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PostureCoremaleNCT06877806

Effects of Core Exercise on Posture and Trunk Endurance in Sedentary Males

A study testing Core exercise in people with Posture and Trunk Muscle Endurance, run by University of Novi Sad at 1 site in Serbia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Increased sedentary lifestyles due to modern technological advancements have negatively impacted posture and trunk stability. Proper posture relies on balanced dorsal and ventral muscles, trunk stabilization, and joint flexibility. Read more about this study

Who is it for?
Ages 19 to 22 years, men onlyHealthy volunteers can take part
Conditions the study is for
Posture, Trunk Muscle Endurance
What is being tested?
Core exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
230 participants
Where
1 siteSerbia
Study dates
30 Apr 2019to 20 Jun 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 22 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • no injuries within the past six months,
  • no other medical conditions, including COVID-19,
  • no scheduled physical activity in the previous three months,
  • we considered the experimental programs valid if participants completed at least 80% of all training sessions.

Who cannot join

  • had a history of neurological or musculoskeletal disorders,
  • had clinical conditions that could affect balance, such as motor disorders, diabetes, heart disease, stroke, vision problems, thyroid issues, or issues with nerves or blood vessels.

Trial locations and contacts

1 site in 1 country.

Serbia1 site
  • University of Novi Sad, Faculty of Sport and Physical Education

    Novi Sad, 21000

Other trials in Serbia

About this study

Official title: Effects of Core Exercise on Posture and Trunk Endurance Parameters in Sedentary Males: A Randomized Controlled Trial

Increased sedentary lifestyles due to modern technological advancements have negatively impacted posture and trunk stability. Proper posture relies on balanced dorsal and ventral muscles, trunk stabilization, and joint flexibility. Deviations in these factors may lead to postural abnormalities and, over time, structural deformities. Early detection and intervention through corrective exercises can mitigate these issues. Various measurement techniques, including 2D and 3D scanning, allow for objective posture assessment. Core stabilization exercises have been shown to influence spinal alignment and muscle endurance, improving postural control. However, limited research focuses on young adult males. This study aimed to evaluate the effects of an 8-week core exercise program on posture and trunk endurance in sedentary university students.

A randomized controlled trial was conducted on male university students at the University of Novi Sad, Serbia. Participants were recruited through an open call, and those with prior musculoskeletal, neurological, or metabolic conditions were excluded. The final sample included 138 participants divided into an experimental group (EG) and a control group (CG). The EG followed an 8-week core stabilization program, while the CG did not receive any intervention.

Read more

Postural assessments were conducted using CONTEMPLAS TEMPLO software with 2D and 3D analysis protocols. Measurements included the Fröner Posture Index (PI) and the Kyphosis-Inclination-Lordosis (KIL) scheme, evaluating thoracic kyphosis, cervico-lumbar, and lumbar-gluteal angles. Trunk endurance was assessed through the Sorensen Back Extensor Test (BET), the Abdominal Flexor Endurance Test (FET), and the Double Leg Lowering Test (DLL). The intervention program consisted of progressive core stabilization exercises, increasing in difficulty from basic planks to exercises on unstable surfaces.

The experimental group underwent structured core training three times a week for eight weeks. The program included exercises to enhance mobility and strengthen the neck, shoulders, pelvis, and hips, with a focus on stabilizing the spine through anti-flexion, anti-extension, and anti-rotation movements. Exercises progressed from static planks to dynamic and unstable surface training. The control group did not participate in any structured physical activity.

Read the detailed description

At the beginning of the 21st century, technological and social changes have significantly impacted human health and development. Increased reliance on technology has contributed to a sedentary lifestyle, leading to reduced physical activity and associated health issues. One major concern is the effect of prolonged sitting on posture and trunk stability. Proper posture is essential for maintaining musculoskeletal health and functional movement. It depends on the balance between dorsal and ventral muscles, the strength of trunk stabilizers, and the flexibility of joints.

Misalignments in body posture, especially in the sagittal plane, can lead to postural abnormalities. If left untreated, these abnormalities may develop into structural deformities. The biomechanics of the spine are particularly sensitive to prolonged external forces, which can result in muscular imbalances and impaired postural reflexes. Addressing these issues through early intervention and corrective exercises can help restore proper alignment and reduce the risk of developing chronic conditions.

Traditional postural assessments often rely on visual inspection, which lacks scientific precision. Recent advancements in technology, such as 2D and 3D scanning techniques, allow for more objective posture evaluation. The CONTEMPLAS TEMPLO software is one such tool that provides detailed postural analysis based on reference points, angles, and postural indices. Using such technologies, researchers can quantitatively assess changes in posture before and after intervention programs.

