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Water-Inertia-Based Dynamic Stability Training for Balance and Postural Control in Healthy Young Women

2026年9月10日 更新者:Yuanyan Huang

Effects of Water-Inertia-Based Dynamic Stability Training on Dynamic Balance and Single-Leg Postural Control in Healthy Young Women: A Randomized Controlled Trial

This randomized controlled study evaluated the effects of a 10-week dynamic stability training program using a mobile water load compared with a mass-matched stable load in healthy young women. Thirty participants were randomly assigned to either water-inertia-based unstable-load training or stable-load training. Both groups completed the same supervised exercises three times per week, using vests with the same total external mass; the main difference between groups was whether the load inside the vest was mobile or stable. Outcomes were assessed before training, after 5 weeks, and after 10 weeks. The study evaluated dynamic balance, postural sway during single-leg stance, and other physical-performance outcomes to determine whether mobile water loading produced different training adaptations from stable loading.

調査の概要

詳細な説明

This study was designed to examine whether dynamic stability training performed with a mobile water-based external load produces different physical and postural adaptations from the same training performed with a mass-matched stable external load in healthy young women. The study used a randomized, parallel-group design.

Healthy female university students aged 19-25 years who had not participated in resistance training during the previous 12 months were recruited. After baseline assessment, 30 eligible participants were randomly assigned in a 1:1 ratio to an unstable-load training group or a stable-load training group.

Both groups completed the same supervised dynamic stability training program three times per week for 10 weeks, for a total of 30 training sessions. Each session lasted approximately 50 minutes. The exercise content, training frequency, session duration, set-repetition structure, rest intervals, vest mass, and any additional prescribed exercise loads were matched between groups. During the main training block, participants completed three sets of each exercise, with 12 repetitions per set during weeks 1-5 and 15 repetitions per set during weeks 6-10.

The unstable-load group trained while wearing an Aqua Vest containing a total external load of 5 kg, consisting of approximately 4 kg of water and a 1-kg vest. Because the water pouches were partially filled, the internal water could move during exercise and change the distribution of the external load. The stable-load group wore a mass-matched weighted vest containing approximately 4 kg of steel rods and a 1-kg vest. The steel rods were arranged to approximate the spatial distribution of the water pouches. Thus, the primary experimental difference between groups was the mobility of the external load rather than total vest mass or prescribed exercise content.

Assessments were conducted at baseline, after 5 weeks of training, and after 10 weeks of training. Dynamic postural control was evaluated using the Y-Balance Test. Participants completed reaching tasks in the anterior, posteromedial, and posterolateral directions while standing on one limb. The maximum valid reach distance in each direction was retained and normalized to limb length, and a composite score was also calculated.

Postural sway was evaluated during single-leg stance using force-platform-derived center-of-pressure measures under eyes-open and eyes-closed conditions. Eyes-open trials lasted 30 seconds and eyes-closed trials lasted 20 seconds. Center-of-pressure outcomes included total path distance and direction-specific root-mean-square displacement in the anteroposterior and mediolateral directions.

The broader study protocol also included lower-extremity physical-performance assessments. The registration record is intended to describe the original study protocol and design; individual publications arising from the study may focus on specific subsets of the collected outcomes.

The purpose of the comparison was to determine whether introducing load mobility through a water-filled vest, while keeping the prescribed exercise program and external mass closely matched, resulted in different adaptations from training with a stable weighted vest.

研究の種類

介入

入学 (実際)

30

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Busan、韓国
        • Busan University of Foreign Studies

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人

健康ボランティアの受け入れ

はい

説明

Inclusion Criteria:

  • Female undergraduate students aged 19 to 25 years.
  • Generally healthy at the time of enrollment.
  • No surgery within the previous 6 months.
  • No congenital, neurological, vestibular, or musculoskeletal disorder affecting the foot, pelvis, or spine.
  • No participation in resistance training during the previous 12 months. Able and willing to participate in the 10-week supervised exercise intervention and study assessments.
  • Provided written informed consent to participate.

Exclusion Criteria:

