Effect of Mat Pilates on Pain and Postural Alignment in School Going Children With Upper Crossed Syndrome.

NCT ID: NCT07244068

Last Updated: 2025-11-24

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-10-28
• Study Completion Date: 2026-06-16

Brief Summary

This randomized control clinical Trial is to evaluate the effect of mat Pilates on postural alignment and pain levels in school-going children with Upper Crossed Syndrome. The study will focus on assessing changes in head, neck, and shoulder alignment, as well as any reduction in musculoskeletal discomfort following a structured Pilates intervention in children of age 8-16.This clinical Trial will be in two groups A) Intervention group B) Control Group. From a total of 28 Participants , 14 will be performing Mat pilates and routine Physical Therapy(Group A) while the other 14 will be performing just routine Physical Therapy exercises (Group B). Data Analysis will be done on Statistical Package for the Social Sciences (SPSS) version 26.00.

Detailed Description

The current study will be randomized control trial, data will be collected from Physical Therapy department of Ittefaq Hospital, Lahore. The study will include 28 participants equally divided into two groups and randomly allocated. Inclusion criteria for the study will be UCS patients with age between 8 to 16yrs of either gender. Patients with any recent history of injury, severe systemic disorder and physical or sensory deficit will be excluded from the study.Group A (Experimental Group) will receive Pilates exercises and Routine Physical Therapy (baseline treatment). Baseline treatment will include stretching, strengthening and corrective exercises. Session duration will be 30 minutes, 10 to 12 exercises in form of 10 steps will be carried out per session, with no more than three repetitions of each exercise.Group B (Control Group) will receive stretching, strengthening and postural correction exercises as follows: Exercises for postural correction, stretches, and strengthening for the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors muscles. -Every exercise will be for 30 seconds on and 30 seconds off, 3 times per day, - Push-ups and head-neck retraction were also included, total time about 30 minutes. Outcomes to be analyzed will be Craniovertebral angle and Thoracic Kyphosis angle and Pain. Data collection will be done before and after the intervention. Tools used for data collection will be kinovea software for Craniovertebral angle and Thoracic Kyphosis angle and Visual analouge scale (VAS) for pain. Data will be analyzed through SPSS version 26.00.

Conditions

Children, Only; Upper Crossed Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Mat Pilates+ RPT

Experimental Group will receive Mat Pilates exercises and Routine Physical Therapy (baseline treatment). Baseline treatment will include stretching, strengthening and corrective exercises. Session duration will be 30 minutes, 10 to 12 exercises in form of 10 steps will be carried out per session, with no more than three repetitions of each exercise.

Group Type: ACTIVE_COMPARATOR

Mat Pilates and Routine Physical Therapy

Intervention Type: OTHER

Group A will receive Pilates exercises and Routine Physical Therapy (baseline treatment). Baseline treatment will include stretching, strengthening and corrective exercises. Session duration will be 30 minutes, 10 to 12 exercises in form of 10 steps will be carried out per session, with no more than three repetitions of each exercise. The following is a detailed description of each exercise to be utilized in both treatments, along with its starting and ending positions and number of repetitions(24).

1. Corrected neck alignment while lying on the back on a mat (use pillows if needed)

2. Arm circles (both directions) on the mat.

3. Diamond press

4. Diamond press and lateral arm movement to back extension.

5. Arm slides 90°:

6. Arm circles on a tiny barrel while lying on back.

7. Chair expansion.

8. Lying prone, stabilize the scapula and pump arms up and down with lower back support.

9. Straps for chest expansion.

10. Kneel plank on a Swiss ball.

Routie Physical Therapy (RPT)

Control Group will receive stretching, strengthening and postural correction exercises .Every exercise will be for 30 seconds on and 30 seconds off, 3 times per day, total time about 30 minutes.

Group Type: ACTIVE_COMPARATOR

Routine Physical Therapy (RPT)

Intervention Type: OTHER

Group B will receive stretching, strengthening and postural correction exercises as follows: Exercises for postural correction, stretches, and strengthening for the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors muscles. -Every exercise will be for 30 seconds on and 30 seconds off, 3 times per day, - Push-ups and head-neck retraction were also included, total time about 30 minutes.

Interventions

Mat Pilates and Routine Physical Therapy

Group A will receive Pilates exercises and Routine Physical Therapy (baseline treatment). Baseline treatment will include stretching, strengthening and corrective exercises. Session duration will be 30 minutes, 10 to 12 exercises in form of 10 steps will be carried out per session, with no more than three repetitions of each exercise. The following is a detailed description of each exercise to be utilized in both treatments, along with its starting and ending positions and number of repetitions(24).

1. Corrected neck alignment while lying on the back on a mat (use pillows if needed)

2. Arm circles (both directions) on the mat.

3. Diamond press

4. Diamond press and lateral arm movement to back extension.

5. Arm slides 90°:

6. Arm circles on a tiny barrel while lying on back.

7. Chair expansion.

8. Lying prone, stabilize the scapula and pump arms up and down with lower back support.

9. Straps for chest expansion.

10. Kneel plank on a Swiss ball.

Intervention Type: OTHER

Routine Physical Therapy (RPT)

Group B will receive stretching, strengthening and postural correction exercises as follows: Exercises for postural correction, stretches, and strengthening for the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors muscles. -Every exercise will be for 30 seconds on and 30 seconds off, 3 times per day, - Push-ups and head-neck retraction were also included, total time about 30 minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• School going children
• Children of the age 8-16.
• Children having Thoracic Kyphosis angle under 20° and over 40 °,and Craniovertebral angle under 48°

Exclusion Criteria

• Children with systemic disorders.
• Children with recent history of injury.
• Physical or sensory defecit(16)

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Musfera Iqbal, MS-PT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Ittefaq Hospital (TRUST)

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

IMRAN AMJAD, PhD

Role: CONTACT

imran.amjad@riphah.edu.pk

9233224390125

MUHAMMAD ASIF JAVED, MS-PT

Role: CONTACT

a.javed@riphah.edu.pk

923224209422

References

Shadi N, Khalaghi K, Seyedahmadi M. Comparing the effects of Pilates, corrective exercises, and Alexander's technique on upper cross syndrome among adolescent girls student (ages 13-16): a six-week study. BMC Sports Sci Med Rehabil. 2024 Jun 28;16(1):143. doi: 10.1186/s13102-024-00933-2.

Reference Type: BACKGROUND

PMID: 38943175 (View on PubMed)

Other Identifiers

REC/RCR&AHS/MUSFERAIQBAL

Identifier Type: -

Identifier Source: org_study_id