<?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>IRCT20180626040244N6</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-05-06</date_registration>
      <primary_sponsor>Allameh Tabataba'i University</primary_sponsor>
      <public_title>The Effect of Dynamic Neuromuscular Stabilization Exercises on Movement and Muscle Function in Individuals with Hearing Impairment</public_title>
      <acronym></acronym>
      <scientific_title>Investigation of the Effect of Dynamic neuromuscular stabilization (DNS) Exercises on Proprioception, Functional Movement Screening (FMS), Muscle Strength, and Endurance in Individuals with Hearing Impairment</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-05-31</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>22</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/82903</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The simple randomization method, using sealed envelopes, is employed to assign participants to different groups. Each intervention type is written on a card and placed in a sealed envelope. Participants are listed in the order of their enrollment in the study. After each participant is enrolled, the envelopes are shuffled randomly, and each participant is asked to select one envelope at random. The number of envelopes is determined based on the expected sample size, ensuring that each selected envelope is not re-entered into the randomization process. This method ensures that the number of participants in each experimental group is approximately equal, thereby reducing the risk of discrepancies in group sizes.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Hearing impairment.</hc_freetext>
      <i_freetext>Intervention 1: Intervention Group: Participants in this group will engage in a dynamic neuromuscular stability training program over four weeks, with three sessions each week. The program will include exercises performed in various positions: prone, supine, side-lying, side sitting, quadruped, bear crawl, and squats. These exercises are designed to retrain childhood movement patterns, grounded in the principles of developmental kinesiology. Each session will consist of 10 minutes of warm-up, 35 minutes of core exercises (starting with 10 repetitions, which will increase to 12 repetitions with new movements in subsequent sessions), and 5 minutes of cool-down. Throughout the four-week intervention, participants will complete a total of 12 sessions. Intervention 2: Control group:  This group will not receive any exercises from the assessor and will continue their daily routine activities.</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:
After the article is published, raw data without identifying the participants will be available by email to the corresponding author of the article.

When:
After the article is published, raw data without identifying the participants will be available by email to the corresponding author of the article.

To whom:
Any author who needs raw data, with a reason

Conditions:
Any researcher can request data.

Where to obtain:
By email to the responsible author

How to obtain:
By email to the responsible author

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rahman Sheikhhoseini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Sport Sciences, AllamehTabataba'i University, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۸۹۶۸۴۵۱۱</zip>
        <telephone>+98 21 4839 4134</telephone>
        <email>rahman.pt82@gmail.com</email>
        <affiliation>Allameh Tabataba'i University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Rahman Sheikhhoseini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Physical education faculty, Allameh Tabataba'i University, Dehkade Olympic</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1485743411</zip>
        <telephone>+98 21 4839 4134</telephone>
        <email>rahmanhoseini@atu.ac.ir</email>
        <affiliation>Allameh Tabataba'i</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age range: 10 to 15 years old
Boys with a hearing level above 70 decibels
Without participation in any regular exercise routines</inclusion_criteria>
      <agemin>10 years</agemin>
      <agemax>15 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>The history of any orthopedic disease
The history of seizure in the past two years.
Use of medications affecting training and testing</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Q16</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Congenital malformations of ear causing impairment of hearing</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention Group: Participants in this group will engage in a dynamic neuromuscular stability training program over four weeks, with three sessions each week. The program will include exercises performed in various positions: prone, supine, side-lying, side sitting, quadruped, bear crawl, and squats. These exercises are designed to retrain childhood movement patterns, grounded in the principles of developmental kinesiology. Each session will consist of 10 minutes of warm-up, 35 minutes of core exercises (starting with 10 repetitions, which will increase to 12 repetitions with new movements in subsequent sessions), and 5 minutes of cool-down. Throughout the four-week intervention, participants will complete a total of 12 sessions.</i_keyword>
      <i_keyword>Control group:  This group will not receive any exercises from the assessor and will continue their daily routine activities.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Proprioception. Timepoint: Before the study starts and after 4 weeks of exercise intervention. Method of measurement: Inclinometer.</prim_outcome>
      <prim_outcome>Functional Movement Screening (FMS). Timepoint: Before the study starts and after 4 weeks of exercise intervention. Method of measurement: Functional movement screening kit.</prim_outcome>
      <prim_outcome>Strength. Timepoint: Before the study starts and after 4 weeks of exercise intervention. Method of measurement: Handheld dynamometer.</prim_outcome>
      <prim_outcome>Endurance. Timepoint: Before the study starts and after 4 weeks of exercise intervention. Method of measurement: Supine bridge test, side plank, trunk flexors.</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>Allameh Tabataba'i University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-04-30</approval_date>
        <contact_name>Ethics committee of Allameh Tabataba'i University</contact_name>
        <contact_address>West Azadi sports complex entrance, Hakim highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
