The Effects of Thoracic Mobilization and Diaphragmatic Breathing on Postural Sway in Archers

September 16, 2024 updated by: Gamze Aydoğan, Kocaeli Sağlık ve Teknoloji Üniversitesi

Investigation of the Effects of Thorocal Mobilization and Diaphragmatic Breathing Training on Postural Stability and Target Consistency in Archery.

Shooting in archery requires tremendous postural stability to minimize oscillations when the upper body area is under high muscle tension. Postural oscillations depend especially on the alignment of the target and the arrow and the center of gravity being within the base of support. In addition, it has been reported that heart rate changes and breathing patterns affect postural control and therefore performance. Increasing pulse values during shooting negatively affect shooting performance by causing increased postural oscillations and body shaking. The breathing pattern directly affects postural oscillations by affecting the heart rate.It has been reported that the diaphragm has important effects on breathing and trunk control due to its anatomical connections and that the diaphragm movement during breathing is synchronized with the stabilization function. During breathing, the diaphragm descends into the abdominal cavity, causing a positive pressure increase in the intra-abdominal region. Due to this increasing pressure, it expands the abdominal area to the limit allowed by the abdominal muscles and the abdominal wall. Then, with the eccentric contraction of the abdominal muscles, the descent of the diaphragm is blocked at a certain point and the abdominal muscles resist the movement of the diaphragm. In response to this counter-reaction, the diaphragm realizes inspiration by providing a 3-dimensional expansion by opening the lower ribs to the posterolateral. It has been reported that the stabilization effect of the diaphragm is the result of its contraction especially towards these sides, therefore a good level of thoracic mobilization will increase the lateral contraction capacity of the diaphragm. This is ultimately associated with a stronger stabilization effect. On the other hand, impairment of synchronization may result in spinal segments being under excessive stress and reducing stability. Studies in patients and healthy individuals have shown that diaphragmatic breathing contributes to balance by increasing the strength of the diaphragm and deep core muscles. Shooting performance in archery is closely related to the correct breathing pattern and diaphragmatic movement, as it is affected by trunk mobility and postural stability. On the other hand, when we look at the contents of archery training, there are general condition-increasing exercises, special muscle strengthening exercises, methods for developing mental skills and techniques, and methods such as diving and bungee jumping as new training methods. It was observed that exercises were not included in the training programs. The aim of this study is to investigate the scope of postural stability and target stability of thoracic mobilization techniques and diaphragmatic breathing training in order to reveal the stabilization level of the diaphragm at the optimum level in archers.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

30

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

Study Contact Backup

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • healthy
  • Individuals over the age of 18
  • Individuals have been practicing archery for at least 2 years and
  • Individuals have a WA (World Archery Federation) score between 360-570

Exclusion Criteria:

  • Surgery in the trunk, upper extremities, neck and lower back within the last 1 year,
  • Athletes who have sustained injuries to the trunk, upper limbs, lower back and neck in the last 6 months,
  • Athletes who have suffered from respiratory system diseases such as pneumonia, acute bronchitis, etc. that may affect respiratory capacity within the last 1 year
  • Athletes with chronic respiratory system diseases (asthma, emphysema, chronic bronchitis, etc.) will be excluded from the study.

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group- Group I
individuals will do thoracic mobilization exercises and Diaphragmatic Breathing Training
Other: Experimental

Thoracic mobilization exercises will include:

  1. Thoracic Spine Extension exersice
  2. Thoracic rotation exersice
  3. Cat-Camel Exercise
  4. Lateral Flexion of the Thoracic Spine
  5. Muscules Psoas Stretching
  6. Diaphragm Release Technique

Diaphragmatic Breathing Training will include:

  1. Diaphragmatic Breathing
  2. Crocodile Breathing Technique
  3. Breathing with an exercise band
  4. Pursed lip breathing
Other Names:
  • Thoracic mobilization exercises and Diaphragmatic Breathing Training
Active Comparator: Control group- Group II
Control Group will do plasebo Diaphragmatic Breathing Training and plaseboThoracic mobilization exercises
Other: Control (placebo) group

Placebo Thoracic mobilization exercises will include:

  1. Placebo Thoracic Spine Extension exersice
  2. Placebo Thoracic rotation exersice
  3. Placebo Cat-Camel Exercise
  4. Placebo Lateral Flexion of the Thoracic Spine
  5. Placebo Muscules Psoas Stretching
  6. Placebo Diaphragm Release Technique

Placebo Diaphragmatic Breathing Training will include:

  1. Placebo Diaphragmatic Breathing
  2. Placebo Crocodile Breathing Technique
  3. Placebo Breathing with an exercise band
  4. Placebo Pursed lip breathing

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
measurement of anterior-posterior, medio-lateral sway
Time Frame: will be measured at initially,6 week and 10 week
The data obtained with the force platform will be analyzed using Matscan 7.10 software and the center of gravity movement area - COF area/cm²; Anteroposterior sway/cm; Side sway-mediolateral sway/cm values, center of pressure displacement rate-VCP, mm/s-statokinesiogram area-mm² will be determined.
will be measured at initially,6 week and 10 week
measurement of total score from archers shots
Time Frame: will be measured at ınitially, 6 week and 10 week
As a result of shooting 60 arrows on the target board, the points will be added up and the total score will be obtained.
will be measured at ınitially, 6 week and 10 week

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
measurement of Maximum inspiratory pressure (MİP-MEP)
Time Frame: changes of Maximum inspiratory pressure( Maximum inspiratory pressure and Maximum expiratory pressure) will be measured at ınitially, 6 week and 10 week
maximum inspiratory pressure and maximum expiratory pressure will be mesured by MicroRPM device
changes of Maximum inspiratory pressure( Maximum inspiratory pressure and Maximum expiratory pressure) will be measured at ınitially, 6 week and 10 week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Kocaeli Sağlık ve Teknoloji Üniversitesi

Investigators

  • Principal Investigator: Gamze Aydoğan, MsC, PT, PhD student
  • Principal Investigator: Nilüfer Kablan, asst. Prof, head of physical medicine and rehabilitation department
  • Study Director: Yaşar Tatar, Prof. MD, Professor at the Faculty of Sports Sciences

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 (Estimated)

October 15, 2024

Primary Completion (Estimated)

October 20, 2025

Study Completion (Estimated)

December 15, 2025

Study Registration Dates

First Submitted

September 16, 2024

First Submitted That Met QC Criteria

September 16, 2024

First Posted (Estimated)

September 19, 2024

Study Record Updates

Last Update Posted (Estimated)

September 19, 2024

Last Update Submitted That Met QC Criteria

September 16, 2024

Last Verified

September 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 09.23.1196

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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