Children, OnlyNCT07244068
Effect of Mat Pilates on Pain and Postural Alignment in School Going Children With Upper Crossed Syndrome.
A study testing Mat Pilates and Routine Physical Therapy and Routine Physical Therapy (RPT) in people with Children, Only and Upper Crossed Syndrome, run by Riphah International University at 1 site in Pakistan.
Trial 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… Read more about this study
- Who is it for?
- Ages 8 to 16 yearsHealthy volunteers can take part
- Conditions the study is for
- Children, Only, Upper Crossed Syndrome
- What is being tested?
- Mat Pilates and Routine Physical Therapy and Routine Physical Therapy (RPT)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 28 Oct 2025to 16 Jun 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 8 to 16 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- School going children
- Children of the age 8-16.
- Children having Thoracic Kyphosis angle under 20° and over 40 °,and Craniovertebral angle under 48°
Who cannot join
- Children with systemic disorders.
- Children with recent history of injury.
- Physical or sensory defecit(16)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Ittefaq Hospital (TRUST)
Lahore, Punjab Province, 54000
About this study
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.
Read the detailed description
The current study will be randomized control trial, data will be collected from Physical Therapy department of Ittefaq Hospital, Lahore. The study will include 28 participants equally divided into two groups and randomly allocated. Inclusion criteria for the study will be UCS patients with age between 8 to 16yrs of either gender. Patients with any recent history of injury, severe systemic disorder and physical or sensory deficit will be excluded from the study.Group A (Experimental Group) 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.Group B (Control Group) 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. Outcomes to be analyzed will be Craniovertebral angle and Thoracic Kyphosis angle and Pain. Data collection will be done before and after the intervention. Tools used for data collection will be kinovea software for Craniovertebral angle and Thoracic Kyphosis angle and Visual analouge scale (VAS) for pain. Data will be analyzed through SPSS version 26.00.
- Conditions
- Children, Only, Upper Crossed Syndrome
- Being tested
- Mat Pilates and Routine Physical Therapy, Routine Physical Therapy (RPT)
- Keywords
- Postural Alignment, Craniovertebral angle, Thoracic Kyphosis angle, Mat Pilates, Upper Crossed Syndrome
- Medical subject headings
- Oculocerebral hypopigmentation syndrome type Preus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mat Pilates and Routine Physical TherapyOther
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).
- Corrected neck alignment while lying on the back on a mat (use pillows if needed)
- Arm circles (both directions) on the mat.
- Diamond press
- Diamond press and lateral arm movement to back extension.
- Arm slides 90°:
- Arm circles on a tiny barrel while lying on back.
- Chair expansion.
- Lying prone, stabilize the scapula and pump arms up and down with lower back support.
- Straps for chest expansion.
- Kneel plank on a Swiss ball.
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.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: 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. Receives: Other: Routine Physical Therapy (RPT) |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: 1 minute
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2025
- Study start28 Oct 2025
- Primary completion2 Jun 2026 (estimated)
- Study completion16 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Children, OnlyStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 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.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 28 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Musfera Iqbal, MS-PT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07244068
- Sponsor's protocol ID
- REC/RCR&AHS/MUSFERAIQBAL
- Status last verified
- Nov 2025
- First submitted
- 17 Nov 2025
- Last updated
- 24 Nov 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 38943175
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Mat Pilates on Pain and Postural Alignment in School Going Children With Upper Crossed Syndrome.
- ClinicalTrials.gov ID
- NCT07244068
- Acronym / sponsor ID
- REC/RCR&AHS/MUSFERAIQBAL
- Conditions
- Children, Only, Upper Crossed Syndrome
- Keywords
- Postural Alignment, Craniovertebral angle, Thoracic Kyphosis angle, Mat Pilates, Upper Crossed Syndrome
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 28 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 28 Oct 2025 (actual)
- Primary completion
- 2 Jun 2026 (estimated)
- Study completion
- 16 Jun 2026 (estimated)
- First posted
- 24 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
The current study will be randomized control trial, data will be collected from Physical Therapy department of Ittefaq Hospital, Lahore. The study will include 28 participants equally divided into two groups and randomly allocated. Inclusion criteria for the study will be UCS patients with age between 8 to 16yrs of either gender. Patients with any recent history of injury, severe systemic disorder and physical or sensory deficit will be excluded from the study.Group A (Experimental Group) 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.Group B (Control Group) 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. Outcomes to be analyzed will be Craniovertebral angle and Thoracic Kyphosis angle and Pain. Data collection will be done before and after the intervention. Tools used for data collection will be kinovea software for Craniovertebral angle and Thoracic Kyphosis angle and Visual analouge scale (VAS) for pain. Data will be analyzed through SPSS version 26.00.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| Mat Pilates+ RPT | Active comparator | Other: Mat Pilates and Routine Physical TherapyExperimental 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. |
| Routie Physical Therapy (RPT) | Active comparator | Other: Routine Physical Therapy (RPT)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. |
Who may qualify
- Ages
- 8 to 16 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- School going children
- Children of the age 8-16.
- Children having Thoracic Kyphosis angle under 20° and over 40 °,and Craniovertebral angle under 48°
Key exclusion criteria (3 listed)
- Children with systemic disorders.
- Children with recent history of injury.
- Physical or sensory defecit(16)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mat Pilates and Routine Physical TherapyGroup 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. | Other | Mat Pilates+ RPT |
| Routine Physical Therapy (RPT)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. | Other | Routie Physical Therapy (RPT) |
Primary outcome
Kinovea Software
Time frame: 5 Minutes
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.
Visual Analouge Scale
Time frame: 1 minute
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2025.
- Background: PubMed 38943175Shadi 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Musfera Iqbal, MS-PT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mat Pilates and Routine Physical Therapy and Routine Physical Therapy (RPT) in people with Children, Only and Upper Crossed Syndrome, run by Riphah International University at 1 site in Pakistan.
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 3 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 24 Nov 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 Pakistan. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact IMRAN AMJAD, PhD (9233224390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Kinovea Software (time frame: 5 Minutes). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07244068, which also lists 1 linked publication.
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 24 Nov 2025.