<?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>IRCT20180727040609N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-08-10</date_registration>
      <primary_sponsor>University of Tehran</primary_sponsor>
      <public_title>Comparison of two static and dynamic training methods to improve upper cross syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the effect of static and dynamic corrective exercises on alignment, pain, and quality of life in people with upper cross syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-10-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/78073</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this research, researchers employed block randomization to divide patients into three distinct groups. This method involves partitioning patients into smaller subgroups called blocks, followed by random assignment to the primary research groups (static exercises, dynamic exercises, and control). The primary objective of this approach is to ensure balance among groups and minimize the influence of confounding variables on the research outcomes.

Methodology:

1. Patient Numbering: Each patient is assigned a unique identification number.
2. Web-Based Software Utilization: To streamline the randomization process, a specialized web application named "Research Randomizer" is utilized. This software employs random algorithms to automatically allocate patients to groups.
3. Block Division: Patients are divided into 8 blocks: 7 blocks of 6 individuals each and 1 block of 3. This division aims to maintain balance among groups within each block.
4. Group Assignment: Within each block, patients are sequentially assigned to groups A, B, and C. This sequence is randomly determined by the web application.
5. Formation of Primary Groups: Ultimately, patients from all blocks are combined to form three primary groups of 15 individuals each: the static exercise group, the dynamic exercise group, and the control group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Upper cross syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Static exercises as an exercise intervention are based on isometric contractions and maintaining a fixed muscle position (in addition to doing simple stretching exercises.). In this treatment protocol, patients perform exercises for eight weeks, three sessions of forty-five to sixty minutes per week under the direct supervision of relevant specialists. The equipment used in this program includes Swiss ball, resistance bands (Traband) and light weights. The number of movements in each session varies from six to twelve and increases during the sessions according to the progress and adaptation of the patient. Intervention 2: Intervention group: Dynamic exercises as an effective therapeutic intervention are based on dynamic movements and isotonic contractions (in addition to doing simple stretching exercises.). In this treatment protocol, patients perform exercises for eight weeks, three sessions of forty-five to sixty minutes per week, under the direct supervision of relevant specialists. The equipment used in this program includes Swiss ball, resistance bands (Traband) and light weights. The number of movements in each session varies from six to twelve and increases during the sessions according to the progress and adaptation of the patient. The purpose of this program is to strengthen muscles, improve flexibility, increase muscle strength and coordination, and ultimately improve the physical performance of patients. Intervention 3: Control group: Do simple stretching exercises.</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:
All information obtained from this research will be freely available to researchers and interested parties through university databases and authoritative scientific articles.

When:
6 to 15 months after the completion of the research project.

To whom:
All researchers, therapists and specialists.

Conditions:
With the aim of facilitating the improvement of the level of academic research and improving the treatment of patients by therapists, researchers and specialists.

Where to obtain:
Dr. Arash Khalidi, Faculty of Physical Education, University of Tehran (Tehran - North Kargar St. - above Jalal Al Ahmad Intersection - between 15th and 16th St. - in front of Tehran University Koi).
Email: arashkhaledi666@gmail.com

How to obtain:
As soon as the scientific articles are published, all relevant findings and data that can help to advance research and improve treatment methods will be available to the scientific community.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Arash Khaledi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Physical Education and Sport Sciences, between 15th and 16th St., North Kargar st., Tehran, Islamic Republic</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1439813117</zip>
        <telephone>+98 21 8835 1730</telephone>
        <email>arashkhaledi666@gmail.com</email>
        <affiliation>University of Tehran</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hooman Minoonejad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Physical Education and Sport Sciences, between 15th and 16th St., North Kargar st., Tehran, Islamic Republic</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1439813117</zip>
        <telephone>+98 21 8835 1730</telephone>
        <email>H.minoonejad@ut.ac.ir</email>
        <affiliation>University of Tehran</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>People with upper cross syndrome
Absence of any history of spine surgery
Absence of pathological records (disease) of the spine
Absence of orthopedic and neurological injuries
Absence of structural or functional shortness of more than 2 cm in one of the lower limbs</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Observing any pathological symptoms
History of fracture
History of surgery
Joint diseases
Absence of any damage in the cervical spine, back and shoulder girdle</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M40.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Postural kyphosis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Static exercises as an exercise intervention are based on isometric contractions and maintaining a fixed muscle position (in addition to doing simple stretching exercises.). In this treatment protocol, patients perform exercises for eight weeks, three sessions of forty-five to sixty minutes per week under the direct supervision of relevant specialists. The equipment used in this program includes Swiss ball, resistance bands (Traband) and light weights. The number of movements in each session varies from six to twelve and increases during the sessions according to the progress and adaptation of the patient.</i_keyword>
      <i_keyword>Intervention group: Dynamic exercises as an effective therapeutic intervention are based on dynamic movements and isotonic contractions (in addition to doing simple stretching exercises.). In this treatment protocol, patients perform exercises for eight weeks, three sessions of forty-five to sixty minutes per week, under the direct supervision of relevant specialists. The equipment used in this program includes Swiss ball, resistance bands (Traband) and light weights. The number of movements in each session varies from six to twelve and increases during the sessions according to the progress and adaptation of the patient. The purpose of this program is to strengthen muscles, improve flexibility, increase muscle strength and coordination, and ultimately improve the physical performance of patients.</i_keyword>
      <i_keyword>Control group: Do simple stretching exercises.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Kyphosis angle. Timepoint: It is evaluated at the beginning of the research and after 8 weeks, that is, before and after the treatment. Method of measurement: The kyphosis angle is measured using a flexible ruler.</prim_outcome>
      <prim_outcome>Forward head angle. Timepoint: It is evaluated at the beginning of the research and after 8 weeks, that is, before and after the treatment. Method of measurement: The forward angle of the head is done using the photogrammetry method (photographing from the side view).</prim_outcome>
      <prim_outcome>The forward shoulder angle. Timepoint: It is evaluated at the beginning of the research and after 8 weeks, that is, before and after the treatment. Method of measurement: The forward shoulder angle is done using the photogrammetric method (side view photography).</prim_outcome>
      <prim_outcome>Quality of Life. Timepoint: It is evaluated at the beginning of the research and after 8 weeks, that is, before and after the treatment. Method of measurement: Using Short Form Health Survey questionnaire (SF-36).</prim_outcome>
      <prim_outcome>Pain. Timepoint: It is evaluated at the beginning of the research and after 8 weeks, that is, before and after the treatment. Method of measurement: Pain is assessed using a Visual Analogue Scale (VAS).</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 Tehran</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-07-08</approval_date>
        <contact_name>Faculty of Physical Education and Sports Sciences, University of Tehran</contact_name>
        <contact_address>Heran - Northern Kargar St. - above Jalal Al Ahmad Intersection - between 15th and 16th Streets - in front of Tehran University Koi Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
