<?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>IRCT20190114042351N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-05-05</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>The effect of breathing pattern correction training on capnometric indices in hyperkyphotic women</public_title>
      <acronym></acronym>
      <scientific_title>The effect of breathing pattern correction training based on Buteyko's theory on capnometric indices in hyperkyphotic women- A randomised clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-04-18</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/36820</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, individuals are randomly divided into two groups based on the permuted block randomization method with block size of 4 .The block size of 4 have 6 types (probabilities), that we set for each type a number from 1 to 6. In order to form a random sequence, we use random allocation software. individuals who enter the study are assigned to two groups based on the sequence of the letters generated by this method. randomization unit is individual. allocation concealment is done by using random sequence, sealed, opaque envelopes, Blinding description: A  person  evaluate the participants and another person teaches the exercises.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Thoracic hyperkyphosis.</hc_freetext>
      <i_freetext>Intervention 1: In the intervention group, in addition to the control group exercises, which include common hyperkyphosis correction exercises, the breathing pattern correction exercises derived from the Buteykos theory, including: diaphragmatic breathing, slow and deep breathing and hold breath technique are also performed on a day-to-day basis for 8 weeks. Kyphosis correction exercises include stretching exercises for short muscles in the anterior of the chest and strengthening exercises for the muscles in the posterior of the chest wall. In stretching exercises, stretching is maintained for 30 seconds. In strengthening exercises, the muscle contraction is held for 10 seconds, then returns to its original state and rest for 10 seconds and then resumes the movement. Each of the stretching and strengthening exercises is repeated 10 times in each session. In each session, all respiratory techniques used to increase the depth and reduce the respiratory rate, are done each for 5 minutes.In each session, the duration of the kyphosis correction exercises, which are common in two groups, is 45 minutes and the breathing pattern correction exercises that are specific to the intervention group is 15 minutes. Intervention 2: Control group: routine thoracic hyperkyphosis correction exercise for eight weeks(3 times per week).</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:
All datas will be published

When:
from 2019

To whom:
Datas will be available for researchers

Conditions:
Researchers who want to continue our research line

Where to obtain:
They can send us emails to this mail address: majidravanbakhsh@yahoo.com

How to obtain:
first they must send us an email , explaining the reason they need the research data , after we checked them , we will send them the datas

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Majid Ravanbakhsh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Rehabilitation Sciences faculty, Golestan Blvd, Ahvaz</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4331385617</zip>
        <telephone>+98 61 3333 6754</telephone>
        <email>majidravanbakhsh@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Majid Ravanbakhsh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Rehabilitation Sciences of Ahvaz University of Medical Sciences, Golestan Blvd, Ahvaz</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4331385617</zip>
        <telephone>+98 61 3333 6754</telephone>
        <email>majidravanbakhsh@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>women 18 to 30 years old
with 40 degree or more thoracic kyphosis angle( determined by flexible ruler)</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>30 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>scoliosis deformity
structural thoracic kyphosis according to specialist physician diagnosis
past history of spinal fracture
history of shoulder fracture in the past 6 months
having diseases that interfere with sport exercises(such as: uncontrolled blood pressure,diabetes type1, angina, acute cardiac diseases)
past history of any chronic respiratory disease according to patients statement</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>In the intervention group, in addition to the control group exercises, which include common hyperkyphosis correction exercises, the breathing pattern correction exercises derived from the Buteykos theory, including: diaphragmatic breathing, slow and deep breathing and hold breath technique are also performed on a day-to-day basis for 8 weeks. Kyphosis correction exercises include stretching exercises for short muscles in the anterior of the chest and strengthening exercises for the muscles in the posterior of the chest wall. In stretching exercises, stretching is maintained for 30 seconds. In strengthening exercises, the muscle contraction is held for 10 seconds, then returns to its original state and rest for 10 seconds and then resumes the movement. Each of the stretching and strengthening exercises is repeated 10 times in each session. In each session, all respiratory techniques used to increase the depth and reduce the respiratory rate, are done each for 5 minutes.In each session, the duration of the kyphosis correction exercises, which are common in two groups, is 45 minutes and the breathing pattern correction exercises that are specific to the intervention group is 15 minutes.</i_keyword>
      <i_keyword>Control group: routine thoracic hyperkyphosis correction exercise for eight weeks(3 times per week)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>End tidal co2. Timepoint: before starting the intervention and 8 weeks after persistant implementation of the intervention. Method of measurement: by viamed capnograph.</prim_outcome>
      <prim_outcome>Respiration rate. Timepoint: before starting the intervention and 8 weeks after persistant implementation of the intervention. Method of measurement: by viamed capnograph.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-01-13</approval_date>
        <contact_name>Ethics committee of Ahvaz Jondi shapour University of Medical Sciences</contact_name>
        <contact_address>Ahvaz Jondi Shapour University, Golestan Blvd Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
