<?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>IRCT20200203046364N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-11-18</date_registration>
      <primary_sponsor>university of Isfahan</primary_sponsor>
      <public_title>The effect of a 8-week  exercise program on head posture, muscle strength and muscle activity and neck and shoulder range of motion</public_title>
      <acronym></acronym>
      <scientific_title>Effect of eight  week corrective exercise programme on pasture, Electromyography. Isokinetic strength  and range of motion shoulder and neck  in person with forward head posture</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-11</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>35</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57241</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance, Randomization description: computer-based randomization was performed in a 1:1 ratio to exercise group or control group, using computer-generated permuted-block randomization ( Random Allocation software version 1.0) with a random block size of 4 and 6. Sealed opaque envelopes were used to conceal random allocation. According to the sample size, letter envelopes were prepared and each of the random sequences was recorded on the card and placed in the letter envelopes, respectively. The letter envelopes were then stapled and placed in a box. Envelopes were also numbered in the same order to maintain a random sequence. Each participant opened one of the envelopes and thus allocation to each group was determined, Blinding description: In this study, the assessors did not know which of the participants in the groups was being evaluated. To blind the assessors, they were not aware of the grouping of individuals (which group they were a member of). Also, the data analyzer was not aware of group allocation of participants. For this purpose, the data of groups was provided to the data analyzer in such a way that he was not informed about the grouping of individuals.</study_design>
      <phase>N/A</phase>
      <hc_freetext>forward head posture.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The training program included stretching, strengthening, and stabilization exercises  This 8-week training program will be performed with three sessions per week, each lasting &lt;50 minutes. To enhance exercise efficacy, exercise variation was set according to the ACSM  recommendations. All training sessions contained  three phases: standard warm-up, the main part, and cool-down. the duration of the stretching exercises will be 30 seconds for the initial sessions, which will be added five more seconds every two weeks . Carnicervical flextion training  consisted of movements that will be  done without any load in prone and quadruped positions; and progression in these movements will be based on an increase in the repetition of correct movement, duration of holding given position, and the range of motion, as well. Intervention 2: Control group: Control group: will not do any special exercises, they are only asked to avoid participating in overhead activities or any strengthening activities that affect the upper quadrant area.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
related data about outcomes

When:
one year after  the publication of the article

To whom:
researchers, university students

Conditions:
for study porpose

Where to obtain:
Gholam Ali Ghasemi. Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran

How to obtain:
Contact with Correspond author via  Official Email

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rasoul Arshadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Azadi Sq., Isfahan university, sport science faculty</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673441</zip>
        <telephone>+98 31 3793 2571</telephone>
        <email>rasoul.arshady@yahoo.com</email>
        <affiliation>University of Isafahan</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Gholam Ali Ghasemi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Azadi Sq., Isfahan university, sport science faculty</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673441</zip>
        <telephone>+98 31 3793 2571</telephone>
        <email>Gh.ghasemi@spr.ui.ac.ir</email>
        <affiliation>university of Isfahan</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>fhp angle above 46,
having not regular participation in overhead activities</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>25 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Having a history of surgery or fractures of upper limbs or spine over the past year
scoliosis
neurologic disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M62.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Disorder of muscle, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The training program included stretching, strengthening, and stabilization exercises  This 8-week training program will be performed with three sessions per week, each lasting &lt;50 minutes. To enhance exercise efficacy, exercise variation was set according to the ACSM  recommendations. All training sessions contained  three phases: standard warm-up, the main part, and cool-down. the duration of the stretching exercises will be 30 seconds for the initial sessions, which will be added five more seconds every two weeks . Carnicervical flextion training  consisted of movements that will be  done without any load in prone and quadruped positions; and progression in these movements will be based on an increase in the repetition of correct movement, duration of holding given position, and the range of motion, as well.</i_keyword>
      <i_keyword>Control group: Control group: will not do any special exercises, they are only asked to avoid participating in overhead activities or any strengthening activities that affect the upper quadrant area.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Muscle activity of neck and scapular muscle activity. Timepoint: before after corrective exercise implementation. Method of measurement: A portable surface EMG device (DataLog p3X8, Biometrics, UK).</prim_outcome>
      <prim_outcome>Neck range of motion. Timepoint: Before training and one week after the end of the training program. Method of measurement: Neck range of motion assessed in sagittal plane by Universal goniometer (baseline, USA).</prim_outcome>
      <prim_outcome>Head angle. Timepoint: Before training and one week after the end of the training program. Method of measurement: by A digital camera ( sony 14 megapixel, Japan) according photogrammetric method.</prim_outcome>
      <prim_outcome>Isiokinetic strength of shoulder. Timepoint: Before training and one week after the end of the training program. Method of measurement: shoulder strength was measured at 45 degree of shoulder abduction and 90 degree of elbow flexion by isokinetic dynamometer ( biodex system 4 ).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>university of Isfahan</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-02-24</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Azadi Sq., Isfahan university, sport science faculty Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
