The Effect of Cervical Sensorimotor Control Training Combined With Reformer Exercise on Static and Dynamic Balance and Cervical Joint Position Sense
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Title: Dynamic balance - COP medio-lateral excursion rate(COP ML Rate) during gait stance phase
研究概览
简要总结
This study investigates the effects of Pilates reformer exercise combined with cervical sensorimotor training using laser-guided visual feedback on balance performance. Participants were randomly assigned to three groups: a combined training group, a Pilates-only group, and a control group. Static and dynamic balance were assessed before and after the intervention.
This study was registered retrospectively on ClinicalTrials.gov after participant enrollment had begun. Institutional Review Board (IRB) approval was obtained prior to participant enrollment.
详细描述
Postural control is maintained through the integration of sensory information from the visual, vestibular, and somatosensory systems. Among these systems, cervical proprioception plays a critical role in providing information about head position and movement, which contributes to the regulation of balance and postural stability. Alterations or deficits in cervical proprioceptive input may negatively influence sensorimotor control and balance performance.
Laser-guided visual feedback training has been used to enhance cervical joint position sense and improve sensorimotor control by providing real-time visual information about head and neck movements. This method allows individuals to actively adjust head position based on visual feedback, thereby facilitating proprioceptive retraining.
The reformer exercise method is a form of resistance-based exercise that emphasizes controlled movements, core stabilization, and neuromuscular coordination. Integrating cervical proprioceptive training with reformer exercise may further enhance postural control by promoting coordinated activation of trunk and neck musculature.
The purpose of this study is to investigate the effects of a reformer exercise program incorporating cervical proprioceptive training using laser-guided visual feedback on balance ability. Pilates Reformer-based exercises combined with cervical proprioceptive training tasks were proceeded. Balance performance and proprioception were evaluated using static and dynamic balance measures and cervical joint position error before and after the intervention.
The findings of this study may provide evidence regarding the potential benefits of integrating laser-guided visual feedback-based cervical proprioceptive training into exercise programs aimed at improving balance and postural stability.
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
盲法说明
This was an open-label study. Blinding was not feasible due to the nature of the exercise intervention.
入排标准
- 年龄范围
- 30 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Female adults aged 30-49 years
- •Individuals who use a computer for ≥6 hours per day
- •Individuals who have experienced musculoskeletal pain and discomfort (neck, shoulder, or lower back) within the past year
- •Individuals who voluntarily agreed to participate in the study
- •Individuals able to participate in exercise training
排除标准
- •History of musculoskeletal or neurological surgery within the past 6 months
- •Individuals diagnosed with severe fractures or neurological disorders requiring surgical treatment
- •Any severe condition affecting balance or gait
研究组 & 干预措施
Control Group
Participants had no intervention
Cervical Sensorimotor Training with Pilates Reformer Exercise
Participants performed Pilates reformer exercise combined with cervical sensorimotor training using laser-guided visual feedback.
干预措施: Cervical Sensorimotor Training (Behavioral)
Cervical Sensorimotor Training with Pilates Reformer Exercise
Participants performed Pilates reformer exercise combined with cervical sensorimotor training using laser-guided visual feedback.
干预措施: Pilates Reformer Exercise (Behavioral)
Pilates-only Exercise Group
Participants performed a Pilates reformer exercise program without cervical sensorimotor training.
干预措施: Pilates Reformer Exercise (Behavioral)
结局指标
主要结局
Title: Dynamic balance - COP medio-lateral excursion rate(COP ML Rate) during gait stance phase
时间窗: Baseline and 12 weeks
Dynamic postural control assessed as the COP medio-lateral rate during gait (COP medio-lateral distance (mm)/foot width (mm)x100); higher percentages indicate greater COP curvature, reflecting a more normal foot rollover pattern. Unit of Measure: percent (%)
Dynamic balance - COP Sway Rate during gait stance phase
时间窗: Baseline and 12 weeks
Dynamic postural control assessed as COP Sway Rate during gait (Net Sway Length/COP Path Length × 100); values closer to 0% indicate better dynamic balance. Unit of Measure: percent (%)
Dynamic balance - Y-Balance Test (YBT) composite score
时间窗: Baseline and 12 weeks
Dynamic balance assessed using Y-Balance Test score (% of limb length); higher values indicate better dynamic balance. Unit of Measure: percent (%)
次要结局
- Title: Static balance - COP Sway Distance during quiet standing(Baseline and 12 weeks)
- Static balance - COP ellipse area during quiet standing(Baseline and 12 weeks)
- Cervical Joint Position Sense(CJPS) - Accuracy(Baseline and 12 weeks)
- Cervical Joint Position Sense(CJPS) - Precision(Baseline and 12 weeks)