IRCT | Comparison of the effect of a course of comprehensive corrective exercises with and without muscle energy technique on shoulder strength and proprioception, balance, respiratory function and posture of girls with upper cross syndrome with respiratory pattern disorder.

Protocol summary

Study aim: Comparison of the effect of a course of comprehensive corrective exercises with and without muscle energy technique on shoulder strength and proprioception, balance, respiratory function and posture of girls with upper cross syndrome with respiratory pattern disorder.
Design: A controlled clinical trial with factorial groups, single-blind, randomized, supportive, on 36 subjects. Simple randomization was used for randomization.
Settings and conduct: This research will be conducted within Kharazmi University, and the exercises will be conducted at the same university, and will be conducted in a pre-test-post-test format.
Participants/Inclusion and exclusion criteria: 1- Girls aged 18 to 25 years 2- Having 3 simultaneous symptoms of kyphosis (angle of 42 degrees and more), forward head (angle of 44 degrees and more), and rounded shoulders (49 degrees and more)[40] 3- Having a respiratory pattern disorder 4- Not having any injury or abnormality affecting the research process with the exception of respiratory pattern disorder and upper crossed syndrome 5- Absence of any pathological pain in the neck and upper limbs 6- Absence of a history of fracture and surgery or joint diseases, especially in the spine, shoulder girdle, and pelvic areas
Intervention groups: Intervention group 1: Receive comprehensive corrective exercises for 8 weeks. Intervention group 2: Receive comprehensive corrective exercises along with manual muscle energy technique for 8 weeks. Control group: These people do not receive any intervention during these 8 weeks.
Main outcome variables: shoulder strength and proprioception, balance, respiratory function and posture

General information

Reason for update
Acronym
IRCT registration information: IRCT registration number: IRCT20251120068054N1

Registration date: 2025-12-02, 1404/09/11

Registration timing: prospective

Last update: 2025-12-02, 1404/09/11

Update count: 0
Registration date: 2025-12-02, 1404/09/11

Registrant information: Name

Aylin Mansury

Name of organization / entity

The University of Kharazmi

Country

Iran (Islamic Republic of)

Phone

+98 21 3626 5011

Email address

aylin.mansury1373@khu.ac.ir

Recruitment status: Recruitment complete
Funding source

Expected recruitment start date: 2025-12-15, 1404/09/24
Expected recruitment end date: 2025-12-20, 1404/09/29
Actual recruitment start date: empty
Actual recruitment end date: empty
Trial completion date: empty

Scientific title: Comparison of the effect of a course of comprehensive corrective exercises with and without muscle energy technique on shoulder strength and proprioception, balance, respiratory function and posture of girls with upper cross syndrome with respiratory pattern disorder.

Public title: Comparison of the effect of a course of comprehensive corrective exercises with and without muscle energy technique on shoulder strength and proprioception, balance, respiratory function and posture of girls with upper cross syndrome with respiratory pattern disorder.
Purpose: Supportive
Inclusion/Exclusion criteria: Inclusion criteria:

Girls aged 18 to 25 years Having 3 simultaneous symptoms of kyphosis (angle of 42 degrees and more), forward head (angle of 44 degrees and more), and rounded shoulders (49 degrees and more) Having a respiratory pattern disorder Confirmation from a specialist physician

Exclusion criteria:

The individual's unwillingness or unwillingness to participate in or continue to participate in the research. Any injury or abnormality affecting the research process, with the exception of respiratory pattern disorder and upper cross syndrome.
Age: From 18 years old to 25 years old
Gender: Female

Phase

N/A

Groups that have been masked

Data analyser

Sample size

Target sample size: 36

Randomization (investigator's opinion)

Randomized

Randomization description

This study has been randomized through simple randomization statistical method using block design. This study will be allocated to 2 intervention groups and 1 control group with the help of a web-based program (randomizer.org). A member of the research team who will not be involved in this part will be asked to perform the random allocation sequence of the samples using a computer program. Sealed envelopes with the random sequence will be used to conceal the allocation.

Blinding (investigator's opinion)

Single blinded

Blinding description

In this study, the person responsible for analyzing the data is unaware of the individuals and groupings and only analyzes the results and statistical data in the two tests taken.

