Acute Responses of Postural Alignment, Kinematic Synergy, and Intermuscular Coherence to Postural Muscle Facilitation (Retrospective) (PPMvsRCM)

Postural alignment is often intervened upon in health, fitness, and physical medicine settings. Despite a long tradition in this area, current notions of optimal or normal posture are superficial and often logically inconsistent. A recent attempt to reconcile diverging opinions about good posture proposes that alignment be considered in relation to individual joints' natural tendencies to collapse under gravity. This theory allows different maladaptive postures to be described in terms of functional deficits and compensatory adaptations at the muscular level. Working within this type of theory, postural interventions may be able to account for comparative advantages in maintaining alignment between different muscle systems. This would represent a step forward from current practices, which usually attempt to force arbitrary alignment patterns indiscriminately.

The current study presents motion capture and electromyography (EMG) data evaluating the effects of two interventions on individual participants' bipedal standing alignment patterns with respect to the gravitational collapsing tendencies referenced above. Additional outcomes included functional grouping of muscle activation signals (via intermuscular coherence) and kinetic chain continuity. The interventions include 1) an experimental intervention purported to engage muscles that naturally resist the collapsing effects of gravity, and 2) a control intervention designed to inhibit other muscle groups that are sometimes involved in maintaining bipedal alignment in a compensatory role. Study outcomes are measured before and after both interventions to quantify the acute effects of each. All participants complete both interventions in random order, crossing over after a one-week washout period. This research will provide insight into the acute effects of studied interventions, specifically those relating to maintenance of bipedal alignment with respect to gravitational collapsing tendencies.

Study Overview

• Status: Completed
• Conditions: Musculoskeletal Equilibrium; Posture
• Intervention / Treatment: Other: Exercise Then Foam Roll; Other: Foam Roll Then Exercise

• Study Type: Interventional
• Enrollment (Actual): 10
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Virginia
    • Roanoke, Virginia, United States, 24013
      • Radford University Carilion

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Healthy adult
• 18 - 40 years of age

Exclusion Criteria:

• Recent (< 6 months) history of lower extremity injury
• Recent (< 6 months) history of other musculoskeletal or neurological disorder affecting balance
• Contraindications to participation in physical activity

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Basic Science
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Exercise Then Foam Roll; This arm (sequence) will first complete the exercise intervention promoting muscular engagement resisting gravitational collapsing tendencies, then the control intervention involving self-myofascial release of muscle groups not thought to resist gravitational collapse.	Other: Exercise Then Foam Roll; Participants in AB will perform the experimental (exercise) intervention first and the control (foam rolling) intervention second.; Other Names: AB
Other: Foam Roll Then Exercise; This arm (sequence) will first complete the control intervention involving self-myofascial release of muscle groups not thought to resist gravitational collapse, then the exercise intervention promoting muscular engagement resisting gravitational collapsing tendencies.	Other: Foam Roll Then Exercise; Participants in BA will perform the control (foam rolling) intervention first and the experimental (exercise) intervention second.; Other Names: BA

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately before Intervention (Day 1)
Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately after Intervention (Day 1)
Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately before Intervention (Day 7)
Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately after Intervention (Day 7)
Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately before Intervention (Day 1)
Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately after Intervention (Day 1)
Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately before Intervention (Day 7)
Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately after Intervention (Day 7)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately before Intervention (Day 1)
Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately after Intervention (Day 1)
Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately before Intervention (Day 7)
Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately after Intervention (Day 7)

Collaborators and Investigators

• Sponsor: Radford University
• Investigators: Principal Investigator: Stephen Glass, PhD, Radford University

Study record dates

Study Major Dates

• Study Start (Actual): August 10, 2021
• Primary Completion (Actual): April 14, 2022
• Study Completion (Actual): April 14, 2022

Study Registration Dates

• First Submitted: June 12, 2023
• First Submitted That Met QC Criteria: June 12, 2023
• First Posted (Actual): June 22, 2023

Study Record Updates

• Last Update Posted (Actual): June 22, 2023
• Last Update Submitted That Met QC Criteria: June 12, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: 2021-288-RUC (Retrospective)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: De-identified raw data for individual participants will be shared upon request with parties committing to institutional data sharing agreements.
• IPD Sharing Time Frame: On request and indefinitely.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE

Drug and device information, study documents

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