<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200729048249N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-09-06</date_registration>
      <primary_sponsor>The University  of Shahid Beheshti</primary_sponsor>
      <public_title>Effectiveness of exercise on upper crossed syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Effectiveness of supervised versus work-placed exercises on neck-shoulder pain, workability, alignment and muscle activities among office workers with upper crossed syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-12-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/49992</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The website https://www.sealedenvelope.com will be applied to randomize and generate a random block sequence, and sealed opaque envelopes will be used to conceal random allocation. Based on the sample size, a number of envelopes with aluminum wrappers are used in order to obscure the contents of the envelopes. Each of the random sequences is written on a card, and the cards are placed in the envelopes respectively. In order to maintain a random sequence, the envelopes are numbered on the outer surface as well. The envelopes are glued and placed inside a box, respectively. The participants open one of the envelopes, then the assigned group of that participant is revealed.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Upper Crossed Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1( work-placed exercises):  An eight-week exercise program including corrective exercises based on alignment and effective muscle activation on upper crossed syndrome will be taken three days per week about 50 minutes each session which will be started by five to seven minutes of warm-up and cool-down. The exercises will be initiated by three repetitions holding for 10 seconds, and progress to six repetitions, holding for 25 seconds based on the overload principles and the individual capabilities. The present study aims to evaluate the effectiveness of exercises in the workplace that will be performed without the direct supervision of the researcher as the first intervention group. Intervention 2: Intervention group2( supervised exercises): An eight-week exercise program including corrective exercises based on alignment and effective muscle activation on upper crossed syndrome will be taken three days per week about 50 minutes each session which will be started by five to seven minutes of warm-up and cool-down. The exercises will be initiated by three repetitions holding for 10 seconds, and progress to six repetitions, holding for 25 seconds based on the overload principles and the individual capabilities. The present study aims to evaluate the effectiveness of supervised exercises as the second intervention group that will be performed under direct supervision. Intervention 3: Control group:  receive no intervention.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is The schedule has not yet been determined.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Zohreh Yaghoubi Tajani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>4th Floor,  No. 1, Niayesh Blind Alley, Soheili Blind Alley, Bahar st., Kabiri Tame Blvd. , West Abshenasan</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1475893461</zip>
        <telephone>+98 21 4443 5988</telephone>
        <email>zohreh.yaghoubi@gmail.com</email>
        <affiliation>The University of Shahid Beheshti</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Zohreh  Yaghoubi  Tajani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>4th Floor,  No. 1, Niayesh Blind Alley, Soheili Blind Alley, Bahar st., Kabiri Tame Blvd. , West Abshenasan</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1475893461</zip>
        <telephone>+98 21 4443 5988</telephone>
        <email>zohreh.yaghoubi@gmail.com</email>
        <affiliation>The Universiy of Shahid Beheshti</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Office workers being at work for more than five years and 30 hours per week
Forward head posture equal to or more than 45°, round shoulder equal to or more than 52°, and round back equal to or more than 42°
Pain intensity equal to or more than three in the neck and  shoulder as per visual analog scale</inclusion_criteria>
      <agemin>25 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy
Previous upper-body injuiry
Not being able to do exercise due to any medical conditions
Bodyweight out of the normal range; having body mass index (BMI) equal to or  more than 25  or equal to or less than 18</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M40.04</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Postural Kyphosis, Thoracic Region</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1( work-placed exercises):  An eight-week exercise program including corrective exercises based on alignment and effective muscle activation on upper crossed syndrome will be taken three days per week about 50 minutes each session which will be started by five to seven minutes of warm-up and cool-down. The exercises will be initiated by three repetitions holding for 10 seconds, and progress to six repetitions, holding for 25 seconds based on the overload principles and the individual capabilities. The present study aims to evaluate the effectiveness of exercises in the workplace that will be performed without the direct supervision of the researcher as the first intervention group.</i_keyword>
      <i_keyword>Intervention group2( supervised exercises): An eight-week exercise program including corrective exercises based on alignment and effective muscle activation on upper crossed syndrome will be taken three days per week about 50 minutes each session which will be started by five to seven minutes of warm-up and cool-down. The exercises will be initiated by three repetitions holding for 10 seconds, and progress to six repetitions, holding for 25 seconds based on the overload principles and the individual capabilities. The present study aims to evaluate the effectiveness of supervised exercises as the second intervention group that will be performed under direct supervision.</i_keyword>
      <i_keyword>Control group:  receive no intervention.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Neck–shoulder pain. Timepoint: Before and after eight  weeks of intervension. Method of measurement: Visual analogue scale (VAS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Work ability. Timepoint: Before and after eight  weeks of intervension. Method of measurement: Work ability index (WAI) questionnaire.</sec_outcome>
      <sec_outcome>Alignment. Timepoint: Before and after eight  weeks of intervension. Method of measurement: Photogrammetry.</sec_outcome>
      <sec_outcome>Muscles activity. Timepoint: Before and after eight  weeks of intervension. Method of measurement: Surface electromyography.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>The University of Shahid Beheshti</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-06-20</approval_date>
        <contact_name>Research Ethics Committee in Shahid Beheshti University Tehran, IRAN</contact_name>
        <contact_address>Daneshjoo Blvd., Shahid Shahriari Square, Yemen St., Shahid Chamran Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
