Comparison of the effect of static and dynamic corrective exercises on alignment, pain, and quality of life in people with upper cross syndrome

Comparison of two static and dynamic exercise methods on alignment, pain and quality of life of patients with upper cross syndrome.

This study is a randomized controlled trial with a parallel group design. Sample size will be determined using G*Power software. Following sample size calculation, 45 participants will be randomly allocated to three groups of 15. One group will serve as the control group, while the other two will be experimental groups. Block randomization will be used to allocate participants to groups using the "Research Randomizer" software.

After selecting the subjects and confirming the presence of upper cross syndrome by a specialist doctor, these people will be referred to the Red Crescent Comprehensive Center (department of corrective exercises) located in Vanak Square, Tehran, to receive the necessary therapeutic exercises.

Inclusion Criteria: Diagnosis of upper crossed syndrome Ability to perform exercise No use of pain medication Absence of acute underlying medical conditions (neurological, respiratory, vascular, metabolic) or sensory impairments (visual, auditory) No concurrent participation in other exercise programs Exclusion Criteria: No history of spinal surgery, injury, or disease Absence of significant (more than 2 cm) leg length discrepancy No psychiatric disorders (such as depression) No history of joint replacement No concurrent physical therapy

Static exercises group, dynamic exercises group and control group

body alignment (kyphosis angle, forward head angle and forward shoulder angle); Pain and quality of life

In this research, researchers employed block randomization to divide patients into three distinct groups. This method involves partitioning patients into smaller subgroups called blocks, followed by random assignment to the primary research groups (static exercises, dynamic exercises, and control). The primary objective of this approach is to ensure balance among groups and minimize the influence of confounding variables on the research outcomes. Methodology: 1. Patient Numbering: Each patient is assigned a unique identification number. 2. Web-Based Software Utilization: To streamline the randomization process, a specialized web application named "Research Randomizer" is utilized. This software employs random algorithms to automatically allocate patients to groups. 3. Block Division: Patients are divided into 8 blocks: 7 blocks of 6 individuals each and 1 block of 3. This division aims to maintain balance among groups within each block. 4. Group Assignment: Within each block, patients are sequentially assigned to groups A, B, and C. This sequence is randomly determined by the web application. 5. Formation of Primary Groups: Ultimately, patients from all blocks are combined to form three primary groups of 15 individuals each: the static exercise group, the dynamic exercise group, and the control group.

All information obtained from this research will be freely available to researchers and interested parties through university databases and authoritative scientific articles.

6 to 15 months after the completion of the research project.

All researchers, therapists and specialists.

With the aim of facilitating the improvement of the level of academic research and improving the treatment of patients by therapists, researchers and specialists.

Dr. Arash Khalidi, Faculty of Physical Education, University of Tehran (Tehran - North Kargar St. - above Jalal Al Ahmad Intersection - between 15th and 16th St. - in front of Tehran University Koi). Email: arashkhaledi666@gmail.com

As soon as the scientific articles are published, all relevant findings and data that can help to advance research and improve treatment methods will be available to the scientific community.