]>
IRCT20110803007211N2 IRCT 2024-12-30 Research Deputy of Hakim Nizami Higher Education Institute in Quchan Investigating the Impact of 8 Weeks of Comprehensive Corrective Water and Land Exercises on Females with Upper Crossed Syndrome Investigating the Impact of 8 Weeks of Comprehensive Corrective Water and Land Exercises on Females with Upper Crossed Syndrome 2025-01-09 anticipated 60 Complete https://irct.ir/trial/79460 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In the initial screening, 108 women with suspected signs of forward head, forward shoulder, and increased kyphosis postures will be identified through observation of posture using a checkerboard from the side view. The subjects' abnormalities (forward head angle, forward shoulder angle, and kyphosis angle) will then be evaluated using specialized tools and methods. Of these, 74 women who simultaneously have a forward head angle of more than 46 degrees, a forward shoulder angle of more than 52 degrees, and a kyphosis angle of more than 54 degrees will be considered to have UCS. A total of 60 women with UCS will be randomly selected and divided into three groups: land-based comprehensive corrective exercises (N=20), water-based comprehensive corrective exercises (N=20), and a control group (N=20), Blinding description: Participants, evaluators, and analysts will be blinded to study group allocation, while researchers will be aware of the specific exercises each group will receive. N/A Upper crossed syndrome (UCS). Intervention 1: The first intervention group: Land-based Comprehensive Corrective Exercise Program: The 8-week land-based comprehensive corrective exercise program will consist of 3 weekly sessions, each lasting 30-60 minutes. It will be performed under the supervision of a corrective exercise specialist in a corrective exercise clinic. Each session will include four types of combination exercises (strengthening, stretching, and mobility). Five minutes will be dedicated to warming up and cooling down before and after each session. The exercises will be designed based on the individual characteristics of each person. They will follow the principle of gradual overload, meaning that the number of repetitions and the duration of each movement will gradually increase over eight weeks. Specifically, the duration of holding the movements will increase from 5 to 15 seconds, and the number of repetitions per set will increase from 6 to 12. Additionally, the diameter of the foam rolls will increase from 15 cm to 20 cm and finally to 30 cm. Intervention 2: Intervention group 2: Water-based comprehensive corrective exercises: The 8-week water-based corrective exercise protocol was designed based on the findings of Vladimir Janda's studies. These corrective exercises were performed in water for women with UCS under the supervision of a corrective exercise specialist. Based on previous research, the treatment of muscle imbalance was carried out in three stages in the pool(31). In the environmental normalization (inhibition) stage, trigger points were treated with water massage and myofascial release of tight muscles using foam rolling. In the muscle balance restoration stage, static stretches addressed muscle tightness and corrective breathing pattern exercises for the respiratory muscles (pectoralis major and scalenes) that become tight in UCS. Then, strengthening exercises were performed to address muscle weakness, as well as proprioceptive and motor exercises for the joints of the neck and shoulder area. The last stage of the exercise was the functional (integration) stage, in which individuals participated in a ball game in the water while maintaining correct posture. The exercise program was conducted for eight weeks and consisted of three sessions per week. Each session included 10-15 minutes of warm-up, 35-45 minutes of comprehensive corrective exercise, and 5-10 minutes of cool-down. Intervention 3: Control group: Control group continued their usual daily activities. At the end of the intervention, measurements were repeated, and the data were analyzed. Yes - There is a plan to make this available What will be shared: The data files will be available to researchers after the publication of the abstracted article When: After publication the article To whom: Other researchers Conditions: There are no special conditions Where to obtain: All researchers How to obtain: Upon receiving a formal request for data or documentation, the process will involve review and approval by the corresponding author. Once the request is approved, the required data and documents will be prepared and provided to the requester within one week. This process includes thoroughly reviewing the request, preparing the data, and ensuring that the information provided aligns with the original request. Comments:
public Karim Khalaghi
Opposite Saipa Dealership, Quchan-Mashhad Sento Road
Qochan Iran (Islamic Republic of) 9471787194 +98 51 4721 1773 karim.khalaghi@yahoo.com Hakim Nizami Qochan Institute of Higher Education scientific karim khalaghi
Opposite Saipa Dealership, Quchan-Mashhad Sento Road
Qochan Iran (Islamic Republic of) 9471787194 +98 51 4721 1773 karim.khalaghi@yahoo.com Hakim Nizami Qochan Institute of Higher Education Iran (Islamic Republic of) Participants had to simultaneously have postural abnormalities such as kyphosis, Forward Head Posture, and Rounded Shoulders and express a willingness to participate. 30 years 40 years Female M95.8 Other acquired deformities of musculoskeletal system and connective tissue Rehabilitation Rehabilitation Rehabilitation The first intervention group: Land-based Comprehensive Corrective Exercise Program: The 8-week land-based comprehensive corrective exercise program will consist of 3 weekly sessions, each lasting 30-60 minutes. It will be performed under the supervision of a corrective exercise specialist in a corrective exercise clinic. Each session will include four types of combination exercises (strengthening, stretching, and mobility). Five minutes will be dedicated to warming up and cooling down before and after each session. The exercises will be designed based on the individual characteristics of each person. They will follow the principle of gradual overload, meaning that the number of repetitions and the duration of each movement will gradually increase over eight weeks. Specifically, the duration of holding the movements will increase from 5 to 15 seconds, and the number of repetitions per set will increase from 6 to 12. Additionally, the diameter of the foam rolls will increase from 15 cm to 20 cm and finally to 30 cm Intervention group 2: Water-based comprehensive corrective exercises: The 8-week water-based corrective exercise protocol was designed based on the findings of Vladimir Janda's studies. These corrective exercises were performed in water for women with UCS under the supervision of a corrective exercise specialist. Based on previous research, the treatment of muscle imbalance was carried out in three stages in the pool(31). In the environmental normalization (inhibition) stage, trigger points were treated with water massage and myofascial release of tight muscles using foam rolling. In the muscle balance restoration stage, static stretches addressed muscle tightness and corrective breathing pattern exercises for the respiratory muscles (pectoralis major and scalenes) that become tight in UCS. Then, strengthening exercises were performed to address muscle weakness, as well as proprioceptive and motor exercises for the joints of the neck and shoulder area. The last stage of the exercise was the functional (integration) stage, in which individuals participated in a ball game in the water while maintaining correct posture. The exercise program was conducted for eight weeks and consisted of three sessions per week. Each session included 10-15 minutes of warm-up, 35-45 minutes of comprehensive corrective exercise, and 5-10 minutes of cool-down Control group: Control group continued their usual daily activities. At the end of the intervention, measurements were repeated, and the data were analyzed. 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). Educational and Research Affairs, Hakim Nizami Qochan Institute of Higher Education Approved 2024-11-05 Human Ethics Research Committee of the Sport Sciences Research Institute of Iran No. 3, 5th Alley, Miremad Street, Motahhari Street, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)