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

NCT07244068 | Recruiting DMC

• 1 other identifier: REC/RCR&AHS/MUSFERAIQBAL
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

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.

Conditions

Children, Only; Upper Crossed Syndrome

Keywords

Postural Alignment; Craniovertebral angle; Thoracic Kyphosis angle; Mat Pilates; Upper Crossed Syndrome

Outcome Measures

Primary Outcomes (2)

• Kinovea Software

  Kinovea is a free 2D motion analysis software that can be used to measure Craniovertebral angle, thoracic kyphosis angle and lumbar lordosis. This low-cost technology has been used in sports sciences, as well as in the clinical and research fields. One interesting tool is that it can measure an object (or person) passing in front of the camera, taking into account the perspective between the camera and the recorded object.

  5 Minutes

• Visual Analouge Scale

  A visual analogue scale (VAS) is a measurement tool that uses a straight line to rate the intensity of subjective feelings, most commonly pain. The line is typically 10 cm long, with one end representing the lowest level (e.g., "no pain") and the other end representing the highest level (e.g., "worst pain imaginable"). A patient marks the line to indicate their current sensation, and the distance from the zero point is used as a score, often out of 10.

  1 minute

Study Arms (2)

Mat Pilates+ RPT

ACTIVE COMPARATOR

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.

Other: Mat Pilates and Routine Physical Therapy

Routie Physical Therapy (RPT)

ACTIVE COMPARATOR

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.

Other: Routine Physical Therapy (RPT)

Interventions

Mat Pilates and Routine Physical Therapy 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.

Mat Pilates+ RPT

Routine Physical Therapy (RPT) 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.

Routie Physical Therapy (RPT)

Eligibility Criteria

• Age: 8 Years - 16 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ittefaq Hospital (TRUST)

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• 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.

  PMID: 38943175 BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Officials

• Musfera Iqbal, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

IMRAN AMJAD, PhD

CONTACT

9233224390125; imran.amjad@riphah.edu.pk

MUHAMMAD ASIF JAVED, MS-PT

CONTACT

923224209422; a.javed@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will get separate treatment protocols and possible efforts will be put to mask the both group about the treatment.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 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.

Study Record Dates

• First Submitted: November 17, 2025
• First Posted: November 24, 2025
• Study Start: October 28, 2025
• Primary Completion (Estimated): June 2, 2026
• Study Completion (Estimated): June 16, 2026
• Last Updated: November 24, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)