- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07730710
The Effect of Neuromotor-Cognitive Training on Performance Dancers (NCT-DANCE)
The Effect of Neuromotor-Cognitive Training on Dynamic Balance, Reaction Time and Sensorimotor Performance in Performance Dancers
This prospective randomized controlled study aims to evaluate the effects of neuromotor-cognitive training on dynamic balance, reaction time, and sensorimotor performance in performance dancers.
The main hypotheses are:
H0: There is no difference in dynamic balance, reaction time, and sensorimotor performance between performance dancers who receive neuromotor-cognitive training and those who follow their routine training schedule.
H1: Performance dancers who receive neuromotor-cognitive training show significant improvements in dynamic balance, reaction time, and sensorimotor performance compared to those who follow their routine training schedule.
Study Overview
Status
Intervention / Treatment
Detailed Description
Performance dancers from the Aytunç Bentürk Dance Academy who meet the eligibility criteria will be included in this prospective randomized controlled study to demonstrate the efficacy of technology-supported training methods. Participants will be randomly allocated into two distinct groups using a standardized allocation protocol: the Neuromotor-Cognitive Training Group (Experimental Arm) and the Routine Training Group (Control Arm).
The Neuromotor-Cognitive Training Group will undergo a structured, technology-supported training protocol incorporating visual stimulus systems to enhance neuromuscular control and cognitive processing speed. The Control Group will maintain their regular and routine dance practice routines during the study period without any additional structured experimental protocols.
Prior to the commencement of the intervention, all participants will be fully informed about the study procedures, and their formal consent will be obtained. Socio-demographic characteristics and baseline professional dance history will be documented using a structured evaluation form.
Objective pre- and post-test assessments will be conducted for both groups to evaluate sensorimotor adaptation. Dynamic balance, designated as the primary outcome measure, will be evaluated using the standardized Y-Balance Test. Secondary outcome measures, including objective reaction time and neuromuscular performance under cognitive load, will be rigorously quantified in milliseconds utilizing the BLAZEPOD® visual stimulus system along with the Reactive Jumping and Landing Test. All final measurements will be statistically analyzed using correlation and inter-rater reliability metrics to determine inter-group differences.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Aslı Yeral, Asst. Prof. Dr
- Phone Number: 0537 965 8494
- Email: asli.yeral@yeditepe.edu.tr
Study Contact Backup
- Name: Zeynep İnan
- Phone Number: 0539 356 8804
- Email: zeynep.inan@yeditepe.edu.tr
Study Locations
-
-
İ̇stanbul
-
Istanbul, İ̇stanbul, Turkey (Türkiye), 34755
- Yeditepe University Faculty of Health Sciences
-
Contact:
- Aslı Yeral
- Phone Number: 0537 965 8494
- Email: asli.yeral@yeditepe.edu.tr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Being a professional or performance dancer actively training at the Aytunç Bentürk Dance Academy.
- Being between 18 and 25 years of age.
- Volunteering to participate in the study and providing written informed consent.
- Having no orthopedic, neurological, or systemic injuries in the lower extremities within the last 6 months that could affect balance and motor performance.
Exclusion Criteria:
- Having a history of major orthopedic surgery in the lower extremities.
- Any uncorrected visual or vestibular impairments that could negatively affect reaction time or postural control.
- Acute musculoskeletal pain or injury during the baseline assessment period.
- Failure to complete the baseline measurements or formal training sessions.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Neuromotor-Cognitive Training Group
This group will receive a structured, technology-supported training protocol incorporating visual stimulus systems (such as BLAZEPOD®) alongside their routine training schedule to enhance neuromuscular control, dynamic balance, and cognitive processing speed.
|
A structured, technology-supported training protocol incorporating visual stimulus systems to enhance neuromuscular control, dynamic balance, and cognitive processing speed.
|
|
No Intervention: Routine Training Group
This group will maintain their regular and routine dance practice schedules at the academy during the study period, without receiving any additional technology-supported neuromotor-cognitive training protocols.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Y-Balance Test (YBT)
Time Frame: The 8-week period between July 2026 and September 2026
|
The Y-Balance Test will be used as the primary outcome measure to objectively evaluate the dynamic balance and postural control of the performance dancers.
Participants will perform maximal reach tasks in three distinct directions: anterior, posteromedial, and posterolateral, while standing on a single limb.
The reach distances will be normalized to the participant's leg length, and a comprehensive composite score will be calculated.
Higher composite scores represent superior dynamic balance and enhanced neuromuscular control.
|
The 8-week period between July 2026 and September 2026
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Reactive Jumping and Landing Test
Time Frame: The 8-week period between July 2026 and September 2026
|
This test will be implemented to assess sensorimotor performance and dynamic neuromuscular control during high-intensity functional movements.
Dancers will perform jump-landing sequences in response to sudden, dynamic visual cues that change in real-time.
The test quantifies movement execution and lower extremity coordination under cognitive load, providing critical metrics for sensorimotor adaptation and injury risk screening in performance dancers.
|
The 8-week period between July 2026 and September 2026
|
|
Y-Shaped Reactive Agility Test
Time Frame: The 8-week period between July 2026 and September 2026
|
This test will be used to evaluate the reactive agility and rapid directional change performance of the dancers under visual cognitive load.
