Beyond Osteopathic Therapy: Functional Performance Following the Addition of Ujjayi Pranayama in College Students With Upper Cross Syndrome

NCT07786415 — Not applicable, Recruiting, 40 participants, Al-Zaytoonah University of Jordan

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Registry	NCT07786415
Status	Recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, prevention
Enrollment	40 (Estimated)
Sponsor	Al-Zaytoonah University of Jordan (Other)
Conditions	Upper Cross Syndrome, Spinal Alignment, Functional Performance
Interventions	The experimental group will perform ujjayi pranayama and osteopathic manipulative tratment, control group will perform osteopathic manipulative treatment only (Other)
Dates	start 2026-08-25, primary completion 2026-10-25 (estimated), completion 2026-10-25 (estimated), first posted 2026-08-26, last updated 2026-10-16
Locations	1 site in Egypt

-Summary

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.

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+Arms and interventions

Arm	Type	Interventions	Description
Experimental group	Experimental	Other: The experimental group will perform ujjayi pranayama and osteopathic manipulative tratment
Control group	Active comparator	Other: control group will perform osteopathic manipulative treatment only

The experimental group will perform ujjayi pranayama and osteopathic manipulative tratment (Other): The experimental group will perform ujjayi pranayama and osteopathic manipulative treatment for 45 min sessions, 5 times a week for 8 weeks
control group will perform osteopathic manipulative treatment only (Other): control group will perform osteopathic manipulative treatment only for 45 min sessions, 5 times a week for 8 weeks

+Outcome measures

Primary outcomes

Spinal Alignment: Thoracic kyphosis [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 )
Spinal Alignment: Lumbar lordosis [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 )

Secondary outcomes

Functional Performance: 6-Minute Walk Test (6MWT) [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
Functional Performance: Timed Up and Go Test (TUG) [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

+Eligibility

Sex: Male, ages: 20 Years to 29 Years

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

+Locations (1)

Facility	City	Country	Status
Mohamed Saied Zidan	Cairo	Egypt	Recruiting