Immediate Effects of Visual and Auditory Feedback Modalities on Dynamic Balance

May 16, 2026 updated by: Perla Mjaess, St Joseph University, Beirut, Lebanon

Comparison of the Immediate Effects of Different Visual and/or Auditory Feedback Modalities on Dynamic Balance: A Randomized Controlled Trial

The goal of this randomized controlled trial is to compare the immediate effects of visual, auditory, and combined feedback modalities on dynamic balance in healthy young adults. It also aims to explore whether auditory stimulation (Mozart music) can influence postural control and whether combining visual and auditory feedback provides additional benefits.

The main questions it aims to answer are:

  • Does visual feedback (mirror) improve dynamic balance performance measured by the SEBT?
  • Does auditory feedback (Mozart music) improve dynamic balance performance?
  • Does combined visual and auditory feedback lead to greater improvements compared to single modalities?

Researchers will compare three feedback conditions: visual feedback using a mirror, auditory feedback using Mozart music, and a combined visual-auditory condition.

Participants will:

  • Be 60 healthy young adults aged 18-25 years
  • Be randomly assigned to one of three groups (visual, auditory, combined)
  • Perform the Star Excursion Balance Test (SEBT) in 8 directions
  • Perform the test with and without feedback modalities
  • Have their reach distances recorded and normalized according to their height

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

80

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

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Aged between 18 and 25 years
  • Normal or corrected-to-normal vision (glasses or contact lenses allowed)
  • No musculoskeletal disorders of the lower limbs
  • No neurological disorders
  • No history of prior surgery involving the spine or lower limbs
  • No ear infections
  • No vestibular, oculomotor, or balance disorders

Exclusion Criteria:

  • Onset of dizziness or balance disturbances during the experiment
  • Occurrence of a musculoskeletal injury during the experimental protocol preventing continuation of testing or sessions
  • Use of medications affecting postural control during the study period
  • Alcohol consumption within 12 hours prior to an assessment or training session
  • Non-compliance with the protocol or repeated absence from scheduled sessions

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: Visual Feedback (Mirror)
Participants perform the dynamic balance task using a mirror as a visual feedback tool. The mirror provides real-time visual information about body alignment and movement during the Star Excursion Balance Test (SEBT).
Diagnostic test: Star Excursion Balance Test
Participants undergo three different sensory feedback conditions during the Star Excursion Balance Test (SEBT) to evaluate dynamic balance performance. The interventions include: (1) visual feedback using a mirror to provide real-time information on body alignment and movement, (2) auditory feedback using Mozart music as an external acoustic stimulus during task execution, and (3) combined visual and auditory feedback integrating both modalities simultaneously. Each condition is applied immediately during balance assessment in a randomized order, and reach distances in eight directions are recorded and normalized to participants' height.
Active Comparator: Auditory Feedback (Mozart Music)
Participants perform the dynamic balance task while being exposed to auditory feedback in the form of Mozart music. The music is used as an external auditory stimulus during the execution of the Star Excursion Balance Test (SEBT) to assess its effect on postural control and balance performance.
Diagnostic test: Star Excursion Balance Test
Participants undergo three different sensory feedback conditions during the Star Excursion Balance Test (SEBT) to evaluate dynamic balance performance. The interventions include: (1) visual feedback using a mirror to provide real-time information on body alignment and movement, (2) auditory feedback using Mozart music as an external acoustic stimulus during task execution, and (3) combined visual and auditory feedback integrating both modalities simultaneously. Each condition is applied immediately during balance assessment in a randomized order, and reach distances in eight directions are recorded and normalized to participants' height.
Active Comparator: Combined Visual and Auditory Feedback
Participants perform the dynamic balance task while receiving both visual feedback through a mirror and auditory feedback through Mozart music. The Star Excursion Balance Test (SEBT) is performed under simultaneous multimodal sensory stimulation to evaluate the combined effect on postural control and balance performance.
Diagnostic test: Star Excursion Balance Test
Participants undergo three different sensory feedback conditions during the Star Excursion Balance Test (SEBT) to evaluate dynamic balance performance. The interventions include: (1) visual feedback using a mirror to provide real-time information on body alignment and movement, (2) auditory feedback using Mozart music as an external acoustic stimulus during task execution, and (3) combined visual and auditory feedback integrating both modalities simultaneously. Each condition is applied immediately during balance assessment in a randomized order, and reach distances in eight directions are recorded and normalized to participants' height.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Dynamic balance performance measured by the Star Excursion Balance Test (SEBT)
Time Frame: Immediately after completion of each feedback condition during the single experimental session
Reach distance in 8 directions Normalized reach distance (% of leg length)
Immediately after completion of each feedback condition during the single experimental session

Collaborators and Investigators

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

Sponsor

St Joseph University, Beirut, Lebanon

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.

Helpful Links

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)

June 1, 2026

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

July 1, 2026

Study Registration Dates

First Submitted

May 12, 2026

First Submitted That Met QC Criteria

May 12, 2026

First Posted (Actual)

May 18, 2026

Study Record Updates

Last Update Posted (Actual)

May 20, 2026

Last Update Submitted That Met QC Criteria

May 16, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 2025-365

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be shared due to privacy and confidentiality considerations. Only aggregated and anonymized results will be reported in publications and presentations.

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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