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CTRI Number  CTRI/2026/02/103050 [Registered on: 05/02/2026] Trial Registered Prospectively
Last Modified On: 04/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Physiotherapy]  
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Reducing Neck Pain and Improving Movement in Text Neck Patients with Posture Training and Home Exercises. 
Scientific Title of Study   Effectiveness of Postural Training with Home Based Exercises on Pain and Range of Motion in patients with Text Neck Syndrome. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Avinash Kumar 
Designation  Student 
Affiliation  Sharda University 
Address  Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
Gautam Buddha Nagar UTTAR PRADESH 201310 India
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  6379109300  
Fax    
Email  2024105887.avinash@pg.sharda.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rita Sharma PT 
Designation  Assistant Professor, Department of Physiotherapy, Sharda University. 
Affiliation  Sharda University 
Address  Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
Gautam Buddha Nagar UTTAR PRADESH 201310 India
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8178154869  
Fax    
Email  rita.sharma@sharda.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Rita Sharma PT 
Designation  Assistant Professor, Department of Physiotherapy, Sharda University. 
Affiliation  Sharda University 
Address  Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
Gautam Buddha Nagar UTTAR PRADESH 201310 India
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8178154869  
Fax    
Email  rita.sharma@sharda.ac.in  
 
Source of Monetary or Material Support  
Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India,201310 
 
Primary Sponsor  
Name  Avinash Kumar 
Address  Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India,201310 
Type of Sponsor  Other [NIL] 
 
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 
Avnish Kumar  Sharda Hospital  Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India 201310
Gautam Buddha Nagar
UTTAR PRADESH 
6379109300

2024105887.avinash@pg.sharda.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Forward Head Posture Neck Pain 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group-A Postural training  Therapist guided postural training conducted in a clinical setting 3 times per week for 6 weeks with each session lasting 30 to 40 minutes. The program includes postural education using visual aids and mirror feedback, ergonomic training to improve screen and sitting habits, mirror or smartphone based posture monitoring, wall posture correction exercises, and verbal and tactile cues such as chin tuck and shoulders back to reinforce proper alignment.  
Comparator Agent  Group-B Home based exercises  Home based exercise program performed 3 times per week for 6 weeks with each session lasting 20 to 30 minutes. The program includes stretching of upper trapezius, levator scapulae and pectoral muscles, strengthening exercises such as chin tucks with biofeedback, cervical isometrics and scapular stabilization exercises including rows and I Y T movements. Participants receive ergonomic advice such as holding the phone at eye level and taking regular breaks. Weekly follow up through phone calls is done to monitor progress and encourage adherence. 
Comparator Agent  Group-C Postural training combined with home based exercises  Combined program including therapist supervised postural training and home based exercises 3 times per week for 6 weeks with each session lasting 30 to 40 minutes.. The protocol progresses from postural awareness and basic exercises in weeks one to two, to resistance band and dynamic exercises in weeks three to four, and endurance and functional postural control training in weeks five to six. Home exercise diaries are reviewed weekly and ergonomic corrections are provided based on patient submitted photos or videos. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Age group from 18–40 years.
Both male and female.
Diagnosed with text neck syndrome.
History of neck pain for more than 4 weeks.
Presence of forward head posture.
Willingness to participate and provide informed consent.
 
 
ExclusionCriteria 
Details  History of cervical spine surgery or trauma.
Neurological deficits or radiculopathy.
Congenital or structural spinal deformities.
Chronic musculoskeletal disorders or inflammatory conditions.
Engaged in regular cervical or postural training in the last 3 months.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Postural Training
Home Based Exercise 
3 sessions/week for 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Numeric Pain Rating Scale
Cervical Range of Motion
Cranio-vertebral Angle
Neck Disability Index 
3 sessions/week for 6 weeks 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   03/03/2026 
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  

 Patients will receive explicit treatment instructions, and a consent form will be signed before the treatment. Patient’s voluntary participation will be appreciated and participants can leave the study anytime without consequences.
 Patients will be selected on the basis of selection criteria.
 Patients will be randomly divided (Chit method) into 3 groups.
 Group A (postural training),
 Group B (Home Based Exercises) and
 Group C (postural training and Home based exercises)
 Three intervention groups addressing text neck syndrome are included in the study; each group follows different protocols to evaluate the impact of the interventions on pain, cervical range of motion (ROM), and functional impairment. Three times a week for six weeks.

      Group A focuses on therapist-guided postural training conducted in a clinical setting, with sessions held three times per week, each lasting 30–40 minutes. The intervention includes postural education using visual aids and mirror feedback, ergonomic training to improve screen and sitting habits, mirror or smartphone-based posture monitoring, wall posture correction exercises, and verbal/tactile cues such as “chin tuck” and “shoulders back” to reinforce proper alignment.

      Group B follows a home-based exercise program in home setting, with sessions held three times per week, each lasting 20–30 minutes per session, aimed at promoting self-management. This includes stretching exercises for the upper trapezius, levator scapulae, and pectoral muscles; strengthening exercises such as chin tucks with biofeedback, cervical isometrics, and scapular stabilization movements like rows or I,Y,T patterns. Additionally, participants are educated on ergonomic habits like holding the phone at eye level, the 20-20-20 rule, and are encouraged to maintain a weekly symptom log. Follow-ups are conducted weekly via phone calls to monitor progress and provide motivation.

     Group C integrates both approaches, combining therapist-supervised postural training from Group A with the independent home-based exercises from Group B. Participants attend three clinic sessions weekly and perform home exercises. The integrated protocol includes progressive loading—starting with basic awareness and exercises in weeks 1–2, introducing resistance bands and dynamic drills in weeks 3–4, and focusing on endurance and multitasking postural control in weeks 5–6. Home diaries are reviewed weekly, and real-time ergonomic adjustments are made using patient-submitted photos or videos to enhance individual outcomes.
     


 
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