CTRI

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CTRI Number

CTRI/2026/03/105466 [Registered on: 06/03/2026] Trial Registered Prospectively

Last Modified On:

05/03/2026

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

Study Comparing Two Physiotherapy Methods for Relief of Neck Pain and Muscle Spasm in Students

Scientific Title of Study

Effectiveness of Integrated neuromuscular inhibition technique with Ruddys Reciprocal Antagonist Facilitation and Positional Release Technique in undergraduate students with trigger points in Trapezius: A Comparative 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	Dr Aditi Dattatraya Lokhande
Designation	Post Graduate Student
Affiliation	Rashtrasant Jananrdhan College of Physiotherapy
Address	Rashtrasant Jananrdhan Swami College Of Physitherapy 1st floor MPT classroom no.2 Kokamthan Tal Kopargaon Dist Ahmadnagar 423601 Maharshtra Ur Sciences Nashik Ahmadnagar MAHARASHTRA 423601 India
Phone	7058950949
Fax
Email	laditi0207@gmail.com

Details of Contact Person
Scientific Query

Name	Dr Manikandan P
Designation	Professor and HOD
Affiliation	Rashtrasant Janardhan Swami College Of Physiotherapy Kopargaon
Address	Rashtrasant Jananrdhan Swami College Of Physitherapy 2nd floor MSK Department HOD cabin Kokamthan Tal Kopargaon,Dist-Ahmadnagar 423601 Maharshtra Ur Sciences Nashik Ahmadnagar MAHARASHTRA 423601 India
Phone	6374653504
Fax
Email	mani2bpt@gmail.com

Details of Contact Person
Public Query

Name	Dr Aditi Dattatraya Lokhande
Designation	Post Graduate Student
Affiliation	Rashtrasant Janardhan Swami College Of Physiotherapy Kopargaon
Address	Rashtrasant Jananrdhan Swami College Of Physitherapy 1st floor MPT Classroom no.2 Kokamthan Tal Kopargaon Dist Ahmadnagar 423601 Maharshtra Ur Sciences Nashik Ahmadnagar MAHARASHTRA 423601 India
Phone	7058950949
Fax
Email	laditi0207@gmail.com

Source of Monetary or Material Support

Rashtrasant Jananrdhan Swami College Of Physitherapy,Kokamthan ,Tal Kopargaon,Dist-Ahmadnagar,423601 Maharshtra Ur Sciences ,Nashik

Primary Sponsor

Name	Dr Aditi Dattatraya Lokhande
Address	Rashtrasant Jananrdhan Swami College Of Physitherapy,Kokamthan ,Tal Kopargaon,Dist-Ahmadnagar,423601 Maharshtra Ur Sciences ,Nashik
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 Aditi Dattatraya Lokhande	RJS group of Medical Institutes	Rashtrasant Janardhan Swami Hospital Basement1 Physiotherapy OPD Musculoskeletal Department Kopargaon Ahmadnagar 423601 Maharashtra University Of Health Sciences Nashik Ahmadnagar MAHARASHTRA	7058950949 laditi0207@gmail.com

Details of Ethics Committee

No of Ethics Committees= 1
Name of Committee	Approval Status
RJS College of Physiotherapy[MUHS] Institutional Ethical Committee	Approved

Regulatory Clearance Status from DCGI

Status

Not Applicable

Health Condition / Problems Studied

Health Type	Condition
Healthy Human Volunteers	upper trapezitis

Intervention / Comparator Agent

Type	Name	Details
Intervention	Integrated Neuromuscular Inhibition Technique (INIT) with Ruddys reciprocal antagonist facilitation	Identification of Trigger Point The most tender point in the upper trapezius will be identified by palpation. Ischemic Compression Sustained digital pressure will be applied over the trigger point for approximately 30–60 seconds or until pain reduces. Strain-Counterstrain (Position of Ease) The muscle will be positioned in a shortened, comfortable position and held for 90 seconds, followed by slow return to neutral. Muscle Energy Technique (Post-Isometric Relaxation) The patient will perform a gentle isometric contraction (20–30% effort) of the upper trapezius for 7–10 seconds against therapist resistance, followed by relaxation and passive stretch. RRAF Component The antagonist muscles (lower trapezius and deep neck flexors) will be facilitated using gentle resisted contractions to promote reciprocal inhibition and improve neuromuscular balance. Intervention will be given for 2 weeks 5days a week
Comparator Agent	positional release technique	Tender/trigger point will be identified in the upper trapezius. The muscle will be positioned in a shortened position that reduces tenderness by at least 70%. This position will be maintained for approximately 90 seconds. The muscle will then be slowly and passively returned to neutral position. A gentle stretch may be applied following release. The intervention will be given for 2 weeks 5 days a week

Inclusion Criteria

Age From	18.00 Year(s)
Age To	25.00 Year(s)
Gender	Both
Details	• Undergraduate students • Upper trapezius spasm since 7days to 7 weeks • Tenderness grade 2 and 3 over upper trapezius fibers • Willing to participate

ExclusionCriteria

Details

• Recent history of trauma or fracture in cervical spine
• Tenderness grade 4 over the upper trapezius
• Recent cervical spine surgery
• Skin disease around part to be treated
• Signs of Cervical radiculopathy or myopathy
• Neck deformities like scoliosis or torticollis
• Sensory disturbance near treating part

Method of Generating Random Sequence

Computer generated randomization

Method of Concealment

Other

Blinding/Masking

Investigator Blinded

Primary Outcome

Outcome	TimePoints
Visual Analogue Scale[0 to 10] for measuring pain outcome	at baseline and 2 weeks of intervention

Secondary Outcome

Outcome	TimePoints
Cervical range of motion	at baseline and 2 weeks of intervention
Neck Disability Index Scale	at baseline and 2 weeks of intervention

Target Sample Size

Total Sample Size="56"
Sample Size from India="56"
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)

20/03/2026

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="0"
Months="6"
Days="0"

Recruitment Status of Trial (Global)

Open to Recruitment

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

Musculoskeletal neck pain due to upper trapezius spasm is highly prevalent among graduating students, primarily due to prolonged sitting, poor posture, and excessive use of electronic devices. Persistent muscle spasm and latent trigger points may result in pain, restricted cervical range of motion, and functional disability.

This randomized comparative study aims to evaluate the effectiveness of Integrated Neuromuscular Inhibition Technique (INIT) combined with Ruddy’s Reciprocal Antagonist Facilitation (RRAF) versus Positional Release Technique (PRT) in reducing pain and improving functional outcomes in students with upper trapezius spasm.

Participants fulfilling the inclusion criteria will be randomly allocated into two groups. Group A will receive INIT combined with RRAF, and Group B will receive PRT. Interventions will be administered over a specified treatment duration. Outcome measures including pain intensity, cervical range of motion, and neck-related functional disability will be assessed at baseline and post-intervention using standardized assessment tools.

The study aims to determine the comparative effectiveness of these manual therapy techniques in improving pain, muscle function, and quality of life among graduating students.