Placebo

Not used

Assignment

Factorial

Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee: Name of ethics committee

Kharazmi University

Street address

Simaye iran

City

Tehran

Province

Tehran

Postal code

1571914911
Approval date: 2025-10-21, 1404/07/29
Ethics committee reference number: IR.KHU.REC.1404.117

Health conditions studied

1

Description of health condition studied: Upper Crossed Syndrome with Respiratory Pattern Disorder
ICD-10 code: R29.3
ICD-10 code description: Abnormal posture

Primary outcomes

1

Description: Shoulder internal and external rotator strength
Timepoint: Pre-test and post-test
Method of measurement: Isokinetic device

2

Description: Proprioception of the internal and external rotator muscles of the shoulder
Timepoint: Pre-test and post-test
Method of measurement: Isokinetic device

3

Description: Static and dynamic balance
Timepoint: Pre-test and post-test
Method of measurement: Biodex balance device

4

Description: Posture
Timepoint: Pre-test and post-test
Method of measurement: Flexible ruler, digital camera, and Kinovea software

5

Description: Respiratory function
Timepoint: Pre-test and post-test
Method of measurement: spirometer

Secondary outcomes

empty

Intervention groups

1

Description: Intervention group: This group will perform comprehensive corrective exercises for 8 weeks, 3 sessions per week, each session lasting 50 minutes, focusing on the muscles that are restricted and tight in upper crossed syndrome. The exercises consist of 3 phases: 1- Initial phase 2- Improvement phase 3- Maintenance phase. Foam rolls, Therabands, exercise balls, dumbbells, and balance boards will be used in these exercises.
Category: Rehabilitation

2

Description: Intervention group: This group will perform comprehensive corrective exercises along with muscle energy techniques for 8 weeks, 3 sessions per week, each session lasting 60 minutes.
Category: Rehabilitation

3

Description: Control group:
Category: Rehabilitation

Recruitment centers

1

Recruitment center: Name of recruitment center

Kharazmi University

Full name of responsible person

Aylin Mansury

Street address

Shahid Beheshti Street

City

Karaj

Province

Alborz

Postal code

Phone

+98 26 3457 9600

Email

aylinmansury21@gmail.com

1

Sponsor: Name of organization / entity

The University of kharazmi

Full name of responsible person

Mohammad delnavaz

Street address

Shahid Beheshti Blvd

City

Karaj

Province

Alborz

Postal code

3197937551

Phone

+98 26 3457 9600

Email

info@khu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?: Yes
Title of funding source: The University of kharazmi
Proportion provided by this source: 100
Public or private sector: Public
Domestic or foreign origin: Domestic
Category of foreign source of funding: empty
Country of origin
Type of organization providing the funding: Academic

Person responsible for general inquiries

Contact: Name of organization / entity

The University of Kharazmi

Full name of responsible person

Aylin mansury

Position

Master's student

Latest degree

Bachelor

Other areas of specialty/work

Rehabilitation management

Street address

Imam Hossein Square, Jahan Ara Street, Mehregan Building 2, Unit 1, No. 136

City

Varamin

Province

Tehran

Postal code

3371943557

Phone

009836265011

Email

aylinmansury21@gmail.com

Person responsible for scientific inquiries

Contact: Name of organization / entity

The University of Kharazmi

Full name of responsible person

Syed Sadroddin Shojaeddin

Position

full professor

Latest degree

Ph.D.

Other areas of specialty/work

Rehabilitation management

Street address

Tehran, Mirdamad Blvd., South Razan St., Shahid Keshvari Educational and Sports Complex

City

Tehran

Province

Tehran

Postal code

1544733111

Phone

+98 21 3451 2001

Email

Shojaeddin@khu.ac.ir

Person responsible for updating data

Contact: Name of organization / entity

The University of Kharazmi

Full name of responsible person

Aylinmansury

Position

Master's student

Latest degree

Bachelor

Other areas of specialty/work

Rehabilitation management

Street address

Imam Hossein Square, Shahid Jahan Ara Street, Mehregan 2 Building, Unit 1, No. 136

City

Varamin

Province

Tehran

Postal code

3371943557

Phone

+98 21 3626 5011

Email

aylinmansury21@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD): Undecided - It is not yet known if there will be a plan to make this available
Study Protocol: Yes - There is a plan to make this available
Statistical Analysis Plan: Not applicable
Informed Consent Form: Yes - There is a plan to make this available
Clinical Study Report: Not applicable
Analytic Code: Not applicable
Data Dictionary: Not applicable
Title and more details about the data/document: Individuals' data is a personal matter and, if possible, it will be published, and if individuals do not consent to the publication of this data, it will remain confidential.
When the data will become available and for how long: Access begins 6 months after results are published.
To whom data/document is available: Academic researchers and those engaged in research and investigation in this field.
Under which criteria data/document could be used: The data from this study will be made available to researchers for all review and meta-analysis studies.
From where data/document is obtainable: Please contact aylinmansury21@gmail.com.
What processes are involved for a request to access data/document: The applicant will receive the data within 10 to 15 days after sending an email to the specified address.
Comments

Comparison of the effect of a course of comprehensive corrective exercises with and without muscle energy technique on shoulder strength and proprioception, balance, respiratory function and posture of girls with upper cross syndrome with respiratory pattern disorder.