Evaluation of Muscle Thickness and Balance in Young and Older Adults

The Relationship Between Muscle Thickness and Dynamic Balance in Young and Older Adults

This study evaluates muscle thickness of trunk and lower limb and balance in young and older healthy adults. The participants will be evaluated muscle thickness for 14 different muscle and balance which evaluated by computerized force plate system.

Study Overview

• Status: Completed
• Conditions: Healthy; Balance; Distorted
• Intervention / Treatment: Other: Balance Analysis

Detailed Description

Aging had an adverse affect on musculoskeletal system and balance parameters. Decreased muscle strength or thickness negatively affect person's balance control. But there are no information in the literature about the relationships between muscle thickness and balance in healthy subjects. In addition to, it is not known which muscle responsible for balance. Therefore, this study will evaluate muscle thickness via ultrasonography and balance in young and older adults. Balance will be evaluated computerized Balance system. Muscle thickness for different 14 muscle ( diaphragm, transversus abdominis,multifidus, longissimus, quadratus lumborum, rectus abdominis, external and internal obliques, rectus femoris, vastus intermedius, vastus lateralis, tibialis anterior, gastrocnemius, soleus) will be evaluated by ultrasonography at the right side. Only diaphram muscle will be evaluated both right and left side.

• Study Type: Interventional
• Enrollment (Actual): 136
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06100
    • Ozden Ozkal

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria For Young Adults:

• To be a volunteer to participate
• to be an aged 18-40 years old.

Inclusion Criteria For Older Adults:

• To be a volunteer to participate
• to be an aged 65-90 years old.

Exclusion Criteria:

• Walking with assist device
• Having a visual deficits
• Having an orthopedic problems that affect balance
• Having a neurological disorders
• Having a musculoskeletal disorders that affect balance
• Having an undergone orthopedic surgery

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Screening
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Group: Balance analysis; Sixty older subjects will be evaluated in this study. Muscle thickness and balance will be assessed by ultrasonography and Computerized Balance system respectively.	Other: Balance Analysis; Balance analysis is assessment method to estimate fall of risk and deterioration of postural control.
Active Comparator: Control Group:Balance Analysis; Sixty young subjects will be evaluated in this study. Muscle thickness and balance will be assessed by ultrasonography and Computerized Balance system respectively.	Other: Balance Analysis; Balance analysis is assessment method to estimate fall of risk and deterioration of postural control.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Limits of Stability	Limits of stability test evaluates dynamic balance of participants. Computerized balance system measured limits of stability for forward, backward, right and left side movements. It calculates the maximum distance a person can lean without losing balance. The unit of measure is centimeters. The higher value is indicated the better balance.	15 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postural Sway	Postural sway in centimeters by computerized balance system	15 minutes
Muscle thickness	Muscle thickness in millimeters by Ultrasound	30 minutes
Fear of falling	Fear of Falling will be evaluated by Fall Efficacy Scale - International is a questionnaire that assesses fear of falling. The total scores range from 16 "absence of concern" to 64 "extreme concern.	15 minutes
Joint position sense	Knee joint position sense test will be evaluated using an isokinetic dynamometer. The testing included passive positioning performed by the assessor and active-repositioning performed by the participants. As the difference between the target degree and the degree is increased, the sense of position worsens.	15 minutes

Collaborators and Investigators

• Sponsor: Hacettepe University
• Investigators: Principal Investigator: Ozden Ozkal, Hacettepe University

Publications and helpful links

General Publications

• Ozkal O, Kara M, Topuz S, Kaymak B, Baki A, Ozcakar L. Assessment of core and lower limb muscles for static/dynamic balance in the older people: An ultrasonographic study. Age Ageing. 2019 Nov 1;48(6):881-887. doi: 10.1093/ageing/afz079.

Study record dates

Study Major Dates

• Study Start (Actual): January 5, 2019
• Primary Completion (Actual): February 15, 2019
• Study Completion (Actual): March 1, 2019

Study Registration Dates

• First Submitted: December 29, 2018
• First Submitted That Met QC Criteria: December 29, 2018
• First Posted (Actual): January 2, 2019

Study Record Updates

• Last Update Posted (Actual): March 12, 2019
• Last Update Submitted That Met QC Criteria: March 10, 2019
• Last Verified: December 1, 2018

More Information

Terms related to this study

• Keywords: Balance; Older adults; Muscle; Postural control
• Other Study ID Numbers: GO 18/506

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No