PMID- 32164773 OWN - NLM STAT- MEDLINE DCOM- 20201223 LR - 20201223 IS - 1745-6215 (Electronic) IS - 1745-6215 (Linking) VI - 21 IP - 1 DP - 2020 Mar 12 TI - The effectiveness of a comprehensive corrective exercises program and subsequent detraining on alignment, muscle activation, and movement pattern in men with upper crossed syndrome: protocol for a parallel-group randomized controlled trial. PG - 255 LID - 10.1186/s13063-020-4159-9 [doi] LID - 255 AB - BACKGROUND: Upper crossed syndrome (UCS) refers to specific altered muscle activation and changed movement patterns along with some postural deviations in the upper quarter of the body. This syndrome might contribute to the dysfunction of the cervicothoracic and glenohumeral joints. OBJECTIVES: The present study will aim to investigate the effectiveness of a comprehensive corrective exercises program (CCEP) and subsequent detraining on alignment, muscle activation and movement pattern in men with UCS. METHODS/DESIGN: This is a parallel-group randomized controlled trial. Participants will be 22 men aged 18 to 28 years who are suffering from UCS. Participants in the intervention group will conduct CCEP (three times a week for 8 weeks), followed by 4 weeks of detraining. The control group will do their daily activities. Participants will be randomized (1:1) into the intervention or the control group. The primary outcome will be upper trapezius activations. Secondary outcomes consist of electromyography of middle and lower trapezius and serratus anterior muscles, scapular dyskinesis test, forward head and shoulder angles, thoracic kyphosis angle, and neck flexion pattern test. DISCUSSION: We propose to evaluate the effectiveness of a randomized controlled trial of a CCEP in men with UCS on their alignment, selected muscle activations, and relevant movement patterns. Results from our trial may provide new insights into the effects of exercise not only on the alignment but also on muscle activation and movement patterns that are important outcomes for people with postural malalignments and, if successful, could assist therapists in evidence-based clinical decision-making. TRIAL REGISTRATION: Iranian Registry of Clinical Trials, IRCT20181004041232N1. Registered on 26 October 2018. FAU - Bayattork, Mohammad AU - Bayattork M AD - Health and Sports Medicine Department, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran. AD - Sport Sciences and Physical Education, Faculty of Humanities Science, University of Hormozgan, Bandar Abbas, Iran. FAU - Seidi, Foad AU - Seidi F AD - Health and Sports Medicine Department, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran. foadseidi@ut.ac.ir. FAU - Minoonejad, Hooman AU - Minoonejad H AD - Health and Sports Medicine Department, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran. FAU - Andersen, Lars Louis AU - Andersen LL AD - National Research Centre for the Working Environment, Copenhagen, Denmark. AD - Sport Sciences, Department of Health Science and Technology, Aalborg University, DK-9220, Aalborg, Denmark. FAU - Page, Phil AU - Page P AD - Performance Health, Baton Rouge, Louisiana, USA. LA - eng PT - Clinical Trial Protocol PT - Journal Article DEP - 20200312 PL - England TA - Trials JT - Trials JID - 101263253 SB - IM MH - Electromyography MH - Exercise Therapy/*methods MH - Humans MH - Iran MH - Male MH - Musculoskeletal Diseases/physiopathology/*therapy MH - Neck Muscles/*physiopathology MH - Randomized Controlled Trials as Topic MH - Superficial Back Muscles/*physiopathology MH - Syndrome PMC - PMC7069207 OTO - NOTNLM OT - Alignment OT - Corrective exercises OT - Movement pattern OT - Muscle activation OT - UCS COIS- The authors declare that they have no competing interests. EDAT- 2020/03/14 06:00 MHDA- 2020/12/29 06:00 PMCR- 2020/03/12 CRDT- 2020/03/14 06:00 PHST- 2019/05/25 00:00 [received] PHST- 2020/02/11 00:00 [accepted] PHST- 2020/03/14 06:00 [entrez] PHST- 2020/03/14 06:00 [pubmed] PHST- 2020/12/29 06:00 [medline] PHST- 2020/03/12 00:00 [pmc-release] AID - 10.1186/s13063-020-4159-9 [pii] AID - 4159 [pii] AID - 10.1186/s13063-020-4159-9 [doi] PST - epublish SO - Trials. 2020 Mar 12;21(1):255. doi: 10.1186/s13063-020-4159-9.