<?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>IRCT20210730052025N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-10-08</date_registration>
      <primary_sponsor>University Of Lahore</primary_sponsor>
      <public_title>Effects of Corrective Exercises Versus Muscle energy techniques in treatment of Upper Cross Syndrome.</public_title>
      <acronym></acronym>
      <scientific_title>Comparative Effects of Comprehensive Corrective Exercises versus Muscle Energy techniques in Patients with Upper Cross Syndrome:A Randomized Controlled Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-31</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>52</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57801</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: The participants consisted of 52 men and women aged 20-35 years with the UCS.The duration of exercise protocol was eight weeks and three sessions per week, and each session was about an hour. All exercises were performed under supervision, Randomization description: Participants were randomized using concealed allocation through opening sealed envelops and card inside envelop indicated the group into which participants was randomly allocated, Blinding description: Only the assessor is unaware of the treatment the patients receive.It is advisable that the assessor should not belong to the team performing treatment and therefore not know whether the patient received the intervention 1 or intervention 2.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Neck pain or Upper Cross Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Follow Muscle energy technique with Routine physical                  Therapy.                                                                                                                                      Muscle energy technique will be applied to subjects' cervical spine. The cervical spine brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then subjects were asked to push their heads into the direction opposite that of the barrier. The therapist provided isometric resistance for 3-5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. Three to five repetitions performed.Cervical segmental mobilisation was performed slowly, with varied rhythm and speed. Three sets of grade I-II mobilisation (posterioanterior) with 8-10 repetition for 2- 3 minutes in resting position will be given. Intervention 2: Intervention group 2:Follow Comprehensive Corrective Exercises with Routine physical Therapy.                                                                                                                                             To correct musculoskeletal malalignment by functional approach such as CCEP.Comprehensive corrective exercise: Each exercise session begins with 10 min of warm- up activity and ends with 5 min of cool-down. Selected exercises are designed in three phases:Initial Phase: The initial phase duration is 2 weeks and the exercises will be performed for seven sets of 10-s hold to ten sets of 15-s hold.Improvement Phase: Therefore, during this phase Thera-Bands, weights, and training balls will be used.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is I think this will not risk the patient's health</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hafsa Azam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>159A opf phase 1 Lahore</address>
        <city>Lahore</city>
        <country1>Pakistan</country1>
        <zip>5300</zip>
        <telephone>+92 44 2522066</telephone>
        <email>Pptm02191008@student.uol.edu.pk</email>
        <affiliation>The University of Lahore</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hafsa Azam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>159A opf phase 1 Lahore</address>
        <city>LAHORE</city>
        <country1>Pakistan</country1>
        <zip>5300</zip>
        <telephone>+92 305 8831368</telephone>
        <email>ahfsa6211@gmail.com</email>
        <affiliation>The University of Lahore</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Neck pain history of 4-12 weeks
Both Gender
Age between 20 and 35 years</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Any other spine surgery or trauma</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G71.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other primary disorders of muscles</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 1: Follow Muscle energy technique with Routine physical                  Therapy.                                                                                                                                      Muscle energy technique will be applied to subjects' cervical spine. The cervical spine brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then subjects were asked to push their heads into the direction opposite that of the barrier. The therapist provided isometric resistance for 3-5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. Three to five repetitions performed.Cervical segmental mobilisation was performed slowly, with varied rhythm and speed. Three sets of grade I-II mobilisation (posterioanterior) with 8-10 repetition for 2- 3 minutes in resting position will be given.</i_keyword>
      <i_keyword>Intervention group 2:Follow Comprehensive Corrective Exercises with Routine physical Therapy.                                                                                                                                             To correct musculoskeletal malalignment by functional approach such as CCEP.Comprehensive corrective exercise: Each exercise session begins with 10 min of warm- up activity and ends with 5 min of cool-down. Selected exercises are designed in three phases:Initial Phase: The initial phase duration is 2 weeks and the exercises will be performed for seven sets of 10-s hold to ten sets of 15-s hold.Improvement Phase: Therefore, during this phase Thera-Bands, weights, and training balls will be used.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain, Disability. Timepoint: Before Intervention,after intervention( 8 week) and 4 week after detraining period. Method of measurement: Visual Analogue scale to measure pain and Neck disability Index to measure disability.</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 Lahore</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-09-18</approval_date>
        <contact_name>"Ethics Committee of University Of Lahore"</contact_name>
        <contact_address>159A opf phase 1 Lahore Lahore Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
