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CTRI Number  CTRI/2026/04/107706 [Registered on: 07/04/2026] Trial Registered Prospectively
Last Modified On: 16/04/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Study to assess the relationship between upper body posture, shoulder imbalance, and chest mobility in young adults 
Scientific Title of Study   Correlation of Upper Cross Syndrome with Scapular Asymmetry and Chest Expansion in Young Adults 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ishika Nehra 
Designation  UG Student 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed To be University
Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Ambala
HARYANA
133207
India 
Phone  9671905571  
Fax    
Email  ishikanehra0@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr. Kanika Bhatia 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Ambala
HARYANA
133207
India 
Phone  7807186627  
Fax    
Email  kanikabhatia@mmumullana.org  
 
Details of Contact Person
Public Query  
Name  Dr. Kanika Bhatia 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Ambala
HARYANA
133207
India 
Phone  7807186627  
Fax    
Email  kanikabhatia@mmumullana.org  
 
Source of Monetary or Material Support  
Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, Haryana – 133207, India 
 
Primary Sponsor  
Name  Ishika 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India, 133207 
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 
Ishika Nehra  Ishika Nehra  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed-to-be University, Mullana, Ambala, Haryana – 133207, India
Ambala
HARYANA 		 09671905571

ishikanehra0@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  Upper Cross Syndrome  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Not Applicable  Observational study—no intervention administered. Participants will only undergo assessment of upper cross syndrome, scapular asymmetry using the lateral scapular slide test, and chest expansion using tape measurement. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Young adults between 18 and 25 years of age.
Both male and female participants.
Individuals showing clinical features of upper cross syndrome (such as forward head, rounded shoulders, or thoracic kyphosis).
Participants capable of understanding and willing to provide informed consent.
 
 
ExclusionCriteria 
Details  History of traumatic injury or surgery affecting the spine, shoulder, or thorax.
Diagnosed musculoskeletal, neurological, or respiratory, disorders (such as scoliosis, ankylosing spondylitis, asthma, etc.)
Ongoing acute pain or recent injuries that could affect postural assessment or movement.
Current participation in a rehabilitation program targeting posture or respiratory mechanics.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Postural analysis was conducted using the Craniovertebral Angle (CVA) for forward head posture and the Rounded Shoulder Angle (RSA) for rounded shoulders, utilizing Kinovea software.  Postural analysis was conducted using the Craniovertebral Angle (CVA) for forward head posture and the Rounded Shoulder Angle (RSA) for rounded shoulders, utilizing Kinovea software. 
 
Secondary Outcome  
Outcome  TimePoints 
Lateral Scapular Slide Test (LSST) for assessment of scapular asymmetry.
Chest expansion measurement using the tape measure method at axillary, xiphoid, and subcostal levels. 		 Baseline 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   17/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  17/04/2026 
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 Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  		 N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
Upper Cross Syndrome (UCS) is a postural disorder characterized by muscle imbalance in the cervical and shoulder region, leading to forward head posture and rounded shoulders. These postural changes may also affect scapular alignment and thoracic mobility, which can contribute to scapular asymmetry and reduced chest expansion. The rising utilization of electronic devices and extended sedentary posture among young adults has augmented the incidence of these postural deviations.
The objective of this study is to ascertain the relationship between upper cross syndrome, scapular asymmetry, and chest expansion in young adults. The study will include 100 participants aged 18–25 years. Kinovea software will be used to measure the craniovertebral angle and the rounded shoulder angle. The Lateral Scapular Slide Test (LSST) will be used to measure scapular asymmetry, and the tape measure method will be used to measure chest expansion at the axillary, xiphoid, and subcostal levels. The findings of this study may help in understanding the relationship between postural alterations associated with UCS and changes in scapular position and chest expansion, which can assist in the early identification and physiotherapy management of postural dysfunctions.
 
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