<?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>IRCT20220206053950N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-05-07</date_registration>
      <primary_sponsor>Zanjan University of Medical Sciences</primary_sponsor>
      <public_title>Effectiveness of Isometric Exercises on Disability and Pain</public_title>
      <acronym></acronym>
      <scientific_title>Effectiveness of Isometric Exercises on Disability and Pain of Cervical Spondylosis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2017-01-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>22</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/61748</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Exercise therapy group performs home-based neck isometric strengthening exercises 6 days a week for 4 consecutive weeks as 3 sets/day (morning, afternoon, evening), Each set consists of 6 movements, holding each movement for 10 seconds, and repeating each 5 times with a 5-second rest between each of them, Randomization description: Microsoft Excel program was used to allocate participants randomly to each group using Blocked randomization with randomly varying blocks (block size 4 and 8). Concealed opaque envelopes identifying the assignments to each group were randomly chosen by participants, Blinding description: Initially, the outcome assessor, who is blind to the allocation of the study groups, evaluated all study participants in terms of clinical outcomes. Participants then go to the therapist with an envelope containing their random allocation for intervention. The therapist is an experienced physiotherapist and exercise therapist who is not blind group allocations. The therapist is not involved in other parts of the study. Then, depending on the allocation of the participants, the therapist either teaches them the exercises (intervention group) or does not teach them (control group).
After four weeks, the clinical outcomes are re-evaluated by the same clinical outcome assessor and the data are collected and made available to data analysts who are blind to group allocations. It should be noted that, given the nature of the intervention, which is a type of exercise therapy, and the fact that the control group did not receive any intervention, it was naturally not possible to blind the participants and the therapist during the clinical trial.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Cervical spondylosis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: received home-based neck isometric strengthening exercises 6 days a week for 4 consecutive weeks as 3 sets/day (morning, afternoon, evening), Each set consisted of 6 movements, holding each movement for 10 seconds, and repeating each 5 times with a 5-second rest between each of them. Intervention 2: Control group: did not receive the intervention during this period.</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 There is no more information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mina Rostami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 4511, Helal 1Alley, Avesta Ave., Phase 3, Golshahr Town</address>
        <city>Zanjan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4514151659</zip>
        <telephone>+98 991 207 7996</telephone>
        <email>mina.rostami1373@gmail.com</email>
        <affiliation>Zanjan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mina Rostami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 4511, Helal 1Alley, Avesta Ave., Phase 3, Golshahr Town</address>
        <city>Zanjan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4514151659</zip>
        <telephone>+98 991 207 7996</telephone>
        <email>mina.rostami1373@gmail.com</email>
        <affiliation>Zanjan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients &gt;18 years
Clinical findings of cervical spondylosis (mild to moderate) such as stiffness, chronic neck weakness, radicular or non-radicular neck pain
Chronic pain (at least 3 months)
Without acute cervical nerve root compression
Without surgical indications
With a physical examination compatible with cervical spondylosis and with signs on cervical magnetic resonance imaging (MRI) compatible with cervical spondylosis
Not receiving exercise therapy or physiotherapy during the 6 weeks prior to the study</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>A history of neck surgery over the past year
A history of inflammatory diseases involving the neck joints myelopathy
A history of fractures or dislocations of the cervical vertebrae
Pregnant women
Either patients who did not have a good compliance with the intervention or had difficulty following the study
A history of myelopathy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M47.812</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Spondylosis without myelopathy or radiculopathy, cervical region</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: received home-based neck isometric strengthening exercises 6 days a week for 4 consecutive weeks as 3 sets/day (morning, afternoon, evening), Each set consisted of 6 movements, holding each movement for 10 seconds, and repeating each 5 times with a 5-second rest between each of them.</i_keyword>
      <i_keyword>Control group: did not receive the intervention during this period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cervical disability score on the Neck Disability Index (NDI). Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the initiation of the exercise therapy. Method of measurement: Neck Disability Index (NDI) score.</prim_outcome>
      <prim_outcome>Neck Pain score on the Neck Pain and Disability Scale (NPAD). Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the initiation of the exercise therapy. Method of measurement: The Neck Pain and Disability Scale (NPAD).</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>Zanjan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-12-20</approval_date>
        <contact_name>Ethics committee of Zanjan University of Medical Sciences</contact_name>
        <contact_address>Room No. 22, First Floor, Ethics Committee in Biomedical, Vice-Chancellor for Research and Technology, Azadi Blvd., Zanjan Zanjan Zanjan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
