Protocol summary

Study aim
The present study aims to address the question of whether six weeks of Pilates exercises, corrective exercises, and Alexander's Technique can have different effects on UCS in 13 to 16-year-old teenage girls. Which exercises are more effective?
Design
Clinical trial with three intervention groups, with parallel groups, single-blind, randomized, phase 1 on 45 students.
Settings and conduct
The samples were trained in the Corrective Exercise Clinic of the Education and Training Administration of Quchan. Each session lasted one hour, three sessions per week, and for a duration of six weeks. The samples were not aware of which exercise group they were in or which exercises they were performing, to assess the effect on their UCS (they were blinded). The examiner was fully aware of the exercise protocol (not blinded). Each exercise session for the different groups would begin with a 10-minute warm-up and end with a 5-minute cool-down. The remaining time would be allocated to the specific exercises of each group (Corrective Exercise group, Pilates group, and Alexander Technique group).
Participants/Inclusion and exclusion criteria
In order to be included in the study, participants had to have postural abnormalities such as kyphosis, FH, and RS simultaneously and express a willingness to participate. Observing any pathological symptoms, history of fractures, surgeries, joint diseases, and injuries in the cervical, thoracic, and lumbar spine region, skeletal-muscular imbalances, lower limb cross syndrome, having BMI outside the normal range, and having regular physical activity of at least 6 hours per week were considered as exclusion criteria from the study.
Intervention groups
Pilates exercises(N=15), corrective exercises (N=15), and Alexander's Technique (N=15).
Main outcome variables
Upper cross syndrome

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230810059106N1
Registration date: 2023-09-19, 1402/06/28
Registration timing: registered_while_recruiting

Last update: 2023-09-19, 1402/06/28
Update count: 0
Registration date
2023-09-19, 1402/06/28
Registrant information
Name
Mohammad Seyedahmadi
Name of organization / entity
Velayat University
Country
Iran (Islamic Republic of)
Phone
+98 54 3721 2523
Email address
mseyedahmadi@velayat.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-09-11, 1402/06/20
Expected recruitment end date
2023-10-27, 1402/08/05
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A comparison of the effects of six weeks of Pilates exercises, corrective exercises, and Alexander's Technique on the upper cross syndrome in adolescent girls aged 13 to 16 years
Public title
The effects of six weeks of Pilates exercises, corrective exercises, and Alexander's Technique on the upper cross syndrome in adolescent girls
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
In order to be included in the study, participants had to have postural abnormalities such as kyphosis, FH, and RS simultaneously and express a willingness to participate.
Exclusion criteria:
Observing any pathological symptoms History of fractures, surgeries, joint diseases, and injuries in the cervical, thoracic, and lumbar spine region, skeletal-muscular imbalances, lower limb cross syndrome Having BMI outside the normal range Having regular physical activity of at least 6 hours per week
Age
From 13 years old to 16 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Participant
Sample size
Target sample size: 45
Randomization (investigator's opinion)
Randomized
Randomization description
All middle school students in the city of Quchan will undergo initial evaluation by the physical education teacher at their school. Students suspected of having Upper Crossed Syndrome (UCS) will undergo secondary evaluation by a researcher. Among those diagnosed with severe UCS, a total of 45 individuals will be randomly selected as simple random samples and divided into three 15-member groups: Corrective Exercises (PE) group (N=15), Pilates group (N=15), and Corrective Exercises group (N=15). When the population size is limited and homogeneous, simple random sampling is highly effective as it provides equal chance of selection to all individuals in the population. Therefore, simple random sampling (systematic) will be utilized. In this method, it is assumed that the individuals in the population are homogeneous, and each will be assigned a number or code from 1 to N. Then, the sample individuals will be selected with specific regularity.
Blinding (investigator's opinion)
Single blinded
Blinding description
Only the participants will be unaware of the study group assignment and the researchers will be informed of the exercises that each group will receive.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Sport Sciences Research Institute
Street address
No. 3, 5th Alley, Miremad Street, Motahhari Street, Tehran, Iran.
City
tehran
Province
Tehran
Postal code
1587958711
Approval date
2022-12-25, 1401/10/04
Ethics committee reference number
IR.SSRI.REC.1401.1724

Health conditions studied

1

Description of health condition studied
Upper cross syndrome
ICD-10 code
M95.8
ICD-10 code description
Other acquired deformities of musculoskeletal system and connective tissue

