The effect of combined and online protocol ergonomic advice-exercise in comparison with ergonomic advice protocol based on distance learning conditions on forward head deformity and its effect on shoulder and back posture of students during Covid-19 pandemic
The aim is to improve students upper body posture in online learning conditions at home, reduce pain / discomfort caused by these conditions and raise students' level of awareness and attitude towards prevention.
Design
A clinical trial with a control group, with parallel, randomized groups, will be performed on 180 students.
Settings and conduct
In order to identify students with forward head deformity , due to the lack of physical access to students online, asks students if they feel this anomaly to more accurately evaluate and Maintaining a healthy protocol at the specified days and hours refer to the Corrective exercise center.
Participants/Inclusion and exclusion criteria
Criteria for entering the exercise:
1. High school students
2. Having musculoskeletal disorders
3. Having forward head deformity with an angle higher than 45 degrees
Exclusion criteria:
1. History of vertebral surgery
2. Back tumor
3. History of fractures in the cervical spine
4. Osteoporosis
5. Dissatisfaction with participating in exercises
Intervention groups
Individuals with musculoskeletal disorders and head-forward abnormalities were identified and after selecting the samples, subjects were divided into 3 groups of individuals with musculoskeletal disorders (exercise-ergonomic advice group, ergonomic advice group and control group) and 3 groups of individuals with head-to-head abnormalities. The front (exercise group - ergonomic advice, ergonomic advice group and control group) will start training for 8 weeks. All exercises are performed online by a corrective exercise specialist.
Main outcome variables
1- Improving students' upper body posture in online learning conditions at home
2- Reducing pain / discomfort caused by these conditions
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180721040538N1
Registration date:2021-03-25, 1400/01/05
Registration timing:prospective
Last update:2021-03-25, 1400/01/05
Update count:0
Registration date
2021-03-25, 1400/01/05
Registrant information
Name
Razieh Karimian
Name of organization / entity
The university of Isfahan
Country
Iran (Islamic Republic of)
Phone
+98 31 3793 2195
Email address
karimianrazieh@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-04-03, 1400/01/14
Expected recruitment end date
2021-06-04, 1400/03/14
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of combined and online protocol ergonomic advice-exercise in comparison with ergonomic advice protocol based on distance learning conditions on forward head deformity and its effect on shoulder and back posture of students during Covid-19 pandemic
Public title
The effect of combined and online protocol ergonomic advice-exercise in comparison with ergonomic advice protocol on forward head deformity of students during Covid-19 pandemic
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Having musculoskeletal disorders
Having forward head deformity with an angle higher than 45 degrees
Exclusion criteria:
History of vertebral surgery
Back tumor
History of fractures in the cervical spine
Osteoporosis
Dissatisfaction with participating in exercises
Age
From 13 years old to 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
180
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Fasa University of Medical Sciences
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Approval date
2021-03-10, 1399/12/20
Ethics committee reference number
IR.FUMS.REC.1399.178
Health conditions studied
1
Description of health condition studied
Musculoskeletal disorders and forward head deformity
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Forward head angle and pain rate
Timepoint
8 weeks
Method of measurement
1- Nordic Questionnaire 2- Visual Pain Intensity Scale (VAS) 3- Self-Reporting Questionnaire 4- Evaluation of forward head angle by photogrammetric method
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Eexercise-ergonomic advice group. All corrective exercises and ergonomic advice are performed online by a corrective exercise specialist. The prescribed regulatory programs will be for 8 weeks (3 sessions per week and each session for 30 minutes). This program will be designed based on the conditions of students in home quarantine and based on the muscles involved in the upper limbs while sitting at the table. The exercises are such that in the initial sessions they have less intensity, number, repetition and time, and in the subsequent sessions they gradually increase according to the abilities of the subjects and it becomes more difficult to observe the principles of the exercise. Intensity of exercises is done in stretching exercises up to the pain threshold and in strength training up to the level of fatigue. The structure of the exercise program includes the steps of warming up, performing corrective exercises and returning to the original state.
Category
Treatment - Other
2
Description
Intervention group: Ergonomic advice group. In order to reduce the risk, ergonomic advice will be applied for 8 weeks. This knowledge will be provided to the subjects in the form of verbal reminders and educational posters on correcting body movements while learning online.
Category
Treatment - Other
3
Description
Control group: No intervention. This group will only do their daily activities.
Category
Diagnosis
Recruitment centers
1
Recruitment center
Name of recruitment center
Fasa University of Medical Sciences
Full name of responsible person
Razieh Karimian
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 5012
Email
riasat@fums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Mojtaba Farjam
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 5012
Fax
+98 71 5335 7091
Email
riasat@fums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Fasa University of Medical Sciences
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
Fasa University of Medical Sciences
Full name of responsible person
Razieh Karimian
Position
Phd
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 5012
Fax
Email
karimianrazieh@yahoo.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Razieh Karimian
Position
Phd
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 5012
Fax
Email
karimianrazieh@yahoo.com
Person responsible for updating data
Contact
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Razieh Karimian
Position
Phd
Latest degree
Ph.D.
Other areas of specialty/work
Others
Street address
Fasa University of Medical Sciences, Ibn Sina Square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 5012
Fax
Email
karimianrazieh@yahoo.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
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
Information about the main outcome can be shared.
When the data will become available and for how long
Access period starts from 2021
To whom data/document is available
Researchers working in academic, scientific and industrial institutes
Under which criteria data/document could be used
In order to research the health of students
From where data/document is obtainable
Razieh Karimian, Email
What processes are involved for a request to access data/document