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medRxiv PreprintsInternational12 November 2026

Individualized systems-informed corrective exercise for adults meeting prespecified criteria for upper crossed syndrome: protocol for a randomized controlled trial

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Background: Heterogeneity in eligibility criteria, intervention content, and exercise-progression rules has limited the reproducibility of research on upper crossed syndrome. This trial will examine the added effect of a structured, individualized, staged corrective-exercise program on adults who meet prespecified criteria for this phenotype. Methods: In this parallel randomized controlled trial, 36 women and men aged 18-40 years with forward head and shoulder posture and increased thoracic kyphosis will be allocated 1:1, stratified by sex. Over 12 weeks, both groups will attend three sessions
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