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CTRI Number  CTRI/2022/03/041542 [Registered on: 31/03/2022] Trial Registered Prospectively
Last Modified On: 31/03/2022
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   A clinical trial to study the effects of Suboccipital muscle release with active chin tuck exercise in Young adults with neck pain. 
Scientific Title of Study   Effectiveness of Suboccipital muscle release with active chin tuck exercise versus conventional exercises on Forward head posture, Pain and Disability in Young adults with Text-Neck Syndrome - A Randomized Controlled Trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Balin Prasanna B 
Designation  PG student 
Affiliation  The Oxford College Of Physiotherapy 
Address  6/9, The oxford college of physiotherapy, 1st cross begur road, Hongasandra, bommanahalli, bengaluru - 560068

Bangalore
KARNATAKA
560068
India 
Phone  7904407883  
Fax    
Email  prasannabalakrishnan1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Balin Prasanna B 
Designation  PG student 
Affiliation  The Oxford College Of Physiotherapy 
Address  6/9, the Oxford college of physiotherapy, 1st cross begur road, Hongasandra, bommanahalli, bengaluru - 560068

Bangalore
KARNATAKA
560068
India 
Phone  7904407883  
Fax    
Email  prasannabalakrishnan1997@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Krishna Muralidharen 
Designation  Lecturer  
Affiliation  The Oxford College Of Physiotherapy 
Address  6/9, The Oxford college of physiotherapy, 1st cross begur road, Hongasandra, bommanahalli, bengaluru - 560068

Bangalore
KARNATAKA
560068
India 
Phone  6362458697  
Fax    
Email  krishnamuralee18@gmail.com  
 
Source of Monetary or Material Support  
6/9,The Oxford college of Physiotherapy, 1st cross, begur main road, Hongasandra, Bangalore - 560068 
 
Primary Sponsor  
Name  Balin Prasanna B 
Address  6/9, 1st cross begur road, hongasandra, bommanahalli, bengaluru - 560068 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Krishna Muralidharen  The Oxford college of Physiotherapy  no. 6/9, physiotherapy department, hongasandra, bangalore- 560068
Bangalore
KARNATAKA 
6362458697

krishnamuralee18@gmail.com 
Dr Krishna Muralidharen  The Oxford college of Physiotherapy  no. 6/9, physiotherapy department, hongasandra, bangalore- 560068
Bangalore
KARNATAKA 
6362458697

krishnamuralee18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The oxford college of physiotherapy review board for ethics and research (TOCPTRBER)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M540||Panniculitis affecting regions ofneck and back,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  stretching: upper trapezius, levator scapulae and pectoralis. Strengthening: Rhomboids, lower trapezius, serratus anterior. The stretching and strengthening will be designed based on FITT principle.   it improves ROM and reduces pain. It is a 25 minutes session per day (2-3 days per week) for 4 weeks 
Intervention  suboccipital muscle release with active chin tuck exercise  To reduce the pain and improve ROM. It is a 25 minutes session per day (2-3 days per week) for 4 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  1. Patients having neck pain more than one week
2. Subjects working on or uses electronics (mobiles / computers) for more than 4 hours for sustained period of time
3. Cranio vertebral angle ≤ 50⁰
 
 
ExclusionCriteria 
Details  1. Subjects who had undergone any surgery or injury around the neck or shoulder for past 6 months.
2. Subjects having congenital short neck wry neck, torticollis.
3. Subjects having asymmetrical spinal curvature like increased structural kyphosis, lordosis and scoliosis.
4. Subjects undergoing medications for any form of headaches like vascular, tensional or migraine.
5. Subjects having headache and neck pain due to ophthalmic problem.
6. Uncooperative patient 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Cranio vertebral angle  At the baseline, after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Neck disability index  At the baseline, after 4 weeks 
Numerical pain rating scale   At the baseline, After 4 weeks 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   31/03/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  31/03/2022 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

 â€œText neck” is a repetitive stress injury or an overuse syndrome where a person has their head hung or flexed in a forward position and is bent down looking at their smartphone for prolonged period of time. Technology advances in the recent decades has associated with the evolution of new medical syndromes due to the prolonged use of electronics. One of these syndromes is Text Neck syndrome.

If Text neck syndrome is untreated it can lead to some serious permanent damage such as Flattening of the spinal curve, Onset of early arthritis, Spinal misalignment, Spinal degeneration, Disc compression, Disc herniation, Nerve damage, Muscle damage. According to a systematic review done in 2017 by Sunil Neupane et al., he has concluded that more studies are needed in this area. So the purpose of this study is to find out the effectiveness of suboccipital muscle release with active chin tuck exercise versus conventional exercises on forward head posture, pain and disability in young adults with Text-Neck syndrome.

 
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