Evidence map›Paper›PMID 40640904›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Does corrective exercises influence the performance, posture, range of motion and shoulder pain of swimmers with upper crossed syndrome? randomized clinical trial.

Hossein Rezaei, Mahdi Gheitasi, Seyed Mohammad Hosseini

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07588061 (Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07588061 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome

TypeinterventionalSponsorIbadat International University, IslamabadRan2026 to 2026Enrolled58ConditionsUpper Cross SyndromeArmsKendall Exercises combined Maitland Mobilization, Kendall Exercise alone
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hossein RezaeiDepartment of Sport Rehabilitation and Health, Faculty of Sport Sciences and Health, Shahid Beheshti University, Dr. Shahriari Square, Yemen Street, Velenjak, Tehran, 1983969411, Iran.ORCID http://orcid.org/0009-0004-6117-2022
Mahdi GheitasiDepartment of Sport Rehabilitation and Health, Faculty of Sport Sciences and Health, Shahid Beheshti University, Dr. Shahriari Square, Yemen Street, Velenjak, Tehran, 1983969411, Iran. m_gheitasi@sbu.ac.ir.ORCID http://orcid.org/0000-0002-1582-0859
Seyed Mohammad HosseiniDepartment of Sport Rehabilitation and Health, Faculty of Sport Sciences and Health, Shahid Beheshti University, Dr. Shahriari Square, Yemen Street, Velenjak, Tehran, 1983969411, Iran.ORCID http://orcid.org/0000-0002-7414-1530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study sought to evaluate the effect of corrective exercises on forward head angle, forward shoulder angle, thoracic kyphosis degree, range of motion, and shoulder pain in elite front crawl swimmers presenting with upper crossed syndrome. METHODOLOGY: In this quasi-experimental study, 30 professional male swimmers aged 20 to 40 years (mean ± SD age: intervention group = 28.85 ± 6.49, control group = 27.66 ± 6.19) were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group underwent an eight-week corrective exercise program alongside their regular training. Assessment measures included photogrammetric analysis for forward head and shoulder posture angles, flexible ruler for thoracic kyphosis quantification, visual analog scale for pain evaluation, handheld chronometry for record assessment, and goniometer goniometric measurement for range of motion evaluation. After confirming normal data distribution using the Shapiro-Wilk test, Mixed ANOVA was used to assess the effects of the intervention at a significance level of 0.05.

resultsThe analysis revealed significant improvements in forward head posture (P <.001), rounded shoulders (P <.001), thoracic kyphosis (P <.001), shoulder range of motion (P <.001), and pain levels (P <.001) in the intervention group. However, no significant differences were found in performance measures such as swim record (P >.386) and stroke rate (P >.630).

conclusionCorrective exercises were effective in improving postural alignment, range of motion, and shoulder pain symptomatology, but did not significantly affect swimming performance. These findings suggest such exercises are more effective for addressing postural and clinical concerns. Further research using longer or varied protocols is recommended to explore potential performance outcomes.

trial registrationClinical trial code: IRCT20240306061185N1, registered at the Iranian Registry of Clinical Trials on 08/03/2024.

Indexed as

Elite swimmerShoulder painUpper crossed syndrome

Identifiers

PMID40640904
PMCPMC12243169

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.