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

NCT07052552 | Completed

• 1 other identifier: IRB # 2/6/2024-2025
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

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

Conditions

Osteopathic Manipulation; Ujjayi Pranayama; Upper Cross Syndrome

Keywords

Ujjayi pranayama; Osteopathic Manipulation; Upper cross syndrome

Outcome Measures

Primary Outcomes (7)

• FVC ( liters )

  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 )

  Pre and post 8 weeks

• FEV1 ( liters )

  Forced expiratory volume in 1 second that can reflect pulmonary function , using portable spirometer ( SP 80B,China)

  Pre and post 8 weeks

• FEV1/FVC ( % )

  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)

  pre and post 8 weeks

• PEF ( liters / minute )

  Peak expiratory flow (PEF), a key indicator of lung function,using portable spirometer ( SP 80B,China)

  pre and post 8 weeks

• Expiratory reserve volume ( ERV ) ( Liters )

  is the maximum amount of air that can be forcefully exhaled after a normal, tidal exhalation

  pre and post 8 weeks

• maximum voluntary ventilation (MVV) ( liters/minute )

  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

  Pre and post 8 weeks

• The inspiratory reserve volume (IRV) ( Liters )

  It represents the maximum amount of air that can be inhaled after a normal inhalation

  Pre and post 8 weeks

Secondary Outcomes (3)

• 6MWDT ( meters )

  Pre and post 8 weeks

• Timed up and go test ( seconds )

  Pre and post 8 weeks

• Berg Balance Scale (BBS) to test dynamic balance

  Pre and post 8 weeks

Study Arms (2)

Control group

SHAM COMPARATOR

control group will perform osteopathic manipulative tratment only

Other: osteopathic manipulative tratment only

Experimental group

EXPERIMENTAL

experimental group will perform ujjayi pranayama and osteopathic manipulative treatment

Other: ujjayi pranayama and osteopathic manipulative treatment

Interventions

osteopathic manipulative tratment only OTHER

focuses on restoring proper muscle balance and joint mechanics through techniques that address the shortened, tight muscles and the lengthened, weak muscles characteristic of the syndrome

Control group

ujjayi pranayama and osteopathic manipulative treatment OTHER

Ujjayi pranayama, often called "ocean breath," can be a helpful practice for individuals with Upper Cross Syndrome (UCS) by promoting relaxation and improving breath control. While not a direct cure, it can alleviate some symptoms and improve overall posture and body awareness. Osteopathic manipulative treatment focuses on restoring proper muscle balance and joint mechanics through techniques that address the shortened, tight muscles and the lengthened, weak muscles characteristic of the syndrome

Experimental group

Eligibility Criteria

• Age: 20 Years - 29 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Al-Zaytoonah University of Jordan: lead

Study Sites (1)

Mohamed Saied Zidan

Cairo, 11571, Egypt

Location

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Interventions

Manipulation, Osteopathic

Intervention Hierarchy (Ancestors)

Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor doctor

Study Record Dates

• First Submitted: June 26, 2025
• First Posted: July 4, 2025
• Study Start: August 1, 2025
• Primary Completion: September 30, 2025
• Study Completion: October 1, 2025
• Last Updated: November 19, 2025

Record last verified: 2025-11

Locations

EG (1)