<?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>IRCT20240702062312N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-01-23</date_registration>
      <primary_sponsor>Razi university</primary_sponsor>
      <public_title>effectiveness of  aquatic and land HIIT on knee function and quality of life in  soccer players with patellofemural pain syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the effectiveness of  aquatic and land HIIT on knee function and quality of life in young male soccer players with patellofemural pain syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-01-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/88440</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Randomization description: This study is designed as a randomized controlled clinical trial with an individual-level unit of randomization. A total of 40 eligible participants, after careful verification of the inclusion and exclusion criteria, completion of baseline assessments, and provision of written informed consent, will be randomly allocated to one of four study groups: control, aquatic exercise, land-based exercise, and combined exercise.
Participants will be assigned to the study groups using a simple randomization method, with an equal allocation ratio of 1:1:1:1. Each participant will therefore have an equal and independent probability of being allocated to any of the four groups. The random allocation sequence will be generated using a computer-based random number generation procedure implemented in SPSS statistical software (version 26).
The generation of the randomization sequence will be performed by an independent researcher who is not involved in participant recruitment, baseline assessment, intervention delivery, or data analysis. 
To minimize the risk of selection bias and to preserve internal validity, strict allocation concealment will be maintained until the point of final group assignment. The randomization results will be placed in sequentially numbered, opaque, sealed, and light-impermeable envelopes prepared by the independent researcher. These envelopes will be securely stored and opened strictly in the order of participant enrollment.
The investigator responsible for participant recruitment and baseline assessments will remain blinded to the allocation sequence and group assignments until the envelope corresponding to the enrolled participant is opened. Each envelope will be opened only after eligibility confirmation, completion of baseline measurements, and signing of the informed consent form. This procedure ensures that neither the investigators nor the participants can predict or influence group assignment.
Due to the nature of the exercise interventions, blinding of participants and intervention providers is not feasible. However, where possible, outcome assessments will be conducted by an independent assessor who is blinded to group allocation in order to minimize detection bias. All procedures related to randomization, allocation concealment, and group assignment will be fully documented and made available for review by the Ethics Committee or relevant regulatory authorities upon request.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Patellofemoral Pain Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  aquatic training group performed 8 weeks of high-intensity interval training in water, including 4 movements (stationary running, cross-country skiing, jumping jacks, and frontal kicks) in 8 sets, with 2 minutes of high-intensity interval training per set and 2 minutes of active rest between each set. Intervention 2: Intervention group: Lanland-based HIIT (ergometer cycling at 85–95% HRmax), 8 weeks of training on a stationary bike on land. Intervention 3: Intervention group: Combined group, one week of training in water and one week of training on land, aquatic training 4 weeks of high-intensity interval training in water, including 4 movements (stationary running, cross-country skiing, jumping jacks, and frontal kicks) in 8 sets, with 2 minutes of high-intensity interval training per set and 2 minutes of active rest between each set and 4 weeks of land training -based HIIT (ergometer cycling at 85–95% HRmax). Intervention 4: Control group: This group does not receive any intervention and only participates in measurements.</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:
En Part of the data, such as average age, gender,the average of the body mass index and results of the outcome have the possibility of sharing

When:
6 months after the print results

To whom:
Researcher people in Academic and scientific institutions

Conditions:
Just to compare with similar research using the documentation permitted

Where to obtain:
By email to Nasser Rostamzadeh 
naserrostamzadeh806@gmail.com

How to obtain:
After you send the request via e-mail, lasts for 2 months

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Naser Rostamzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.1,Zibashahr Ave., Baharan Town</address>
        <city>Sanandaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6617881554</zip>
        <telephone>+98 87 3371 1530</telephone>
        <email>naserrostamzadeh806@gmail.com</email>
        <affiliation>university of kurdistan</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Naser Rostamzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.1,Zibashahr Ave., Baharan Town</address>
        <city>Sanandaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6617881554</zip>
        <telephone>+98 87 3371 1530</telephone>
        <email>naserrostamzadeh806@gmail.com</email>
        <affiliation>university of kurdistan</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Men with knee pain syndrome for at least six months in both legs
Absence of any other symptoms of illness
No history of trauma, injury, or surgery in the past three months
Age between 20 and 40 years
No addiction to tobacco or alcohol, no use of intra-articular injections in the past three months
No use of painkillers or dietary supplements in the past three months and no history of joint-threatening diseases</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>40 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Failure to attend training sessions regularly and becoming ill
Any spinal problems
Recent surgery, any musculoskeletal problems (such as fractures, bursitis)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Lifestyle</i_code>
      <i_code>Lifestyle</i_code>
      <i_code>Lifestyle</i_code>
      <i_code>Lifestyle</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:  aquatic training group performed 8 weeks of high-intensity interval training in water, including 4 movements (stationary running, cross-country skiing, jumping jacks, and frontal kicks) in 8 sets, with 2 minutes of high-intensity interval training per set and 2 minutes of active rest between each set.</i_keyword>
      <i_keyword>Intervention group: Lanland-based HIIT (ergometer cycling at 85–95% HRmax), 8 weeks of training on a stationary bike on land</i_keyword>
      <i_keyword>Intervention group: Combined group, one week of training in water and one week of training on land, aquatic training 4 weeks of high-intensity interval training in water, including 4 movements (stationary running, cross-country skiing, jumping jacks, and frontal kicks) in 8 sets, with 2 minutes of high-intensity interval training per set and 2 minutes of active rest between each set and 4 weeks of land training -based HIIT (ergometer cycling at 85–95% HRmax)</i_keyword>
      <i_keyword>Control group: This group does not receive any intervention and only participates in measurements</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Knee pain. Timepoint: Before starting the protocol and again after  2 months training. Method of measurement: VAS Questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Functional performance. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: hop test.</sec_outcome>
      <sec_outcome>Lower strength. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: one repetition maximum (leg press).</sec_outcome>
      <sec_outcome>Upper strength. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: one repetition maximum (chest press).</sec_outcome>
      <sec_outcome>Speed. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: 20m test.</sec_outcome>
      <sec_outcome>Dynamic balance. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: Y test.</sec_outcome>
      <sec_outcome>Quality of life. Timepoint: Before starting the protocol and again after 2 months training. Method of measurement: SF-36 Questionnaire.</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>Razi university</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-03-06</approval_date>
        <contact_name>Ethics committee of Kermanshah Razi University</contact_name>
        <contact_address>university street Kermanshah Kermanshah Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
