<?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>IRCT20181228042157N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-09-02</date_registration>
      <primary_sponsor>Central Province Electricity Distribution Company</primary_sponsor>
      <public_title>The Effects of an eight weeks selective corrective exercises program on the worker's productivity with the upper crossed syndrome – a randomized controlled trial</public_title>
      <acronym>UCS</acronym>
      <scientific_title>The Effects of an eight weeks selective corrective exercises program on the worker's productivity with the upper crossed syndrome – a randomized controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-07-18</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/36393</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: To ensure the unbiased allocation of participants, the randomization process was done by lottery. Participants who met the inclusion criteria were placed in two intervention groups or control groups. Allocation concealment was implemented using sequentially numbered, opaque, and sealed envelopes. Each envelope contained a sheet showing the group assignment. Before the study, all envelopes were prepared and sealed by an independent researcher who was not involved in participant recruitment or data collection. After obtaining informed consent, participants were enrolled in the study and envelopes were opened sequentially to determine group assignment. Participants were then informed about their assigned group. The procedure was conducted by a researcher who was not involved in the recruitment or assessment of participants, Blinding description: The outcome assessor was trained to conduct assessments in a standardized manner. Outcome measures were used objectively to reduce subjectivity and bias, which included a standard questionnaire, objective measurement of kyphosis, round shoulder, and forward overturning. The outcome assessor was unaware of which participants belonged to the intervention or control group. The evaluator was asked not to talk to the participants more than the explanations needed to perform the tests and they were not allowed to ask the subjects questions about the study.
  The analyzer was not aware of the participants' group assignments, and the information of the groups was provided to the analyzer with code 1 and 2 for the groups and a specific code for each participant.</study_design>
      <phase>N/A</phase>
      <hc_freetext>upper crossed syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the experimental group, participants received a selective corrective exercise program designed to address musculoskeletal abnormalities associated with upper crossed syndrome (UCS). The training program consisted of stretching, strengthening, and stabilization exercises. The exercises were based on established protocols and recommendations for correcting UCS and were tailored to target specific muscle groups involved in the syndrome, such as the forward head (FH), round shoulder (RS), and kyphosis (KY).The intervention program was conducted for a duration of eight weeks, with three sessions per week. Each training session lasted approximately 50 minutes. The exercises were performed under the guidance of trained instructors and were supervised by the research team. Standard warm-up and cool-down routines were implemented at the beginning and end of each session, respectively. The program progression involved different phases. The initial phase, lasting two weeks, focused on gradually increasing the duration of exercise holds, ranging from seven sets of 10 seconds hold to 10 sets of 15 seconds hold. In the improvement phase, lasting several weeks, the activities were performed with increasing repetitions, starting from five sets of ten repetitions and progressing to six sets of 15 repetitions. Finally, the maintenance phase, which spanned the last two weeks of the program, with the aim of maintaining the achieved progress, the exercises were performed at a constant level. Intervention 2: Control group: The control group did not receive any specific corrective exercise program. Participants in this group were instructed to continue with their usual daily activities and work routines without any interventions.</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 More information is not available.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Shahnaz Shahrjerdi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Arak, Basij Square, Arak University, Faculty of Sports Sciences</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3815688349</zip>
        <telephone>+98 86 3262 9024</telephone>
        <email>shahrjerdi.shahnaz@gmail.com</email>
        <affiliation>Arak University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shahnaz Shahrjerdi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sardasht, Basij Square, Arak University, Faculty of Sports Sciences</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3815688349</zip>
        <telephone>+98 86 3262 9024</telephone>
        <email>shahrjerdi.shahnaz@gmail.com</email>
        <affiliation>Arak University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Forward head less than 46 °
Round shoulder greater than 52 °
Kyphosis greater than 42 °
Informed consent of the participants
Age requirement between 20 and 55 years
Absence of pregnancy in female participants</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>55 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Participants who had undergone recent surgical interventions on the head, neck, shoulders, or spine that may have interfered with the exercise program or affected the study results were excluded.
Individuals with severe physical limitations or disabilities that prevent them from participating in an exercise program or performing required corrective exercises do not meet the inclusion criteria.</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>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In the experimental group, participants received a selective corrective exercise program designed to address musculoskeletal abnormalities associated with upper crossed syndrome (UCS). The training program consisted of stretching, strengthening, and stabilization exercises. The exercises were based on established protocols and recommendations for correcting UCS and were tailored to target specific muscle groups involved in the syndrome, such as the forward head (FH), round shoulder (RS), and kyphosis (KY).The intervention program was conducted for a duration of eight weeks, with three sessions per week. Each training session lasted approximately 50 minutes. The exercises were performed under the guidance of trained instructors and were supervised by the research team. Standard warm-up and cool-down routines were implemented at the beginning and end of each session, respectively. The program progression involved different phases. The initial phase, lasting two weeks, focused on gradually increasing the duration of exercise holds, ranging from seven sets of 10 seconds hold to 10 sets of 15 seconds hold. In the improvement phase, lasting several weeks, the activities were performed with increasing repetitions, starting from five sets of ten repetitions and progressing to six sets of 15 repetitions. Finally, the maintenance phase, which spanned the last two weeks of the program, with the aim of maintaining the achieved progress, the exercises were performed at a constant level.</i_keyword>
      <i_keyword>Control group: The control group did not receive any specific corrective exercise program. Participants in this group were instructed to continue with their usual daily activities and work routines without any interventions.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Work productivity. Timepoint: Before the start of the intervention and  nine weeks after the intervention. Method of measurement: Work Productivity and Activity Impairment-General Health (WPAI-GH) questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Forward head scale. Timepoint: At the beginning of the study and nine weeks after the study. Method of measurement: Goniometer.</sec_outcome>
      <sec_outcome>Round shoulder scale. Timepoint: At the beginning of the study and nine weeks after the study. Method of measurement: Goniometer.</sec_outcome>
      <sec_outcome>Kyphosis angle. Timepoint: At the beginning of the study and nine weeks after the study. Method of measurement: flexible ruler.</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>Central Province Electricity Distribution Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-04-08</approval_date>
        <contact_name>Arak University of Medical Science</contact_name>
        <contact_address>Arak, Basij Square, Arak University of Medical Science Arak Markazi Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
