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Completed

NCT Number: NCT07052552

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

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

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Key information

Conditions

Osteopathic Manipulation Oculocerebral hypopigmentation syndrome type Preus Ujjayi Pranayama Upper Cross Syndrome

Age range

20 year–29 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Mohamed Saied Zidan

Cairo, 11571, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

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

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

Primary outcomes

  1. FVC ( liters )

    Time frame: Pre and post 8 weeks

    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 )

  2. FEV1 ( liters )

    Time frame: Pre and post 8 weeks

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

  3. FEV1/FVC ( % )

    Time frame: pre and post 8 weeks

    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)

  4. PEF ( liters / minute )

    Time frame: pre and post 8 weeks

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

  5. Expiratory reserve volume ( ERV ) ( Liters )

    Time frame: pre and post 8 weeks

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

  6. maximum voluntary ventilation (MVV) ( liters/minute )

    Time frame: Pre and post 8 weeks

    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

  7. The inspiratory reserve volume (IRV) ( Liters )

    Time frame: Pre and post 8 weeks

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

Secondary outcomes

  1. 6MWDT ( meters )

    Time frame: Pre and post 8 weeks

    focus on endurance and distance covered during a timed walk, rather than assessing the specific muscle imbalances and postural deviations characteristic of Upper Cross Syndrome

  2. Timed up and go test ( seconds )

    Time frame: Pre and post 8 weeks

    A simple, quick, and widely used clinical performance-based measure of functional mobility and fall risk. It assesses how long it takes for a person to rise from a chair, walk three meters, turn, walk back, and sit down again.

  3. Berg Balance Scale (BBS) to test dynamic balance

    Time frame: Pre and post 8 weeks

    A widely used assessment tool in physical therapy to evaluate a patient's functional balance and fall risk. It consists of 14 tasks, scored on a 5-point scale from 0 to 4, with a total possible score of 56. A lower score indicates a higher risk of falling.

Sponsors and collaborators

Lead sponsor

Al-Zaytoonah University of Jordan

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 4, 2025
Registry last updated
Nov 19, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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