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CTRI Number  CTRI/2026/04/107599 [Registered on: 06/04/2026] Trial Registered Prospectively
Last Modified On: 11/04/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Relationship Between Posture, Neck pain, Heart and Lung Health in Smartphone Users: A Cross-Sectional Study 
Scientific Title of Study   Association of Forward Head Posture With Neck Disability And Cardiopulmonary Health Parameters Among Smartphone Users: A Cross-Sectional 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  Palakdeep Kaur  
Designation  Student Investigator 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Ambala
HARYANA
133207
India 
Phone  7988488736  
Fax    
Email  palakk6351@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nitin Kumar Indora 
Designation  Assistant Professor  
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Ambala
HARYANA
133207
India 
Phone  7015748446  
Fax    
Email  drnitinindora166@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nitin Kumar Indora 
Designation  Assistant Professor  
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Ambala
HARYANA
133207
India 
Phone  7015748446  
Fax    
Email  drnitinindora166@gmail.com  
 
Source of Monetary or Material Support  
Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation Mullana Ambala 133207 
 
Primary Sponsor  
Name  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation Mullana Ambala 133207 
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 
Palakdeep Kaur  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation  Department Of Physiotherapy Room No 204 MMDU, Mullana, Ambala, Haryana, 133207
Ambala
HARYANA 
7988488736

palakk6351@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE MAHARISHI MARKANDESHWAR INSTITUTE OF MEDICAL SCIENCES & RESEARCH MULLANA, AMBALA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Individual with Forward Head Posture  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  1 Individuals with craniovertebral angle less than 49 degree
2 Individuals using smartphones for 3 hours or more per day
 
 
ExclusionCriteria 
Details  1 Trauma and surgery to the head, neck, upper, back
2 Neurological disorders
3 Any pre-existing cardiovascular, or respiratory disorder (last 6 months)
4 Professional athletes or individuals in occupation influencing FHP
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1 Craniovertebral Angle (Photogrammetry method analyzed by Kineova software)
2 Neck Disability: Neck Disability Index
3 Neck Pain: Visual Analogue Scale
4 Smartphone Addiction:SAS-SV
5 Pulmonary Function Test(FVC, FEV1)
6 Cardiopulmonary Fitness: SpO2, HR, RR
7 Blood pressure: Sphygmomanometer
 
Baseline
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="187"
Sample Size from India="187" 
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)   05/03/2027 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Association Of Forward Head Posture With Neck Disability And Cardiopulmonary Health Parameters Among Smartphone Users is a cross sectional observational study. The aim of this study is to evaluate the relationship between forward head posture neck disability and cardiopulmonary health parameters among smartphone users. The study will be conducted at Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation Mullana Ambala Haryana. A total sample of approximately 187 participants aged 18 to 28 years will be recruited based on predefined inclusion and exclusion criteria. Individuals with recent trauma neurological disorders or pre existing cardiovascular and respiratory conditions will be excluded. Forward head posture will be assessed using craniovertebral angle measured by photographic method. Neck disability will be evaluated using Neck Disability Index and neck pain will be measured using Visual Analogue Scale. Smartphone addiction will be assessed using Smartphone Addiction Scale Short Version. Cardiopulmonary parameters including heart rate oxygen saturation respiratory rate blood pressure and lung function will be measured using standard clinical instruments. The data collected will be analysed to determine the association between forward head posture neck disability and cardiopulmonary health parameters. The findings of this study may help in early identification of postural related health risks and support the development of preventive and corrective physiotherapy interventions for smartphone users.

 
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