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CTRI Number  CTRI/2026/03/105131 [Registered on: 02/03/2026] Trial Registered Prospectively
Last Modified On: 28/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Comparison Of Effect Of Two Exercise Programs on Pain, Neck Mobility, and Function in Individuals with Non-Specific Neck Pain and Forward Head Posture 
Scientific Title of Study   Effect Of Scap-Sync Protocol Versus Sahrmann Exercises On Pain, Mobility And Function For Non Specific Neck Pain With Forward Head Posture - 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  Sakshi V Dhamnekar 
Designation  Postgraduate student (Orthopaedic Physiotherapy) 
Affiliation  KAHER Institute of Physiotherapy, Belagavi  
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka
Belgaum
KARNATAKA
590010
India 
Phone  6361463382  
Fax    
Email  sakshivdhamanekar011@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Vijay Kage 
Designation  Professor and Dean, Department of Orthopaedic Physiotherapy 
Affiliation  KAHER Institute of Physiotherapy, Belagavi 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka -590010
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka -590010
Belgaum
KARNATAKA
590010
India 
Phone  9845271899  
Fax    
Email  vijaykage@yahoo.in  
 
Details of Contact Person
Public Query  
Name  Dr Vijay Kage 
Designation  Professor and Dean, Department of Orthopaedic Physiotherapy 
Affiliation  KAHER Institute of Physiotherapy, Belagavi 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka -590010
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka -590010
Belgaum
KARNATAKA
590010
India 
Phone  9845271899  
Fax    
Email  vijaykage@yahoo.in  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Sakshi V Dhamnekar 
Address  KAHER Institute of Physiotherapy,Belagavi, Karnataka, India 590010 
Type of Sponsor  Private medical college 
 
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 Vijay Kage  KLES Dr. Prabhakar Kore Hospital and MRC Nehru Nagar, Belagavi, 590010   KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Physiotherapy Department Room No. 18, Nehru Nagar, Belagavi, Karnataka 590010 Belgaum KARNATAKA Belgaum, KARNATAKA
Belgaum
KARNATAKA 		 9845271899

vijaykage@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and Ethical Committe, KLEU Institute of Physiotherapy, Belagavi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Non specific neck pain with Forward head posture 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Sahrmann exercise + Conventional therapy   Participants will receive Sahrmann exercise + Conventional therapy consisting of Thoracic rotation ,Clamshells ,Swiss ball exercise, Bird dog and Trunk lift combined with conventional physiotherapy. Conventional physiotherapy will include moist hot pack application over the cervical region and transcutaneous electrical nerve stimulation (TENS) for pain relief. All interventions will be administered under physiotherapist supervision. 3 sessions per week will be administered for 3 weeks by a trained physiotherapist.  
Comparator Agent  Scap-sync protocol + conventional therapy  Participants will receive Scap-sync protocol + conventional therapy consisting of Push-Up Wall, Elbow-to-Knee Push-Up, Lawnmower Exercise, V-W Exercise, and Blackburn exercises, along with prone “I,” prone “Y,” prone “T,” and prone “W” exercises, combined with conventional physiotherapy. Conventional physiotherapy will include moist hot pack application over the cervical region and transcutaneous electrical nerve stimulation (TENS) for pain relief. All interventions will be administered under physiotherapist supervision. 3 sessions per week will be administered for 3 weeks by a trained physiotherapist.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Individuals of all genders aged 18–30
Clinically diagnosed non specific neck pain
CVA angle with less than 50 degree
VAS equal to or more than 3
Willingness to participate and provide informed consent
 
 
ExclusionCriteria 
Details  Participant with any diagnosed systemic inflammatory joint disease.
Participant with any injury to the spine.
Subjects on medication for neck pain.
Participants undergone any physiotherapy or any therapeutic treatment in past 3 months.
5] Any specific causes of neck pain /trauma with any neurological signs.
6] Pregnancy and Post partum
7] Participants having acute neck pain.
8] History of vertigo 
 
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 
Forward head posture by measuring Craniovertebral angle Using Kinovea software   Forward head posture by measuring Craniovertebral angle Using Kinovea software at baseline and end of 3 weeks.
 
 
Secondary Outcome  
Outcome  TimePoints 
1] Neck disability using Neck disability index
2] Cervical range of motion using goniometer: flexion & extension
3] Pain intensity using Numeric rating scale 		 1] Neck disability using Neck disability index at baseline and end of 3 weeks.
2] Cervical range of motion using goniometer: flexion & extension at baseline and end of 3 weeks.
3] Pain intensity using Numeric rating scale at baseline and end of 3 weeks.
 
 
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)   11/03/2026 
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 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   This randomized clinical trial aims to compare the effects of the Scap-Sync Protocol and Sahrmann exercises on pain, cervical mobility, and functional disability in individuals with non-specific neck pain associated with forward head posture. Participants will be randomly allocated into two intervention groups. The Scap-Sync Protocol focuses on scapular stabilization and neuromuscular coordination, while Sahrmann exercises emphasize cervical motor control and muscle re-education.
Primary and secondary outcomes will include craniovertebral angle (to assess forward head posture), pain intensity, cervical range of motion, and neck-related functional disability. Measurements will be recorded at baseline and after completion of the intervention period. The study aims to determine which exercise approach is more effective in improving posture, reducing pain, and enhancing functional outcomes in individuals with non-specific neck pain.
 
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