  • Did not meet any of the inclusion criteria.
  • Participated in resistance training or functional training outside the study intervention during the 10-week study period.
  • Developed a health condition, injury, or other circumstance during the study that prevented safe participation in the prescribed exercise program or outcome assessments.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:他の
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
実験的:Water-Inertia-Based Unstable-Load Training
Participants assigned to this arm completed a supervised 10-week dynamic stability training program three times per week while wearing an Aqua Vest with a total external load of 5 kg, consisting of approximately 4 kg of water and a 1-kg vest. The partially filled water pouches allowed internal water movement during exercise, creating a mobile external load. Exercise content, session duration, set-repetition structure, rest intervals, and any additional prescribed exercise loads were matched to the stable-load training arm.
Participants completed a supervised dynamic stability training program three times per week for 10 weeks (30 sessions), with each session lasting approximately 50 minutes. During training, participants wore a vest providing a total external load of 5 kg, consisting of approximately 4 kg of water in partially filled pouches and a 1-kg vest. Internal water movement allowed the external load distribution to change during exercise. Exercises were performed for three sets, with 12 repetitions per set during weeks 1-5 and 15 repetitions per set during weeks 6-10, with 30 seconds of rest between sets. Exercise content and any additional prescribed implement loads were matched to the stable-load intervention.
他の名前:
  • Unstable-Load Training (ULT)
  • Aqua Vest Training
アクティブコンパレータ:Stable-Load Training
Participants assigned to this arm completed the same supervised 10-week dynamic stability training program three times per week while wearing a mass-matched stable weighted vest with a total external load of 5 kg, consisting of approximately 4 kg of steel rods and a 1-kg vest. The steel rods were arranged to approximate the spatial loading configuration of the water pouches. Exercise content, session duration, set-repetition structure, rest intervals, and any additional prescribed exercise loads were matched to the unstable-load training arm.
Participants completed the same supervised dynamic stability training program three times per week for 10 weeks (30 sessions), with each session lasting approximately 50 minutes. During training, participants wore a stable weighted vest providing a total external load of 5 kg, consisting of approximately 4 kg of steel rods and a 1-kg vest. The steel rods were arranged to approximate the spatial loading configuration of the water pouches used in the water-inertia intervention. Exercises were performed for three sets, with 12 repetitions per set during weeks 1-5 and 15 repetitions per set during weeks 6-10, with 30 seconds of rest between sets. Exercise content and any additional prescribed implement loads were matched between groups.
他の名前:
  • Stable-Load Training (SLT)
  • Weighted Vest Training

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Normalized Anterior Reach Distance on the Y-Balance Test
時間枠:Baseline, Week 5, and Week 10
Dynamic postural control was assessed using the lower-quarter Y-Balance Test. Participants performed three valid anterior reach trials while maintaining single-leg stance. The maximum reach distance was retained and normalized to the corresponding limb length: normalized reach distance (%) = maximum reach distance / limb length × 100. Higher values indicate greater normalized reach performance.
Baseline, Week 5, and Week 10
Normalized Posteromedial Reach Distance on the Y-Balance Test
時間枠:Baseline, Week 5, and Week 10
Participants performed three valid posteromedial reach trials during the lower-quarter Y-Balance Test. The maximum reach distance was retained and normalized to the corresponding limb length: normalized reach distance (%) = maximum reach distance / limb length × 100. Higher values indicate greater normalized reach performance.
Baseline, Week 5, and Week 10
Normalized Posterolateral Reach Distance on the Y-Balance Test
時間枠:Baseline, Week 5, and Week 10
Participants performed three valid posterolateral reach trials during the lower-quarter Y-Balance Test. The maximum reach distance was retained and normalized to the corresponding limb length: normalized reach distance (%) = maximum reach distance / limb length × 100. Higher values indicate greater normalized reach performance.
Baseline, Week 5, and Week 10
Y-Balance Test Composite Score
時間枠:Baseline, Week 5, and Week 10
The composite score was calculated from the maximum valid anterior, posteromedial, and posterolateral reach distances normalized to limb length: composite score (%) = (maximum anterior + maximum posteromedial + maximum posterolateral reach distance) / (3 × limb length) × 100. Higher values indicate greater overall Y-Balance Test performance.
Baseline, Week 5, and Week 10
Center-of-Pressure Total Distance During Eyes-Open Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Postural sway was assessed using a force platform during 30-second eyes-open single-leg stance. Total CoP distance (cm) represented the cumulative path length of the center-of-pressure trajectory during each valid trial. Three trial-specific values were averaged for analysis. Lower values represent a shorter CoP trajectory during the test condition.
Baseline, Week 5, and Week 10
Anteroposterior CoP RMS During Eyes-Open Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Anteroposterior root-mean-square (AP RMS) displacement of the center of pressure was calculated during 30-second eyes-open single-leg stance and expressed in centimeters. AP RMS represents the dispersion of CoP displacement about its mean position in the anteroposterior direction. Three trial-specific values were averaged for analysis.
Baseline, Week 5, and Week 10
Mediolateral CoP RMS During Eyes-Open Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Mediolateral root-mean-square (ML RMS) displacement of the center of pressure was calculated during 30-second eyes-open single-leg stance and expressed in centimeters. ML RMS represents the dispersion of CoP displacement about its mean position in the mediolateral direction. Three trial-specific values were averaged for analysis.
Baseline, Week 5, and Week 10
Center-of-Pressure Total Distance During Eyes-Closed Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Postural sway was assessed using a force platform during 20-second eyes-closed single-leg stance. Total CoP distance (cm) represented the cumulative path length of the center-of-pressure trajectory during each valid trial. Three trial-specific values were averaged for analysis. Lower values represent a shorter CoP trajectory during the test condition.
Baseline, Week 5, and Week 10
Anteroposterior CoP RMS During Eyes-Closed Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Anteroposterior root-mean-square (AP RMS) displacement of the center of pressure was calculated during 20-second eyes-closed single-leg stance and expressed in centimeters. AP RMS represents the dispersion of CoP displacement about its mean position in the anteroposterior direction. Three trial-specific values were averaged for analysis.
Baseline, Week 5, and Week 10
Mediolateral CoP RMS During Eyes-Closed Single-Leg Stance
時間枠:Baseline, Week 5, and Week 10
Mediolateral root-mean-square (ML RMS) displacement of the center of pressure was calculated during 20-second eyes-closed single-leg stance and expressed in centimeters. ML RMS represents the dispersion of CoP displacement about its mean position in the mediolateral direction. Three trial-specific values were averaged for analysis.
Baseline, Week 5, and Week 10
Knee Extension Peak Torque Relative to Body Weight at 60°/s
時間枠:Baseline, Week 5, and Week 10
Concentric knee extension strength was assessed using an isokinetic dynamometer at an angular velocity of 60°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater knee extensor torque relative to body weight.
Baseline, Week 5, and Week 10
Knee Flexion Peak Torque Relative to Body Weight at 60°/s
時間枠:Baseline, Week 5, and Week 10
Concentric knee flexion strength was assessed using an isokinetic dynamometer at an angular velocity of 60°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater knee flexor torque relative to body weight.
Baseline, Week 5, and Week 10
Ankle Inversion Peak Torque Relative to Body Weight at 60°/s
時間枠:Baseline, Week 5, and Week 10
Concentric ankle inversion strength was assessed using an isokinetic dynamometer at an angular velocity of 60°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater inversion torque relative to body weight.
Baseline, Week 5, and Week 10
Ankle Eversion Peak Torque Relative to Body Weight at 60°/s
時間枠:Baseline, Week 5, and Week 10
Concentric ankle eversion strength was assessed using an isokinetic dynamometer at an angular velocity of 60°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater eversion torque relative to body weight.
Baseline, Week 5, and Week 10
Ankle Inversion Peak Torque Relative to Body Weight at 120°/s
時間枠:Baseline, Week 5, and Week 10
Concentric ankle inversion strength was assessed using an isokinetic dynamometer at an angular velocity of 120°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater inversion torque relative to body weight.
Baseline, Week 5, and Week 10
Ankle Eversion Peak Torque Relative to Body Weight at 120°/s
時間枠:Baseline, Week 5, and Week 10
Concentric ankle eversion strength was assessed using an isokinetic dynamometer at an angular velocity of 120°/s. Peak torque was normalized to body weight and expressed as a percentage of body weight (PT/BW, %). Higher values indicate greater eversion torque relative to body weight.
Baseline, Week 5, and Week 10

