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CTRI Number  CTRI/2018/01/011073 [Registered on: 01/01/2018] Trial Registered Retrospectively
Last Modified On: 25/02/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A clinical trial to compare the effects of two treatments, McKenzie approach and neck exercises on Forward Head Posture in adults of age 18-35. 
Scientific Title of Study   Effect of McKenzie approach and Neck exercises on Forward Head Posture in young adults. 
Trial Acronym  FHP 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vishnupriya Deshpande 
Designation  Intern 
Affiliation  Krishna Institute of Medical Sciences 
Address  Physiotherapy OPD, Krishna Hopsital, Krishna Institute of Medical Sciences, Malkapur, Karad

Satara
MAHARASHTRA
415110
India 
Phone  9145332290  
Fax    
Email  vish.d@live.com  
 
Details of Contact Person
Scientific Query
 
Name  Vishnupriya Deshpande 
Designation  Intern 
Affiliation  Krishna Institute of Medical Sciences 
Address  Physiotherapy OPD, Krishna Hopsital, Krishna Institute of Medical Sciences, Malkapur, Karad

Satara
MAHARASHTRA
415110
India 
Phone  9145332290  
Fax    
Email  vish.d@live.com  
 
Details of Contact Person
Public Query
 
Name  Vishnupriya Deshpande 
Designation  Intern 
Affiliation  Krishna Institute of Medical Sciences 
Address  Physiotherapy OPD, Krishna Hopsital, Krishna Institute of Medical Sciences, Malkapur, Karad

Satara
MAHARASHTRA
415110
India 
Phone  9145332290  
Fax    
Email  vish.d@live.com  
 
Source of Monetary or Material Support  
Krishna Institute of Medical Sciences Karad 
 
Primary Sponsor  
Name  Krishna Institute of Medical Sciences Karad 
Address  Krishna Institute of Medical Sciences, Malkapur, Karad- 415 110 
Type of Sponsor  Research institution and hospital 
 
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 
Vishnupriya Deshpande  Krishna Hospital  Krishna Physiotherapy OPD, Krishna Hospital, Malkapur, Karad- 415 110
Satara
MAHARASHTRA 
99145332290

vish.d@live.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Krishna Institute of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Forward Head Posture,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Combination of McKenzie approach and neck exercises  Retraction, retraction with extension, retraction with flexion, retraction with rotation, postural correction for 15 minutes, Deep cervical flexors strengthening of 20 second hold, 10 times each, suboccipitals stretching of 30 second hold, 4 times each, 3 times a week for 4 weeks 
Intervention  McKenzie approach  Retraction, retraction with extension, retraction with flexion, retraction with rotation, postural correction for 15 minutes, 3 times a week for 4 weeks 
Comparator Agent  Neck exercises  Deep cervical flexors strengthening of 20 second hold, 10 times each. Suboccipitals stretching of 30 second hold, 4 times each, 3 times a week for 4 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Anterior weight bearing of 15mm or more in lateral view of Plain Radiography
Pectoralis Minor length test measurement of 2cm or less 
 
ExclusionCriteria 
Details  History of Cervical spine surgery
Cervical spine fractures
Rheumatoid Arthritis
Cervical disc herniation 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Cranial Vertical Angle
Cranial Rotation Angle 
0, 2, 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Cervical Range of Motion
Craniocervical Flexion Test
Neck Disability Index 
0, 2, 4 weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2017 
Date of Study Completion (India) 05/02/2018 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
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)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study is randomized, parallel group, single blinded study comparing the effect of McKenzie approach and neck exercises on Forward Head Posture. The first group will receive McKenzie exercises 3 days per week for 4 weeks. The second group will receive deep cervical flexors strengthening and Suboccipitals stretching 3 days per week for 4 weeks. The third group will receive a combination of both the treatments. The outcome measurements are Cranial Vertical Angle, Cranial Rotation Angle, Neck Disability Index, Craniocervical flexion test and Cervical range of motion. These outcome measures will be taken at 0 weeks, 2 weeks and after 4 weeks of treatment. 
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