5.Dentists having neck pain for a period of more than or equal to 3 months.
6.Dentists willing to give informed consent to participate in the study. |
|
| ExclusionCriteria |
| Details |
1.Dentists with recent injuries or surgeries in and around neck region in last 6 months.
2.Dentists having a history of neurological deficits or radiculopathy, vestibular disorders or balance issues and malignancy in and around the neck region.
3.Dentists that are currently undergoing physiotherapy or any posture correction interventions.
4.Dentists having musculoskeletal deformities that may affect posture.
5.Dentists that are on long term or currently on muscle relaxants, pain medications or corticosteroids. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Craniovertebral Angle using Kinovea 0.8.15 software.
Numeric Pain Rating Scale for chronic nonspecific neck pain.
Neck Disability Index Scale to find neck disability. |
T0-Baseline
T1-Post intervention at end of 2 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
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)
|
01/10/2025 |
| 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 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
|
Forward head posture (FHP) is a common postural problem among dentists often associated with chronic neck pain muscular imbalance and functional disability which negatively affect occupational health and quality of life. Conventional exercise approaches mainly target local muscle strengthening whereas newer techniques such as the Kinetic Chain Activation Technique (K-CAT) address global fascial restrictions and postural alignment in an integrated manner.
The aim of this study is to evaluate the effect of K-CAT on craniovertebral angle neck pain and disability in dentists with forward head posture.
Dentists aged 25-40 years with FHP will be included in the study. Participants will undergo six K-CAT sessions (15–20 minutes each), delivered three times per week for duration of two weeks.
Craniovertebral angle, pain intensity (Numeric Pain Rating Scale) and disability (Neck Disability Index) will be measured before and after the intervention.
This study will help determine the effectiveness of K-CAT in improving posture reducing pain and enhancing occupational health in dentists. |