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

2026년 9월 10일 업데이트: 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.

연구 개요

상태

완전한

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (실제)

30

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Busan, 대한민국
        • Busan University of Foreign Studies

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인

건강한 자원 봉사자를 받아들입니다

예

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 다른
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 하나의

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.
다른 이름들:
  • Unstable-Load Training (ULT)
  • Aqua Vest Training
활성 비교기: 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.
다른 이름들:
  • Stable-Load Training (SLT)
  • Weighted Vest Training

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Normalized Anterior Reach Distance on the Y-Balance Test
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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

기타 결과 측정

결과 측정
측정값 설명
기간
Knee Extension Test Range of Motion at 60°/s
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2024년 7월 5일

기본 완료 (실제)

2024년 9월 20일

연구 완료 (실제)

2024년 9월 20일

연구 등록 날짜

최초 제출

2026년 9월 4일

QC 기준을 충족하는 최초 제출

2026년 9월 4일

처음 게시됨 (실제)

2026년 9월 10일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 9월 14일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 9월 10일

마지막으로 확인됨

2026년 9월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • 2024-0666-001
  • P01-202407-01-004 (기타 식별자: Public Institutional Bioethics Committee, Republic of Korea)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

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 공유 기간

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

IPD 공유 액세스 기준

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 공유 지원 정보 유형

  • 연구_프로토콜

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아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .