- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04499170
Effect of Muscular Energy Technique on Postural Control
May 8, 2023 updated by: Universidade Norte do Paraná
Immediate Effect of the Muscle Energy Technique on Postural Control in the Elderly and Young Adults
The research aims to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults.
The sample will be selected for convenience, being participants of both sexes, young and old.
Evaluation of postural control through the force platform will be performed during the unipodal and semi-tandem balance tests.
The main parameters of postural control will be calculated using the pressure center derivative.
After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
Aging is considered a dynamic and progressive process, in which morphological, functional and biochemical changes occur.
One of the factors associated with old age is the decrease in the ability to balance posture and the high risk of falls.
The literature brings the benefits of physical exercise in improving balance and preventing falls.
However, few studies point to the benefits of flexibility techniques and their relationship with balance.
The objective of this research is to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults.
The sample will be selected for convenience, with 50 participants of both sexes, young people between 18 and 35 years old and elderly people between 60 and 85 years old.
Evaluation of postural control will be performed through the force platform during the unipodal and semi-tandem balance tests (2 repetitions of 30 seconds each, with rest of 30 seconds between them).
The main parameters of postural control will be calculated using the pressure center derivative.
After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform.
An analysis of variance will be used to compare the effects between groups (young versus elderly) and intervention (pre- and post-TEM) and the effects of interaction on the main variables of postural control.
A beneficial effect of TEM is expected, especially in the elderly group.
The results found in this study will contribute to the use of TEM and the increase of relevant clinical information to benefit the ability to balance in the elderly, in order to reduce the risk of falls.
Study Type
Interventional
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Rubens da Silva, PHD
- Phone Number: 55 43 3371-9848
- Email: rubens@unopar.br
Study Contact Backup
- Name: Gabriela Korovisk Santos
- Phone Number: 43996915439
- Email: korovisk_gabi@hotmail.com
Study Locations
-
-
Parana
-
Londrina, Parana, Brazil, 86041-120
- Laboratory of Functional Assessment and Human Motor Performance (LAFUP)
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Accepting to participate in a study on a voluntary basis;
- Aged between 18 and 35 years old for young adults and over 60 years old up to 85 years old for elderly people;
- Being physically independent;
- Not practicing regular physical activity as recommended by the ACSM 3 to 5 times a week with moderate and severe;
- Cognitive status> 18 in the Mini-Mental State Examination.
Exclusion Criteria:
- Elderly with cognitive changes detectable by the Mini Mental State Examination (MMSE);
- A score lower than the score predicted for their level of education;
- Self-reported injuries;
- Falls in the last year;
- Musculoskeletal disorders;
- Systemic neurological-degenerative disease;
- Severe labyrinthitis and chronic diseases of the cardiovascular or respiratory system.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Muscle energy technique (G1)
Group Elderly (G1)
|
Group of older (G1) - The muscular energy technique (TEM) based on Chaitow's proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral.
During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist.
After relaxation, range of motion will be gained until your new restriction barrier.
This process will be repeated for 3 times.
Other Names:
|
Active Comparator: Muscle energy technique (G2)
Group of young people (G2)
|
Group of young people (G2) - The muscular energy technique (TEM) based on Chaitow's proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral.
During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist.
After relaxation, range of motion will be gained until your new restriction barrier.
This process will be repeated for 3 times.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Balance
Time Frame: Baseline
|
Balance measured by a Force platform
|
Baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.
- Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. [The Mini-Mental State Examination in a general population: impact of educational status]. Arq Neuropsiquiatr. 1994 Mar;52(1):1-7. Portuguese.
- Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, Ory MG, Sattin RW, Tinetti ME, Wolf SL. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995 May 3;273(17):1341-7.
- Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010 May-Jun;14(3):237-43. English, Portuguese.
- Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982 Nov;36(5):936-42. doi: 10.1093/ajcn/36.5.936.
- Voorrips LE, Ravelli AC, Dongelmans PC, Deurenberg P, Van Staveren WA. A physical activity questionnaire for the elderly. Med Sci Sports Exerc. 1991 Aug;23(8):974-9.
- Horak FB, Henry SM, Shumway-Cook A. Postural perturbations: new insights for treatment of balance disorders. Phys Ther. 1997 May;77(5):517-33. doi: 10.1093/ptj/77.5.517.
- MINATTO et al. Idade, maturação sexual, variáveis antropométricas e composição corporal: influências na flexibilidade. Rev Bras Cineantropom Desempenho Hum. 2010;12(3):151-8.
- FRYER G, FOSSUMC. Therapeutic mechanisms underlying muscle energy approaches. In: Fernandez-de-las-Penas C, Arendt-Nielsen Lars, Gerwin R D editor(s). Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management. Sudbury, MA: Jones and Bartlett Publishers,2010.
- CHAITOW L. Técnicas de energia muscular. São Paulo: Manole; 2001
- Magnusson SP, Simonsen EB, Aagaard P, Dyhre-Poulsen P, McHugh MP, Kjaer M. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil. 1996 Apr;77(4):373-8. doi: 10.1016/s0003-9993(96)90087-8.
- Lariviere C, Gagnon D, Loisel P. The comparison of trunk muscles EMG activation between subjects with and without chronic low back pain during flexion-extension and lateral bending tasks. J Electromyogr Kinesiol. 2000 Apr;10(2):79-91. doi: 10.1016/s1050-6411(99)00027-9.
- Shultz S, Averell K, Eickelman A, Sanker H, Donaldson MB. Diagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review. Man Ther. 2015 Feb;20(1):18-27. doi: 10.1016/j.math.2014.08.002. Epub 2014 Aug 29.
- Adaptação do Habitual Physical Activity Questionnaire (Baecke), versão modificada, para a população portuguesa. Maria Celeste Bastos Almeida; José Luís Pais Ribeiro.
- Wells KF, Dillon EK. The sit and reach: a test of back and leg flexibility. Research Quarterly for Exercise and Sport, Washington, 1952, 23:115-118.
- Fitness Canada. Canadian Standardized Test of Fitness (CSTF) Operations Manual. 3rd Ed. Ottawa: Fitness and Amateur Sport, Canada, 1986
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
January 1, 2024
Primary Completion (Anticipated)
July 1, 2024
Study Completion (Anticipated)
December 1, 2024
Study Registration Dates
First Submitted
April 24, 2020
First Submitted That Met QC Criteria
August 3, 2020
First Posted (Actual)
August 5, 2020
Study Record Updates
Last Update Posted (Actual)
May 10, 2023
Last Update Submitted That Met QC Criteria
May 8, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- PP07009
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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