Effect of Different Neuromuscular Training Modalities on Postural Stability in Healthy Recreation People: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Single-leg static postural stability medio-lateral displacement
研究概览
简要总结
Background: Postural stability (PS) is a vital function that helps maintain equilibrium during standing still, locomotion, and any activities requiring high balance performance. Under static and dynamic conditions, PS is a fundamental factor for the quality of movement in everyday activities or sports. PS and adaptive ability are required in sports due to the interactions between the sensory and motor systems, which regulate postural adjustments by processing information from the visual, vestibular, and somatosensory systems, as reported by previous studies. The interest in using different exercises and protocols for improving PS in sports and physiotherapy has grown in the last few decades. Experts have proposed various training modalities to increase neuromuscular stability, balance, postural control, and general stability. Dynamic Neuromuscular Stabilization (DNS) is a complex of correction exercises with a neuromuscular approach based on improving breathing, fundamental movements, and principles of developmental kinesiology. Whole body vibration training (WBV) is a neuromuscular training approach that has recently become very popular among researchers and practitioners in health and sport. It is usually used as an additional method in a conventional training routine. Designing the training program to achieve the optimal benefits for PS in healthy young adults is important in general personal health management. Although different training protocols have improved PS and general stability in everyday activities, there is still considerable debate regarding the optimal exercise modalities within an exercise program. Aim: The purpose of this study is to determine the effects of dynamic neuromuscular stabilisation (DNS), whole-body vibration (WBV), and a combination of DNS and WBV (MIX) training modalities on postural stability (PS) in healthy recreation participants. Method and materials: 180 gender-balanced groups were divided into four groups, MIX, DNS, VIBRO and CONTROL and underwent two months of treatment. The single and double-leg Center of Force (COF) parameters were collected on the Forceplate.
详细描述
Study design The purpose of this study is to determine the effects of dynamic neuromuscular stabilisation (DNS), whole-body vibration (WBV), and a combination of DNS and WBV (MIX) training modalities on postural stability (PS) in healthy recreation participants. The study presents an Interventional study to improve postural stability, and the main objective is prevention. The study model is parallel with four groups.
Participants The randomised, controlled interventional trial enrolled a gender-balanced group of 180 healthy young participants. The initial sample of respondents was recruited through an open online application that lasted two months (from 10.2.2022. to 10.4.2022.) (n=250), after which the first selection of respondents was started (n=230). Recruitment was completed after the optimal sample of subjects was filled (15.4.2022). The study sample was divided using stratified randomisation into the MIX group (n = 58), DNS group (n=57), VIBRO (n=57), and CONTROL group (n=58). At the end of the experimental program, the final sample was 180 (MIX=45; DNS=45; VIBRO=44; CONTROL=43). When stratifying, researchers use proportionate sampling to maintain the correct proportions of genders in every group. After explaining the experimental protocol, each subject provided written informed consent before participating in the study, per the Declaration of Helsinki and the Novi Sad University Human Research Ethics Committee guidelines (ethical approval number: 46-06-04/2020-1). The interventional program was conducted from 25.4.2022. to 25.6.2022. Ethics committee - commission for the implementation of scientific project research.
The exclusion criteria were:
- history of neurological or musculoskeletal disorders;
- clinical conditions that could impair balance (motor disorders, medical conditions like diabetes, heart disease, stroke, issues with vision, thyroid, nerves, or blood vessels).
The inclusion criteria for this study were:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 26 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •history of neurological or musculoskeletal disorders;
- •clinical conditions that could impair balance (motor disorders, medical conditions like diabetes, heart disease, stroke, issues with vision, thyroid, nerves, or blood vessels).
排除标准
- •the absence of injuries in the past six months
- •the absence of other medical conditions, including COVID-19
- •no programmed physical activity in the past three months.
研究组 & 干预措施
Dynamic neuromuscular stabilization group (DNS)
DNS - Dynamic neuromuscular stabilization intervention
干预措施: Dynamic neuromuscular stabilisation group (Other)
Whole body vibration group (VIBRO)
VIBRO - Whole body vibration intervention
干预措施: Whole body vibration group (Other)
Dynamic neuromuscular stabilisation with whole body vibration group (MIX)
MIX group - neuromuscular and whole body vibration intervention
干预措施: Dynamic neuromuscular stabilisation with whole body vibration group (Other)
Control group (CONTROL)
Control group - no intervention
结局指标
主要结局
Single-leg static postural stability medio-lateral displacement
时间窗: 2 months
Single leg static postural stability medio-lateral displacement was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, equipped with 4096 sensors and a scanning rate of up to 300 Hz. During the single-limb stance test, participants balanced on one foot, aligning it forward with reference lines in the frontal and sagittal planes. The swinging leg was flexed at the hip and knee to about 90 degrees, while arms hung naturally at their sides. Participants were instructed to maintain a steady posture, focusing on a point 65 centimeters away on the wall. The order of testing between legs was randomized. Measurement began after a 5-second preparation period. Single-leg static postural stability medio-lateral displacement is analyzed in millimeters.
