<?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>IRCT20221215056827N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-12-27</date_registration>
      <primary_sponsor>Bu Ali Sina University</primary_sponsor>
      <public_title>Comparing the effectiveness of stability and combined exercises (stability-respiratory) on adolescents with Upper Cross Syndrome</public_title>
      <acronym></acronym>
      <scientific_title>The effect of combining scapula stabilization exercises and correcting respiratory pattern on muscle activity, alignment and scapular movement pattern in adolescent girls with upper cross syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-12-26</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>44</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/67455</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization takes place based on Random Number Generator software  and is based on the concealment of allocation by the SNOSE method
Double groups will be assigned. Split randomization Tests are done in two stages. First, each of the subjects with Using a lottery, choose a number between 1-30.
Then using Random number generator software between Numbers 1-30, fifteen random numbers are chosen and according to the numbers Produced and selected numbers of subjects in two groups
be, Blinding description: In this study, from outcome assessors (laboratory technicians) were asked
to take the desired tests from the clients. these people will be unaware From the purpose of the research, the allocation of study groups and the reason for their presence in The laboratory and only they evaluate the variables and register Pay their observations. The blinding of the participants will be done in such a way that each of the groups will do their own exercises and in order to achieve the blinding, the members of the two groups will present in the gym on two different days to receive the exercises.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Upper Cross Syndrome deformity.</hc_freetext>
      <i_freetext>Intervention 1: Stabilization exercises group: the desired corrective exercises will last for 8 weeks and each week will be 3 sessions  about 1-hour time . Equipment such as dumbbells, stretch pilates, etc will be used to perform the exercises. The rehabilitation exercises protocol of the present study includes increasing recognition and recalling the activity of weakened muscles and relaxing another group of muscles. In the next stages, when the recognition and calling of the muscles is formed, exercises will be performed at more advanced levels using equipment. Intervention 2: combined exercises (stability-respiratory) group: the exercises in this group will be for 8 weeks and 3 sessions of 1 hour each week, equipment such as dumbbells, stretch pilates, balloons, etc will be used to perform the exercises. Protocol of rehabilitation exercises In this group, in addition to the exercises of the stability group, it will include the modification of the subjects' breathing pattern to the diaphragmatic breathing pattern.</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is No More Information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Nemati</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bu Ali Sina University, Abu Taleb Street, Modares Quarter, Hamedan</address>
        <city>Hamedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3869565178</zip>
        <telephone>+98 81 3838 1423</telephone>
        <email>m.nemti@phe.basu.ac.ir</email>
        <affiliation>Bu Ali Sina University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Nemati</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bu Ali Sina University, Abu Taleb Street, Modares quarter, Hamedan</address>
        <city>Hamedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3869565178</zip>
        <telephone>+98 81 3838 1423</telephone>
        <email>m.nemati@phe.basu.ac.ir</email>
        <affiliation>Bu Ali Sina University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Teenagers who are between 11-18 years old
People with Forward head greater than 44 degrees, rounded shoulders greater than 49 degrees, and kyphosis angle greater than 42 degrees
The subjects participat voluntarily and complet the consent form</inclusion_criteria>
      <agemin>11 years</agemin>
      <agemax>18 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Failure to complete the corrective exercise program or  non-desire to continue the exercise program
Having any abnormality related to the pelvic and lower limbs
Having pathological symptoms, history of fracture, surgery or joint diseases in the spine, shoulder belt and pelvic girdle
Having any physical activity outside of the corrective exercises program that affects the results of the present research</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>Stabilization exercises group: the desired corrective exercises will last for 8 weeks and each week will be 3 sessions  about 1-hour time . Equipment such as dumbbells, stretch pilates, etc will be used to perform the exercises. The rehabilitation exercises protocol of the present study includes increasing recognition and recalling the activity of weakened muscles and relaxing another group of muscles. In the next stages, when the recognition and calling of the muscles is formed, exercises will be performed at more advanced levels using equipment.</i_keyword>
      <i_keyword>combined exercises (stability-respiratory) group: the exercises in this group will be for 8 weeks and 3 sessions of 1 hour each week, equipment such as dumbbells, stretch pilates, balloons, etc will be used to perform the exercises. Protocol of rehabilitation exercises In this group, in addition to the exercises of the stability group, it will include the modification of the subjects' breathing pattern to the diaphragmatic breathing pattern.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Electromyography activity of the scapular stabilizing muscles / forward head / rounded shoulder / kyphosis / scapular movement pattern. Timepoint: Before the start of the intervention, one day after the end of the intervention. Method of measurement: Electromyography device, Kinovea software, flexible ruler, shoulder dyskinesia evaluation form.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Muscle dysfunction. Timepoint: Befor and After Intervention. Method of measurement: Surface electromyography machine Data Log p3 X8 model.</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>Bu Ali Sina University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-03-08</approval_date>
        <contact_name>Ethical Committee of Bu Ali Sina University</contact_name>
        <contact_address>Bu Ali Sina University, Abu Taleb Street, Modares Quarter, Hamedan Hamedan Hamadan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