Several studies have demonstrated the benefits of core stabilization exercises in improving postural control and trunk endurance. These exercises have been shown to correct thoracic and lumbar curvatures, enhance muscular balance, and improve movement patterns. However, most posture-related studies focus on children and adolescents. There is limited research on postural interventions in young adult males. The present study aims to investigate the effects of an 8-week core exercise program on posture and trunk endurance in sedentary university students.

The study recruited male university students from the University of Novi Sad, Serbia. Participants were selected through an open application process, with an initial sample of 250 individuals. After an initial screening, 230 participants met the inclusion criteria. The selection process was designed to ensure a homogeneous sample by excluding individuals with prior musculoskeletal, neurological, or metabolic conditions that could affect balance and posture.

After randomization, 230 participants were divided into two groups:

Measurements Anthropometric Measurements Height: Measured using Martin's anthropometry Weight: Measured using a digital scale BMI: Calculated based on height and weight Postural Assessment Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyzes body alignment based on 2D and 3D protocols.

2D Analysis Fröner Posture Index (PI): Calculated based on spinal curvatures, including thoracic kyphosis and lumbar lordosis. PI values range from 0.8 to 1.7, with optimal posture between 1.0 and 1.2.

Kyphosis-Inclination-Lordosis (KIL) Scheme: Evaluates:

Thoracic Kyphosis Index (TKI) Cervico-Lumbar Lead Angle (CCL) Lumbar-Gluteal Lead Angle (LGL) The KIL scheme helps assess postural asymmetry and spinal curvatures.

3D Analysis

The 3D spine analysis protocol provides a comprehensive assessment of the sagittal and frontal posture, including:

Shoulder and pelvis alignment Spinal curvature relative to the vertical reference line

Trunk Muscle Endurance Tests Sorensen Back Extensor Test (BET): Measures back extensor endurance in a prone position. Participants attempt to maintain a horizontal position for as long as possible.

Abdominal Flexor Endurance Test (FET): Measures abdominal endurance with participants sitting at a 50-degree incline and maintaining the position.

Double Leg Lowering Test (DLL): Assesses core stability by measuring the angle at which participants can control pelvic movement during leg lowering.

Intervention Protocol

Control Group (CG) The control group received no intervention and continued their regular daily activities.

Experimental Group (EG)

The experimental group participated in an 8-week core stabilization program, conducted three times per week. Each session lasted 30 minutes and consisted of:

Weeks 1-2:

Basic stabilization exercises (planks, forearm support, quadruped positioning) Core activation drills (McGill curl-up, plank walking)

Weeks 3-4:

Additional movement patterns (superman holds, alternating hand and foot raises) Rotation-based stabilization (faceplate switches)

Weeks 5-6:

Introduction of unstable surfaces (stability ball, balance boards) Unilateral exercises (single-leg planks, single-arm support)

Weeks 7-8:

Advanced core exercises (stirring the pot, one-arm side planks) Increased resistance and endurance-based progressions The intensity of the program was gradually increased based on participants' progress.

Being tested
Core exercise
Keywords
Core exercise, Sedentary males, Posture, Trunk endurance, Neuromuscular improvement

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Core exerciseOther

    The experimental treatment had a total of 18 introductory courses lasting 30 minutes each. The treatment included exercises to increase the mobility and strength of the neck, shoulders, pelvis and hips, and anti-flexion, anti-extension and rotation exercises were used to stabilize the spine. McGill curl-up was performed during each treatment for all 6 weeks. In the first two weeks, the subjects did general and introductory exercises (all positioned planks, plank walking, forearm cranes, plank pad forearms, etc.). Week 3 and 4 with additional movements and rotations (alternating hand and foot board holding, superman posture, faceplate switches, etc.). During the fifth and sixth weeks, the exercises were performed on unstable surfaces (one-handed board, ball stirring pot, feet raised sideboard, etc.). The intensity of those training courses was individual, but each one started at submaximal.

Study groups in NCT06877806
Study groupRoleWhat they receive
Core ExerciseExperimentalCore exercise and trunk endurance intervention
Receives: Other: Core exercise
ControlNo interventionNo intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 3D Cervical

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 3D protocols. Markers were set on anatomical landmark: CV7 - Cervical Vertebrae 7 and SACR - Sacrum and system calculate distance cervical spine - sacrum. Distance indicates the cervical spine regarding the vertical line projection of the sacrum (the bone at the bottom of the spine) in the sagittal plane. Values are presented in centimeters (cm).

    Measured: 6 weeks

  2. 3D Thoracic

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 3D protocols. Markers were set on anatomical landmark: MAI - Midpoint Between the Inferior Angles of Most Caudal Points of the Two Scapula and SACR - Sacrum and system calculate distance thoracic spine - sacrum. Distance indicates the thoracic spine regarding the vertical line projection of the sacrum (the bone at the bottom of the spine) in the sagittal plane. Values are presented in centimeters (cm).