Participants will accelerate toward a central point and execute a sudden change of direction (left or right) based on a randomized visual stimulus.
The total completion time of the trial will be recorded using an electronic timing system.
Shorter completion times indicate superior reactive agility and faster neuromuscular processing.
|
The 8-week period between July 2026 and September 2026
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Sheppard JM, Young WB, Doyle TL, Sheppard TA, Newton RU. An evaluation of a new test of reactive agility and its relationship to sprint speed and change of direction speed. J Sci Med Sport. 2006 Aug;9(4):342-9. doi: 10.1016/j.jsams.2006.05.019. Epub 2006 Jul 17.
- Westrick RB, Miller JM, Carow SD, Gerber JP. Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. Int J Sports Phys Ther. 2012 Apr;7(2):139-47.
- Ortiz A, Olson S, Libby CL, Kwon YH, Trudelle-Jackson E. Kinematic and kinetic reliability of two jumping and landing physical performance tasks in young adult women. N Am J Sports Phys Ther. 2007 May;2(2):104-12.
- Mancini N, Mancini S, Ferrantino M, Moscatelli F, Messina G, Monda M, Ruberto M, Vasco P, Casella C, Colecchia FP, Messina A, Polito R. Effects of a Proprioceptive Training Program on Dynamic Balance and Neuromotor Performance in Adolescent Latin American Dancers. Sports (Basel). 2025 Nov 4;13(11):388. doi: 10.3390/sports13110388.
- Marchant DC. Attentional focusing instructions and force production. Front Psychol. 2011 Jan 26;1:210. doi: 10.3389/fpsyg.2010.00210. eCollection 2010.
- Peh SY, Chow JY, Davids K. Focus of attention and its impact on movement behaviour. J Sci Med Sport. 2011 Jan;14(1):70-8. doi: 10.1016/j.jsams.2010.07.002. Epub 2010 Aug 19.
- Veale JP, Pearce AJ, Carlson JS. Reliability and validity of a reactive agility test for Australian football. Int J Sports Physiol Perform. 2010 Jun;5(2):239-48. doi: 10.1123/ijspp.5.2.239.
- Muelas Perez R, Sabido Solana R, Barbado Murillo D, Moreno Hernandez FJ. Visual availability, balance performance and movement complexity in dancers. Gait Posture. 2014 Sep;40(4):556-60. doi: 10.1016/j.gaitpost.2014.06.021. Epub 2014 Jul 17.
- Badau A. Identifying the Qualities of Attention and the Attentional Style in Indoor Team Sports: A Gender Comparison. Brain Sci. 2024 Jun 21;14(7):623. doi: 10.3390/brainsci14070623.
- Nam SM, Park JW, Ko JH, Kim MJ. The Difference Between Expert Dancers' and Non-Dancers Tapping Timing With and Without an Auditory Stimulus at a Slow Tempo. Percept Mot Skills. 2024 Aug;131(4):1398-1414. doi: 10.1177/00315125241262547. Epub 2024 Jun 14.
- Huang HJ, Mercer VS. Dual-task methodology: applications in studies of cognitive and motor performance in adults and children. Pediatr Phys Ther. 2001 Fall;13(3):133-40.
- Skoe E, Krizman J, Anderson S, Kraus N. Stability and plasticity of auditory brainstem function across the lifespan. Cereb Cortex. 2015 Jun;25(6):1415-26. doi: 10.1093/cercor/bht311. Epub 2013 Dec 22.
- Kuczynski M, Szymanska M, Biec E. Dual-task effect on postural control in high-level competitive dancers. J Sports Sci. 2011 Mar;29(5):539-45. doi: 10.1080/02640414.2010.544046.
- Nigmatullina Y, Hellyer PJ, Nachev P, Sharp DJ, Seemungal BM. The neuroanatomical correlates of training-related perceptuo-reflex uncoupling in dancers. Cereb Cortex. 2015 Feb;25(2):554-62. doi: 10.1093/cercor/bht266. Epub 2013 Sep 26.
- Golomer E, Cremieux J, Dupui P, Isableu B, Ohlmann T. Visual contribution to self-induced body sway frequencies and visual perception of male professional dancers. Neurosci Lett. 1999 Jun 4;267(3):189-92. doi: 10.1016/s0304-3940(99)00356-0.
- Paillard T. Plasticity of the postural function to sport and/or motor experience. Neurosci Biobehav Rev. 2017 Jan;72:129-152. doi: 10.1016/j.neubiorev.2016.11.015. Epub 2016 Nov 26.
- Sirois-Leclerc G, Remaud A, Bilodeau M. Dynamic postural control and associated attentional demands in contemporary dancers versus non-dancers. PLoS One. 2017 Mar 21;12(3):e0173795. doi: 10.1371/journal.pone.0173795. eCollection 2017.
- Hugel F, Cadopi M, Kohler F, Perrin P. Postural control of ballet dancers: a specific use of visual input for artistic purposes. Int J Sports Med. 1999 Feb;20(2):86-92. doi: 10.1055/s-2007-971098.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- yeditepe05
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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