<?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>IRCT20110803007211N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-12-31</date_registration>
      <primary_sponsor>Research Deputy of Hakim Nizami Higher Education Institute in Quchan</primary_sponsor>
      <public_title>The Effect of Ergonomics Education and Corrective Exercises on Improving Men's Posture</public_title>
      <acronym>UCS</acronym>
      <scientific_title>The Effect of 8 Weeks of Ergonomics Education and Corrective Exercises on Upper Crossed Syndrome in Men</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-01-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>32</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/81008</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Supportive, Randomization description: In this study, simple randomization with individual allocation will be used. The random allocation sequence will be generated using statistical software and sealed, numbered envelopes will be prepared to ensure allocation concealment. Participants, after initial assessment and confirmation of inclusion and exclusion criteria, will randomly receive an envelope that will determine their group assignment. This process will be designed to prevent those responsible for enrollment or initial assessments from knowing the group assignments, thereby minimizing the risk of bias, Blinding description: In this study, only the participants will be blinded to the group allocation (intervention or control). Group allocation will be performed by an independent individual who will not be involved in data collection. Participants will not be informed about the type of intervention they will receive, but the researchers will be aware of the group assignments. Outcome assessments will be conducted by independent evaluators who will remain unaware of the group allocation to prevent any potential bias. All ethical principles, including ensuring participants are fully informed about their involvement in the study and obtaining informed consent, will be strictly adhered to.</study_design>
      <phase>1</phase>
      <hc_freetext>Upper Crossed Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Ergonomics Education**  Four one-hour bi-weekly sessions were conducted at the gym by a corrective exercise specialist, covering ergonomics basics, risk factors for musculoskeletal disorders, computer work impacts, prevention methods, and proper workplace adjustments.                                                                                       Corrective Exercises: Supervised gym sessions included a 5–10-minute warm-up, stretching for shortened muscles (chest, hip flexors, upper trapezius, etc.), and strengthening for weak muscles (shoulder stabilizers, deep neck flexors, posterior spine extensors) over 8 weeks. Intervention 2: Control group: The control group in this study received no intervention and continued with their daily routines.</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:
Data on the effect of 8 weeks of ergonomics education and corrective exercises on Upper Crossed Syndrome (UCS) in men. Includes posture data (kyphosis, forward head, shoulders), muscle measurements, and questionnaire responses for 32 participants (16 intervention, 16 control) in Excel or SPSS format. Data will be available one week after a formal request and adherence to ethical conditions.

When:
The data will be accessible one week after the request is submitted.

To whom:
All researchers

Conditions:
Data can be used for scientific and educational purposes while adhering to ethical research principles and maintaining participant confidentiality.

Where to obtain:
For access to the data or documentation of this study, you can contact the corresponding author.

How to obtain:
To access the data, contact the corresponding author and submit a formal request outlining the purpose and intended use.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Karim Khalaghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Opposite Saipa Dealership, Quchan-Mashhad Sento Road</address>
        <city>Qochan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9471787194</zip>
        <telephone>+98 51 4721 1773</telephone>
        <email>karim.khalaghi@yahoo.com</email>
        <affiliation>Hakim Nizami Qochan Institute of Higher Education</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>karim khalaghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Opposite Saipa Dealership, Quchan-Mashhad Sento Road</address>
        <city>Qochan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9471787194</zip>
        <telephone>+98 51 4721 1773</telephone>
        <email>karim.khalaghi@yahoo.com</email>
        <affiliation>Hakim Nizami Qochan Institute of Higher Education</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>age range of 18 to 30 years
posterior kyphosis greater than 42 degrees
forward head posture greater than 45 degrees
forward shoulder posture greater than 52 degrees
absence of any pathological symptoms such as a history of fracture, surgery, and spinal diseases</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>30 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>presence of pathological symptoms, such as a history of surgery, fracture, or spinal joint disease
regular physical activity</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M95.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other acquired deformities of musculoskeletal system and connective tissue</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: Ergonomics Education**  Four one-hour bi-weekly sessions were conducted at the gym by a corrective exercise specialist, covering ergonomics basics, risk factors for musculoskeletal disorders, computer work impacts, prevention methods, and proper workplace adjustments.                                                                                       Corrective Exercises: Supervised gym sessions included a 5–10-minute warm-up, stretching for shortened muscles (chest, hip flexors, upper trapezius, etc.), and strengthening for weak muscles (shoulder stabilizers, deep neck flexors, posterior spine extensors) over 8 weeks.</i_keyword>
      <i_keyword>Control group: The control group in this study received no intervention and continued with their daily routines.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Upper crossed syndrome (UCS). Timepoint: At the beginning of the study (before the start of the intervention) and at the end of the study (8 weeks after the intervention). Method of measurement: Thoracic Kyphosis Angle: The Corrective Exercise Specialist will take measurements to assess the thoracic kyphosis angle. They will use a 50 cm long and 2 cm wide flexible ruler to measure the T2 and T12 vertebrae angle (24, 25). To find the T2 vertebra, the specialist will ask the participant to bend their head, identifying the spinous process of the T2 vertebra by first locating the C7 spinous process. They will mark the starting point of the kyphosis curve at the T2 vertebra and will use the Hoppenfeld method to determine the T12 vertebra (26). Individuals with a kyphotic angle greater than 46.83 degrees will be classified as having an increased kyphotic deformity. Rounded Shoulder Angle: The rounded shoulder angle (RSA) will be measured from the vertically posterior line to a line connecting the C7 and acromial markers (27). A shoulder angle of more than 52 degrees will be considered an RS deformity (22). Forward Head Angle: The forward head angle (FHA) will be measured from the vertical anterior to a line connecting the tragus and the C7 marker. In this method, an ideal head angle will be considered less than 36 degrees, while an angle of more than 46 degrees will be regarded as an abnormality (22) (Figure 2). The intraday reliability for FHA and RSA will show acceptable within-day reliability (FHA: Intraclass Correlation Coefficient (ICC)(2,1) = 0.92, Standard Error of the Mean (SEM) = 2; RSA ICC(2,1) = 0.89, SEM = 5) based on this sub-sample (28).</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>Educational and Research Affairs, Hakim Nizami Qochan Institute of Higher Education</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-11-05</approval_date>
        <contact_name>کمیته اخلاق در پژوهش‌های انسانی پژوهشگاه علوم ورزشی ایران</contact_name>
        <contact_address>No. 3, 5th Alley, Miremad Street, Motahhari Street, Tehran, Iran. Iranshahr Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