その他の成果指標

結果測定
メジャーの説明
時間枠
Knee Extension Test Range of Motion at 60°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the knee extension test performed at 60°/s, expressed in degrees. This measure represents the angular range recorded during the corresponding isokinetic testing condition.
Baseline, Week 5, and Week 10
Knee Flexion Test Range of Motion at 60°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the knee flexion test performed at 60°/s, expressed in degrees.
Baseline, Week 5, and Week 10
Ankle Inversion Test Range of Motion at 60°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the inversion test performed at 60°/s, expressed in degrees. This measure represents the angular range recorded during the corresponding isokinetic testing condition.
Baseline, Week 5, and Week 10
Ankle Eversion Test Range of Motion at 60°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the eversion test performed at 60°/s, expressed in degrees. This measure represents the angular range recorded during the corresponding isokinetic testing condition.
Baseline, Week 5, and Week 10
Ankle Inversion Test Range of Motion at 120°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the inversion test performed at 120°/s, expressed in degrees. This measure represents the angular range recorded during the corresponding isokinetic testing condition.
Baseline, Week 5, and Week 10
Ankle Eversion Test Range of Motion at 120°/s
時間枠:Baseline, Week 5, and Week 10
Range of motion recorded by the isokinetic dynamometer during the eversion test performed at 120°/s, expressed in degrees. This measure represents the angular range recorded during the corresponding isokinetic testing condition.
Baseline, Week 5, and Week 10

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2024年7月5日

一次修了 (実際)

2024年9月20日

研究の完了 (実際)

2024年9月20日

試験登録日

最初に提出

2026年9月4日

QC基準を満たした最初の提出物

2026年9月4日

最初の投稿 (実際)

2026年9月10日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月14日

QC基準を満たした最後の更新が送信されました

2026年9月10日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • 2024-0666-001
  • P01-202407-01-004 (その他の識別子:Public Institutional Bioethics Committee, Republic of Korea)

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

De-identified individual participant data that support the findings of the study may be shared with qualified researchers upon reasonable request, subject to applicable ethical and data-protection requirements.

IPD 共有時間枠

Beginning after publication of the primary study results, with no predetermined end date.

IPD 共有アクセス基準

De-identified individual participant data may be shared with qualified researchers upon reasonable request for scientifically appropriate purposes. Requests should include a brief research proposal and planned analyses and will be reviewed for ethical, privacy, and data-protection considerations. Approved data will be provided by the study investigator.

IPD 共有サポート情報タイプ

  • STUDY_PROTOCOL

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いいえ

米国FDA規制機器製品の研究

いいえ

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