Primary outcomes

1

Description
Upper crossed syndrome (UCS)
Timepoint
At the beginning of the study (before the start of the intervention) and at the end of the study (6 weeks after the intervention)
Method of measurement
Assessment of Forward Head Posture and Rounded Shoulders

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group Pilates exercises: In the first session of PE, the basic principles of PE were explained to the group and an attempt was made to adhere to them in all sessions. The following steps were taken in each PE session, including checking the posture (pelvis and spinal column), controlling breathing and standing in class (about 5 minutes), performing Pilates breathing and stretching exercises with coach explanations (about 10 minutes), performing modified specific exercises (about 40 minutes), and returning to the initial state (5 minutes). The exercises started from low levels and gradually progressed until the participants were able to control their spinal column in various positions. The intensity of the exercises was determined for each participant based on their exercise tolerance threshold and pain. As a result, with continued exercise, the participants were able to do more repetitions without feeling pain or fatigue. The exercises started with 8 repetitions and ended with 16 repetitions. In each session, new exercises were added in addition to the previous session's exercises.
Category
Rehabilitation

2

Description
Intervention group corrective exercises:Selected CE was designed to correct posture and address the mentioned abnormalities through stretching exercises for shortened muscles and strengthening exercises for weak muscles for the individual. These exercises included a 5-10-minute warm-up followed by stretching exercises for the chest, hip-flexor-psoas, upper trapezius, intercostal muscles, upper neck extensors, and then strengthening exercises for the shoulder protractors, deep neck flexors, lower neck extensors, and thoracic spine extensors.
Category
Rehabilitation

3

Description
Intervention group Alexander's Technique: In the AT group, adolescents were taught the considerations and habits they should remember and focus on in their daily lives. These included teaching ergonomic considerations and individual postural habits during daily activities such as standing, walking, sitting, sleeping, reading, using a computer, and other repetitive and continuous activities performed during the day. These matters were taught and reminded to individuals in one to two sessions per week at school, and their implementation was reported to the researcher by parents. Parents played a fundamental role in this program and were responsible for reminding their children of correct postural habits and points through predetermined verbal instructions throughout the day. Additionally, correct postural habits of standing, sitting, and lying down were included in a poster with images and made available to individuals to be installed in a suitable location at home so that by observing it, students would always remember to maintain correct posture.
Category
Rehabilitation

Recruitment centers

1

Recruitment center
Name of recruitment center
Corrective Exercise clinic
Full name of responsible person
Karim Khalaghi
Street address
Khorasan Province, Razavi, Qochan, Motahari,
City
Qochan
Province
Razavi Khorasan
Postal code
9471787194
Phone
+98 51 4722 2011
Email
karim.khalaghi@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Research Deputy of Hakim Nizami Higher Education Institute in Quchan
Full name of responsible person
Dr .Nader Naqshbandi
Street address
Khorasan Razavi province, Qochan, Sento Qochan-Mashhad road, in front of Saipa agency
City
Qochan
Province
Razavi Khorasan
Postal code
9471787194
Phone
+98 51 4721 1773
Email
N.Naqshbandi@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Supporting the master's thesis
Proportion provided by this source
100
Public or private sector
Private
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
Hakim Nizami Qochan Institute of Higher Education
Full name of responsible person
Karim Khalaghi
Position
Asistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Sport Medicine
Street address
Khorasan Razavi province, Qochan, Sento Qochan-Mashhad road, in front of Saipa agency
City
Qochan
Province
Razavi Khorasan
Postal code
9471787194
Phone
+98 51 4721 1773
Email
karim.khalaghi@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Hakim Nizami Qochan Institute of Higher Education
Full name of responsible person
karim khalaghi
Position
Asistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Sport Medicine
Street address
Khorasan Razavi province, Qochan, Sento Qochan-Mashhad road, in front of Saipa agency
City
Qochan
Province
Razavi Khorasan
Postal code
9471787194
Phone
+98 51 4721 1773
Email
karim.khalaghi@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Velayat University
Full name of responsible person
Mohammad Seyedahmadi
Position
ََAsistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Sport Medicine
Street address
Shahid Moradi Highway, Iranshahr, Sistan and Baluchistan, Iran
City
Iranshahr
Province
Sistan-va-Balouchestan
Postal code
9911131311
Phone
0543721252
Email
Mseyedahmadi@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is 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
The data files will be available to researchers after the publication of the abstracted article
When the data will become available and for how long
After publication the article
To whom data/document is available
Other researchers
Under which criteria data/document could be used
There are no special conditions
From where data/document is obtainable
All researchers
What processes are involved for a request to access data/document
Coordinate with the corresponding author
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