Spinal Alignment as a Predictor of Functional Performance in Individuals With Upper Cross Syndrome: A Secondary Analysis of a Randomized Controlled Trial
August 21, 2026 updated by: Mohamed Saied Zidan, Al-Zaytoonah University of Jordan
This study aims to explore the relationship between spinal alignment and functional performance in individuals with upper cross syndrome following a combined breathing and manual therapy program.
It is designed as a secondary analysis of data obtained from a previously conducted randomized controlled trial, with the addition of objective spinal measurements using the Spinal Mouse device.
Functional performance will be assessed using standardized tests such as the 6-minute walk test and the timed up and go test.
Statistical analysis will include correlation and regression models to determine whether spinal alignment parameters can predict functional outcomes.
The findings are expected to provide insight into the biomechanical role of posture in functional recovery among individuals with upper cross syndrome.
Study Overview
Status
Not yet recruiting
Study Type
Interventional
Enrollment (Estimated)
40
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Full time college students of age 20-29 years.
- Subjects who have upper cross syndrome according to REEDCO posture assessment.
- Subjects who not receiving medical treatment for respiratory diseases .
- Subjects who have clean family medical history.
Exclusion Criteria:
- Subjects who engaged in additional exercise in two weeks, which was likely to affect the results of the research .
- Individuals with a history of spine, shoulder fractures, surgery, or other disease.
- Individuals with severe cardia-cerebrovascular disease.
- Individuals who will have difficulty to follow-up testing).
- Neurologic and psychiatric disorders (who can not understand the research project ).
- Individuals with congenital deformities
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Control group
|
control group will perform osteopathic manipulative treatment only for 45 min sessions, 5 times a week for 8 weeks
|
|
Experimental: Experimental group
|
The experimental group will perform ujjayi pranayama and osteopathic manipulative treatment for 45 min sessions, 5 times a week for 8 weeks
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Spinal Alignment: Thoracic kyphosis
Time Frame: Pre and post 8 weeks
|
Kyphosis is the forward curvature of the thoracic spine.It will be measured by The Spinal Mouse ( a hand-held, computer-assisted medical device used to measure spinal curvature, posture, and segmental mobility without radiation )
|
Pre and post 8 weeks
|
|
Spinal Alignment: Lumbar lordosis
Time Frame: Pre and post 8 weeks
|
inward curvature of the spine when this curve becomes excessive or diminished, it can lead to discomfort and postural issues.It will be measured by The Spinal Mouse ( a hand-held, computer-assisted medical device used to measure spinal curvature, posture, and segmental mobility without radiation )
|
Pre and post 8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Functional Performance: 6-Minute Walk Test (6MWT)
Time Frame: Pre and post 8 weeks
|
a clinical exercise test that measures the total distance an individual can walk on a flat, hard surface over a period of 6 minutes
|
Pre and post 8 weeks
|
|
Functional Performance: Timed Up and Go Test (TUG)
Time Frame: Pre and post 8 weeks
|
measures functional mobility and fall risk.
It records the seconds it takes a person to stand up from a standard armchair, walk 3 meters (10 feet), turn around, walk back, and sit down again
|
Pre and post 8 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
August 25, 2026
Primary Completion (Estimated)
October 25, 2026
Study Completion (Estimated)
October 25, 2026
Study Registration Dates
First Submitted
August 19, 2026
First Submitted That Met QC Criteria
August 21, 2026
First Posted (Actual)
August 26, 2026
Study Record Updates
Last Update Posted (Actual)
August 26, 2026
Last Update Submitted That Met QC Criteria
August 21, 2026
Last Verified
August 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB#17/5/2025-2026
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.