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CTRI Number  CTRI/2023/08/056481 [Registered on: 14/08/2023] Trial Registered Prospectively
Last Modified On: 21/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Relation of Neck Angle with arches of back and Pelvic angle in healthy Young Adults 
Scientific Title of Study   Correlation of Craniovertebral Angle with Thoracic Kyphosis, Lumbar Lordosis and Pelvic Tilt in Asymptomatic 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  Jyotsna Thosar 
Designation  Associate Professor  
Affiliation  P.T. School and centre, Seth GS Medical college and KEM hospital 
Address  P.T.School and centre, Seth GS Medical college and KEM hospital,Acharya Dhonde Marg, Parel (E),Mumbai Mumbai MAHARASHTRA 400012

Mumbai
MAHARASHTRA
400012
India 
Phone    
Fax    
Email  jyotsnathosar@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jyotsna Thosar 
Designation  Associate Professor  
Affiliation  P.T. School and centre, Seth GS Medical college and KEM hospital 
Address  P.T.School and centre, Seth GS Medical college and KEM hospital,Acharya Dhonde Marg, Parel (E),Mumbai Mumbai MAHARASHTRA 400012

Mumbai
MAHARASHTRA
400012
India 
Phone    
Fax    
Email  jyotsnathosar@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Sheetal Kokane 
Designation  PG student  
Affiliation  P.T. School and centre, Seth GS Medical college and KEM hospital 
Address  P.T.School and centre, Seth GS Medical college and KEM hospital,Acharya Dhonde Marg, Parel (E),Mumbai Mumbai MAHARASHTRA 400012 India

Mumbai
MAHARASHTRA
400012
India 
Phone  07738865741  
Fax    
Email  sheetalkokane27@gmail.com  
 
Source of Monetary or Material Support  
P.T. School and centre, Seth GS Medical college and KEM hospital,Parel, Mumbai -12 
 
Primary Sponsor  
Name  Jyotsna Thosar  
Address  P.T.School and centre, Seth GS Medical college and KEM hospital,Acharya Dhonde Marg, Parel (E),Mumbai Mumbai MAHARASHTRA 400012 India  
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 
Jyotsna Thosar   P.T. School and centre, Seth GS Medical college and KEM hospital  Hand OPD , 402, GROUND FLOOR PHYSIOTHERAPY DEPARTMENT,SETH GS medical College
Mumbai
MAHARASHTRA 
9821066016

jyotsnathosar@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Seth GS Medical College and KEM Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy students  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1.Age18-25years, 2.Male & female, 3.Individuals willing to participate 
 
ExclusionCriteria 
Details  1.Recent history of neck pain,back pain & spine surgery,2.Any congenital spinal deformity,3.Presence of functional and structural scoliosis, 4.Presence of any neurological disorder. 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
1.Craniovertebral angle using photogrammetry method using MB-ruler software.
 
Baseline
 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/08/2023 
Date of Study Completion (India) 28/02/2024 
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)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
  The human spine is a biomechanical masterpiece, enabling bipedalism through unique skeletal alterations and resulting in the “S-shape” spinal curvature. In the last couple of years screen time was increased significantly. Maintaining the same posture for long periods of time is risk factor to change the normal alignment of spine. With technological advances, the use of digital devices such as smartphones, tablets and notebooks has risen dramatically. In addition, the expansion of internet networks and their vast domains of applications has notably augmented the average time spent using these technologies. This has led to musculoskeletal impairments in the neck and shoulder regions. Apart from educational work, adults are also using mobile phones and tablets for their leisure time activities e.g. - novel reading, playing games, digital artworks etc. Young adults are maintaining static posture of cervical flexion for longer period of time during attending lectures, seminars and while doing writing work for writing assignments, notes & during exams. Due to this, there are some compensatory changes which affect cervical spine. It leads to changes in thoracic and lumbar spine as well as pelvis to maintain the spinal balance. Sagittal malalignment plays a respectable role in multiple spinal pathologies and therefore the benefit of analysing sagittal alignment is not only limited to patients having deformity and its equally important in asymptomatic population too.There was paucity of literature regarding midline alignment correlation in asymptomatic young adults. Hence, in this study 50 asymptomatic young adults in the age group of 18-25 was recruited according to the inclusion and exclusion criteria & their midline alignment was assessed. For cervical spine craniovertebral angle was measured by photography method and by using MB-ruler software. Thoracic kyphosis & lumbar lordosis was assessed using flexicurve and indices was calculated by using MB-ruler software. Pelvic tilt was assessed by self designed pelvic inclinometer. Correlation of craniovertebral angle is done with thoracic kyphosis, lumbar lordosis and pelvic tilt. 58 Data for statistical analysis was entered using MS-Excel (version 2016). Statistical analysis was performed using SPSS (version 25) software and Minitab (version 19) software. Normality was checked by Kolmogorov-Smirnov test. Thoracic kyphotic index and right pelvic tilt did not pass the test of normality; Hence Spearman correlation test was used to measure correlation coefficient. Lumbar lordotic index and left pelvic tilt passed the test of normality; Hence Pearson correlation test was used to measure correlation coefficient. Results was calculated using scatter diagram and tables. Results showed that when CVA is correlated with thoracic kyphosis index, lumbar lordosis index and pelvic tilt angles; it has weak negative correlation with all of the parameters. P value for all correlation was greater than 0.05. Hence, Study concluded that craniovertebral angle does not have significant correlation with thoracic kyphosis, lumbar lordosis and pelvic tilt angles.  
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