CTRI

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CTRI Number

CTRI/2025/12/098834 [Registered on: 10/12/2025] Trial Registered Prospectively

Last Modified On:

14/11/2025

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 to compare the effects of Kendall exercises and Pilates in people with smartphone-related neck pain

Scientific Title of Study

Effectiveness of Kendall exercises versus Pilates in treating 45-degree neck flexion angle patients with Text Neck Syndrome A Randomized Controlled 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	Aanchal Sharma
Designation	PG Student
Affiliation	Lovely Professional University
Address	Lovely Professional University,Department of Physiotherapy, Jalandhar-Delhi, Grand Trunk Road, Phagwara,Punjab 144411 Kapurthala PUNJAB 144411 India Kapurthala PUNJAB 144411 India
Phone	8766452718
Fax
Email	aanchalsharma1906@gmail.com

Details of Contact Person
Scientific Query

Name	Dr Reema Rasotra
Designation	Assistant Professor
Affiliation	Lovely Professional University
Address	Lovely Professional University,Department of Physiotherapy, Jalandhar-Delhi, Grand Trunk Road,Phagwara, Punjab 144411 Kapurthala PUNJAB 144411 India Kapurthala PUNJAB 144411 India
Phone	9888706015
Fax
Email	rasotra1@gmail.com

Details of Contact Person
Public Query

Name	Dr Reema Rasotra
Designation	Assistant Professor
Affiliation	Lovely Professional University
Address	Lovely Professional University,Department of Physiotherapy, Jalandhar-Delhi, Grand Trunk Road,Phagwara, Punjab 144411 Kapurthala PUNJAB 144411 India PUNJAB 144411 India
Phone	9888706015
Fax
Email	rasotra1@gmail.com

Source of Monetary or Material Support

Lovely Professional University, Jalandhar-Delhi G.T.Road,Phagwara,Punjab,India-144411

Primary Sponsor

Name	Aanchal Sharma
Address	Lovely Professional University,Department of Physiotherapy,Block-03, Room No.105, Jalandhar-Delhi G.T.Road,Phagwara,Punjab,India-144411
Type of Sponsor	Other [[Self]]

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
Dr Reema Rasotra PT	Lovely Professional University	Lovely Professional University Department of Physiotherapy Room number 105 Jalandhar-Delhi G.T.Road Phagwara Punjab,India 144411 Kapurthala PUNJAB	9888706015 rasotra1@gmail.com

Details of Ethics Committee

No of Ethics Committees= 1
Name of Committee	Approval Status
Institutional Ethical Committee, Lovely Professional University (IEC-LPU)	Approved

Regulatory Clearance Status from DCGI

Status

Not Applicable

Health Condition / Problems Studied

Health Type	Condition
Healthy Human Volunteers	Text Neck Syndrome

Intervention / Comparator Agent

Type	Name	Details
Intervention	Control Group	Participants in the control group will receive conservative treatment and standard care, which includes ergonomic advice, posture education, activity modification and gentle stretching as per standard physiotherapy guidance.No specific exercise intervention like Kendall or Pilates exercises will be provided.Treatment duration and follow-up schedule willbe the same as other study groups.
Comparator Agent	Kendall Exercises	Group A – Kendall Exercise Focused on strengthening deep cervical flexors and scapular retractors, and stretching tight pectoralis and neck extensor muscles to correct forward head posture. Techniques:Chin tuck (deep cervical flexor activation), Scapular retraction exercises, Pectoralis stretching, Neck extensor stretching Frequency: 4 sessions/week × 4 weeks (16 sessions) Duration: 20–30 minutes per session Intensity: Low intensity, progressed weekly; 12 repetitions × 2 sets/day Hold Time: 8–10 seconds Therapeutic Goal: To improve neck posture, increase muscle strength and flexibility, and reduce neck flexion problems, pain, and functional disability.
Intervention	Pilates Exercises	Group B – Pilates Exercise Protocol Focuses on improving posture, muscle balance, flexibility, and core stability through controlled movements and breathing. Promotes activation of deep neck flexors and trunk stabilizers while maintaining a neutral cervical spine. Techniques (as per PPT): Core activation with breathing control Cervical and shoulder alignment maintenance Controlled spinal movements with neutral neck position Frequency: 4 sessions/week × 4 weeks (16 sessions) Duration: 20–30 minutes per session Intensity: Moderate; 10 repetitions × 2 sets/day Hold Time: 10–12 seconds Therapeutic Goal: To enhance core stability, correct postural deviations, activate deep neck flexors, and reduce pain and neck flexion problems.

Inclusion Criteria

Age From	18.00 Year(s)
Age To	30.00 Year(s)
Gender	Both
Details	Both males and females are taken 18-30 yrs engage in prolonged computer and phone usage Medically and willing to participate in the study NPRS greater than 5

ExclusionCriteria

Details

Patient diagnosed with malignancy
Patient having vertigo
Patient not willing to participate in the study
Psychological problems
Recent fracture of the cervical spine
Pregnant ladies
Torticollis
Scoliosis
Osteoporosis

Method of Generating Random Sequence

Not Applicable

Method of Concealment

Not Applicable

Blinding/Masking

Not Applicable

Primary Outcome

Outcome	TimePoints
Numeric Pain Rating Scale(NPRS) Range of Motion(ROM) Manual Muscle Testing(MMT)	Baseline – Day 0 Mid-Intervention – Day 15 Post-Intervention – Day 30 Follow-up – Day 90

Secondary Outcome

Outcome	TimePoints
NIL	NIL

Target Sample Size

Total Sample Size="24"
Sample Size from India="24"
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)

01/01/2026

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="0"
Months="4"
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

With the growing use of smartphones, many people now experience neck pain and poor posture due to looking down at their screens for long periods. This condition is called Text Neck Syndrome (TNS). It can cause muscle tightness, weakness, stiffness, and long-term neck problems if not treated early.

Physiotherapy plays an important role in improving posture and relieving pain through specific exercises. Two common types of exercises used for this are Kendall exercises and Pilates exercises. Kendall exercises focus on strengthening weak neck and shoulder muscles while stretching tight ones to correct the forward head posture. They are helpful in improving muscle balance and neck stability. Pilates exercises improve posture, body balance, and breathing while strengthening the core and deep neck muscles.

This study aims to compare the effectiveness of Kendall and Pilates exercises for people suffering from text neck syndrome. Since very few studies have examined both exercise programs together, this research will help find which method gives better results in reducing pain and improving posture. The findings will help physiotherapists choose the most effective treatment approach to improve neck health and prevent posture-related problems caused by smartphone overuse.