    Measured: 6 weeks

  3. 3D Lumbar

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 3D protocols. Markers were set on anatomical landmark: LV1 - Lumbar Level Vertebrae 1 and SACR - Sacrum and system calculate distance Lumbar spine - sacrum. Distance indicates the lumbar (lower) spine regarding the vertical line projection of the sacrum (the bone at the bottom of the spine) in the sagittal plane. Values are presented in centimeters (cm).

    Measured: 6 weeks

  4. Thoracic kyphosis Index (TKI)

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 2D protocols. Markers were set on anatomical landmark: C - Cervical Vertebrae 7; D - Midpoint Between the Inferior Angles of Most Caudal Points of the Two Scapula; L - Lumbar Level Vertebrae 1; G - Maximal present point of gluteus; D1 - Vertical projection that connect line from Cervical point to Lumbar point.

    TKI=(D*D1)*25/ distance from C to L; Values: Optimal 2,3 to 3,0; Acceptable 3,1 to 4,0; Marginal 4,1 to 4,4; Suspicious 4,5 to 5,0; Conspicuous more than 5,0.

    Measured: 6 weeks

  5. Cervical-lumbar lead angle (CLL)

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 2D protocols. Markers were set on anatomical landmark: C - Cervical Vertebrae 7; D - Midpoint Between the Inferior Angles of Most Caudal Points of the Two Scapula; L - Lumbar Level Vertebrae 1; G - Maximal present point of gluteus; D1 - Vertical projection that connect line from Cervical point to Lumbar point. CLL angle was measured at point L. It presents the angle between the perpendicular and the connection line of point L and C. It describes the sagittal inclination of the spine. Values: Optimal --2 to 1; Acceptable -2 to -6; Marginal -7 to -8; Suspicious -9 to -10,5; Conspicuous less than -10,5.

    Measured: 6 weeks

  6. Lumbar-gluteal lead angle (LGL)

    Postural disorders were evaluated using the CONTEMPLAS TEMPLO photometric system, which analyses body alignment-based 2D protocols. Markers were set on anatomical landmark: C - Cervical Vertebrae 7; D - Midpoint Between the Inferior Angles of Most Caudal Points of the Two Scapula; L - Lumbar Level Vertebrae 1; G - Maximal present point of gluteus; D1 - Vertical projection that connect line from Cervical point to Lumbar point. Was measured at point G. The angle between the connection line of Point L to G and the perpendicular to point G. It is the measured values for the lordosis. Values: Optimal -10 to -23; Acceptable -24 to -28; Marginal -29 to -31; Suspicious -32 to -35; Conspicuous less than -36.

    Measured: 6 weeks

  7. Sorensen Back Extensor Test (BET)

    The Sorensen Back Extensor Test (BET) assesses back extensor endurance. The subject lies prone on a table with the iliac crest aligned to the edge. The lower body is secured with straps while the upper body extends unsupported over the edge. With arms crossed over the chest, the subject maintains a horizontal position as long as possible. The test ends when the subject can no longer hold the position due to fatigue or pain. The time (in seconds) is recorded, with longer durations indicating better endurance.

    Measured: 6 weeks

  8. Abdominal Flexor Endurance Test (FET)

    The Abdominal Flexor Endurance Test (FET) assesses core endurance. The subject sits with knees bent at 90 degrees, feet flat, and arms crossed over the chest. The upper body leans back to a 60-degree angle from the floor. Once support is removed, the subject must hold this position without moving or arching. The test ends when the subject can no longer maintain the posture. Time (in seconds) is recorded, with longer durations indicating better abdominal endurance.

    Measured: 6 weeks

  9. Double Leg Lowering Test (DLL)

    The Double Leg Lowering Test (DLL) assesses lower abdominal and core strength. The subject lies supine with arms at the sides and legs raised to a 90-degree hip flexion. While keeping the lower back in contact with the floor, the subject slowly lowers both legs until they can no longer maintain pelvic control or lumbar stability. The angle at which the back arches or control is lost is recorded. A lower angle indicates better core strength, while early loss of control suggests weakness.

    Measured: 6 weeks

Secondary outcomes (4)
  1. Age

    The participant's date of birth is collected in order to calculate his age in years.

    Measured: 6 weeks

  2. Weight

    The weight of the participants is analyzed in kilograms.

    Measured: 6 weeks

  3. Height

    The height of the subject is determined in meters.

    Measured: 6 weeks

  4. Body Mass Index (BMI)

    The participant's BMI is calculated from his height and weight.

    Measured: 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2025
  2. Study start30 Apr 2019
  3. Primary completion11 Jun 2019
  4. Study completion20 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
230 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06877806
Sponsor's protocol ID
20/2018
Acronym
Coremale
Status last verified
Mar 2025
First submitted
10 Mar 2025
Last updated
14 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Core exercise in people with Posture and Trunk Muscle Endurance, run by University of Novi Sad at 1 site in Serbia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Serbia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

3D Cervical (time frame: 6 weeks). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Mar 2025.

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