Single-leg static postural stability center of force traveled way
时间窗: 2 months
Single leg static postural stability center of force traveled way was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, equipped with 4096 sensors and a scanning rate of up to 300 Hz. During the single-limb stance test, participants balanced on one foot, aligning it forward with reference lines in the frontal and sagittal planes. The swinging leg was flexed at the hip and knee to about 90 degrees, while arms hung naturally at their sides. Participants were instructed to maintain a steady posture, focusing on a point 65 centimeters away on the wall. The order of testing between legs was randomized. Measurement began after a 5-second preparation period. Single-leg static postural stability center of force traveled way is analyzed in millimeters.
Double-leg static postural stability sway area
时间窗: 2 months
Double leg static postural stability sway area was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, featuring 4096 sensors and a scanning rate of up to 300 Hz. Participants completed single and double-leg tasks, each lasting 30 seconds with three trials and a two-minute break between each. During the double-leg stance, they were instructed to maintain a still, upright posture, standing comfortably with feet shoulder-width apart, barefoot, eyes open, and fixed on a cross 5 meters away at eye level on a blackboard. Arms were kept by their sides. Measurement began after a 10-second preparation period to avoid transient effects. Double-leg static postural stability sway area is analyzed in square centimeters.
Double-leg static postural stability center of force traveled way
时间窗: 2 months
Double leg static postural stability center of force traveled way was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, featuring 4096 sensors and a scanning rate of up to 300 Hz. Participants completed single and double-leg tasks, each lasting 30 seconds with three trials and a two-minute break between each. During the double-leg stance, they were instructed to maintain a still, upright posture, standing comfortably with feet shoulder-width apart, barefoot, eyes open, and fixed on a cross 5 meters away at eye level on a blackboard. Arms were kept by their sides. Measurement began after a 10-second preparation period to avoid transient effects. Double-leg static postural stability center of force traveled way is analyzed in millimeters.
Double-leg static postural stability medio-lateral displacement
时间窗: 2 months
Double leg static postural stability medio-lateral displacement was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, featuring 4096 sensors and a scanning rate of up to 300 Hz. Participants completed single and double-leg tasks, each lasting 30 seconds with three trials and a two-minute break between each. During the double-leg stance, they were instructed to maintain a still, upright posture, standing comfortably with feet shoulder-width apart, barefoot, eyes open, and fixed on a cross 5 meters away at eye level on a blackboard. Arms were kept by their sides. Measurement began after a 10-second preparation period to avoid transient effects. Double-leg static postural stability medio-lateral displacement is analyzed in millimeters.
Double-leg static postural stability anterior-posterior displacement
时间窗: 2 months
Double leg static postural stability anterior-posterior displacement was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, featuring 4096 sensors and a scanning rate of up to 300 Hz. Participants completed single and double-leg tasks, each lasting 30 seconds with three trials and a two-minute break between each. During the double-leg stance, they were instructed to maintain a still, upright posture, standing comfortably with feet shoulder-width apart, barefoot, eyes open, and fixed on a cross 5 meters away at eye level on a blackboard. Arms were kept by their sides. Measurement began after a 10-second preparation period to avoid transient effects. Double-leg static postural stability anterior-posterior displacement is analyzed in millimeters.
Single-leg static postural stability sway area
时间窗: 2 months
Single leg static postural stability sway area was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, equipped with 4096 sensors and a scanning rate of up to 300 Hz. During the single-limb stance test, participants balanced on one foot, aligning it forward with reference lines in the frontal and sagittal planes. The swinging leg was flexed at the hip and knee to about 90 degrees, while arms hung naturally at their sides. Participants were instructed to maintain a steady posture, focusing on a point 65 centimeters away on the wall. The order of testing between legs was randomized. Measurement began after a 5-second preparation period. Single-leg static postural stability sway area is analyzed in square centimeters..
Single-leg static postural stability anterior-posterior displacement
时间窗: 2 months
Single leg static postural stability anterior-posterior displacement was evaluated using a 0.5 m Footscan® plate from RSscan International, Belgium, equipped with 4096 sensors and a scanning rate of up to 300 Hz. During the single-limb stance test, participants balanced on one foot, aligning it forward with reference lines in the frontal and sagittal planes. The swinging leg was flexed at the hip and knee to about 90 degrees, while arms hung naturally at their sides. Participants were instructed to maintain a steady posture, focusing on a point 65 centimeters away on the wall. The order of testing between legs was randomized. Measurement began after a 5-second preparation period. Single-leg static postural stability anterior-posterior displacement is analyzed in millimeters.
次要结局
- Height(2 months)
- Date of birth(2 months)
- Sex(2 months)
- Weight(2 months)
- Body Mass Index (BMI)(2 months)
- Adherence(2 months)
研究者
Dragan Marinkovic
Lead Investigator
University of Novi Sad