The Effect of Core Stabilization Training on Chest Expansion, Functional Capacity, and Trunk Muscle Endurance in Hearing-Impaired Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Chest expansion
研究概览
简要总结
Children's motor skills and physical performance increase with age due to the development of neuromuscular and cardiorespiratory systems. Sensory impairment seen in children with hearing loss can cause balance and coordination disorders, as well as decreased muscle strength and respiratory functions.
Anatomically, core stabilization is provided by the diaphragm, abdominal, hip, pelvic floor, and gluteal muscles. Training for these muscles is intended to improve strength, endurance, and neuromuscular control. This training can help to improve the control of intra-abdominal pressure, intersegmental control of the spine, and muscular control of trunk movement. It also helps in strengthening the respiratory muscles, especially the main inspiratory muscle, the diaphragm. In this study, the effects of core stabilization training on children with hearing impairments' thoracic mobility, functional ability, and trunk muscle endurance will be examined.
详细描述
Children's motor skills and physical performance increase with age due to the development of neuromuscular and cardiorespiratory systems. Children with hearing loss can display impaired balance and coordination, as well as decreased muscle strength and respiratory functions. Thoracic mobility relates to the function of respiratory muscles that help expand and contract the ribcage. Exercise capacity, or functional capacity, refers to the individual's ability to perform submaximal activities that require the pulmonary, cardiovascular, and skeletal muscle systems to work together and be healthy. Chest wall expansion determines lung volume and functional capacity. A study in patients with chronic obstructive pulmonary disease showed that lung function was positively associated with reduced chest wall expansion.
Core stabilization is provided anatomically by the abdominal muscles in the front, the spinal and gluteal muscles in the back, the diaphragm above, and the pelvic floor and hip muscles below. Core (trunk) stabilization training is a training to increase strength, endurance, and neuromuscular control of the muscles mentioned above. Thus, intersegmental control of the spine, control of intra-abdominal pressure, and muscular control of trunk movement can be improved. It is also beneficial for strengthening the respiratory muscles, especially the diaphragm, which is the main inspiratory muscle.
When the literature was examined, no studies were found that evaluated the effects of exercise on thoracic mobility (chest expansion) and functional capacity in hearing-impaired children. Our planned study is important because it is the first study to evaluate both chest expansion and functional capacity in hearing-impaired children and also because it is the first study to show the effect of the core stabilization exercise program on chest expansion and functional capacity in these children.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presence of clinically diagnosed prelingual sensorineural hearing loss
- •Absence of any neurological or orthopedic problems
- •Absence of any mental disorder, developmental disorder or syndrome
- •Not having participated in any core (trunk) stabilization exercises during the previous six months
- •Not having used any medication that would affect respiratory functions in the last 3 months
排除标准
- •Intellectual disability that would prevent participation in evaluation and treatment
- •Presence of chronic respiratory disease
结局指标
主要结局
Chest expansion
时间窗: Baseline and immediately after the training
Chest wall expansion will be measured with a standard measuring tape at three different levels. While the child is in an upright position, with his feet shoulder-width apart and his arms relaxed at his side, measurements will be taken from three areas: at the axilla level (upper level), at the xiphoid level (middle level) and at the subcostal level (lower level). The physical therapist standing in front of the child will initially ask the child to breathe normally to determine the tidal volume, after placing the tape measure around the chest. The child will be asked to exhale maximally and then inhale maximally. The difference between the two scales (inhalation - exhalation) will be determined as thoracic expansion (chest expansion). Participants will be instructed to perform three maneuvers and the obtained values will be averaged and recorded. Data will be measured by the same physiotherapist to minimize possible errors due to heterogeneity.
次要结局
- Trunk muscle endurance(Baseline and immediately after the training)
- Functional capacity(Baseline and immediately after the training)
研究者
Deniz Tuncer
Assistant professor
Bezmialem Vakif University