Adding Ujjayi Pranayama to Osteopathic Manipulative Treatment on Pulmonary Functions and Functional Capacity in College Students With Upper Cross Syndrome

Not Applicable

Not yet recruiting

• Conditions: Osteopathic Manipulation; Ujjayi Pranayama; Upper Cross Syndrome

• Registration Number: NCT07052552
• Lead Sponsor: Al-Zaytoonah University of Jordan

Brief Summary

With the advent of the Internet, mobile phones and other electronic devices have become an integral component in everyone's lives, especially students, whether it is to attend classes, make purchases, conduct transactions, or have social interactions . The continuous use of these electronic devices can easily result in abnormal postures . Upper crossed syndrome (UCS) is one of the most frequently cited complications with modern technological life, which is characterized by weakened middle and lower trapezius, scalenes, deep cervical flexors and serratus anterior at the same time as the rhomboids, as well as tightness in the upper trapezius, pectoralis minor and major and levator scapulae muscles . It mainly leads to muscle imbalances, which eventually manifest in both tonic and phasic muscles

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-06
• Study First Submitted: 2025-06-26
• Study First Submitted QC: 2025-06-26
• Last Update Submitted: 2025-06-26
• Study Start: 2025-07-01
• Study First Posted: 2025-07-04
• Last Update Posted: 2025-07-04
• Primary Completion: 2025-09
• Study Completion: 2025-10-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 40

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
FVC ( liters )	Pre and post 8 weeks	Forced vital capacity (FVC) is the total amount of air exhaled during the FEV test. Forced expiratory volume and forced vital capacity are lung function tests , using portable spirometer ( SP 80B , China )
PEF ( liters / minute )	pre and post 8 weeks	Peak expiratory flow (PEF), a key indicator of lung function,using portable spirometer ( SP 80B,China)
Expiratory reserve volume ( ERV ) ( Liters )	pre and post 8 weeks	is the maximum amount of air that can be forcefully exhaled after a normal, tidal exhalation
FEV1 ( liters )	Pre and post 8 weeks	Forced expiratory volume in 1 second that can reflect pulmonary function , using portable spirometer ( SP 80B,China)
FEV1/FVC ( % )	pre and post 8 weeks	The ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs. That can reflect pulmonary function , using portable spirometer ( SP 80B,China)
maximum voluntary ventilation (MVV) ( liters/minute )	Pre and post 8 weeks	is a pulmonary function test that measures the maximum amount of air a person can breathe in and out of their lungs in one minute
The inspiratory reserve volume (IRV) ( Liters )	Pre and post 8 weeks	It represents the maximum amount of air that can be inhaled after a normal inhalation

Secondary Outcome Measures

Name	Time	Method
6MWDT ( meters )	Pre and post 8 weeks	focus on endurance and distance covered during a timed walk, rather than assessing the specific muscle imbalances and postural deviations characteristic of Upper Cross Syndrome
Timed up and go test ( seconds )	Pre and post 8 weeks	A simple, quick, and widely used clinical performance-based measure of functional mobility and fall risk. It assesses how long it takes for a person to rise from a chair, walk three meters, turn, walk back, and sit down again.
Berg Balance Scale (BBS) to test dynamic balance	Pre and post 8 weeks	A widely used assessment tool in physical therapy to evaluate a patient's functional balance and fall risk. It consists of 14 tasks, scored on a 5-point scale from 0 to 4, with a total possible score of 56. A lower score indicates a higher risk of falling.