Effects of Inspiratory Muscle Training on Diaphragm Thickness, Respiratory Muscle Strength and Balance in Dancers.
13 april 2021 bijgewerkt door: Hakan Aksu, Istanbul University
Dance is a performing art form consisting of sports and art intertwined and complex dynamic choreographic figures were handled aesthetically and physically of narrative.
Scientific studies are insufficient on dance and health and performance of dancers in the literature although dance is the most used type of art and sport in all societies and for all age groups.
It is seen that the core stabilization (central forces) of the dancers is insufficient when the current studies were examined, this insufficient stabilization causes biomechanical changes in the trunk, and indirectly affects the lower extremities.
Consequently, insufficient stabilization was shown to be caused impairment of force generation and injuries.
In addition, lack of core stabilization of dancers may cause impairment in balance and postural control.
Therefore, dancers need a good postural control with provided by an effective core stabilization training in order to exhibit a successful and healthy performance.
It is shown that inspiratory muscle training (IMT) improves diaphragm strength and diaphragm thickness.
Considering the relation between diaphragm muscle forming the upper (ceiling) part of the core area, and balance, IMT may also have an impact on postural control and balance alongside the standard clinical parameters such as respiratory muscle strength and diaphragm thickness in dancers.
Thus, the aim of this study was to investigate the effects of inspiratory muscle training on diaphragm thickness, postural stability, balance, respiratory muscle strength in dancers.
Studie Overzicht
Toestand
Nog niet aan het werven
Conditie
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Verwacht)
40
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studiecontact
- Naam: Hakan Aksu
- Telefoonnummer: +90 5332165106
- E-mail: fizyoterapistha@gmail.com
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar tot 65 jaar (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Dancer (for least two years)
- Stable clinical condition (no injury in last 2 months)
Exclusion Criteria:
- Documented diagnosis of vestibular, neurological or orthopedic disorders which may affect balance and mobility
- Having of chronic pulmonary disease
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Training Group
Dancers in this group will perform inspiratory muscle training for 30 breaths, twice daily [morning: between 7:00 and 13:00 and evening: between 16:00 and 22:00], 7 days per week for 8 weeks, with a breathing frequency of 15 breaths per minute and a duty cycle of 0.5.
One exercise session will be supervised in a clinic per week, other sessions will be performed at home in every week during the training.
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A mechanical pressure threshold loading device (POWERbreathe, POWERbreathe International Ltd, UK) will be used for the training.
Training intensity will set at 60% of the maximum inspiratory pressure.
Andere namen:
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Sham-vergelijker: Sham Group
Dancers in this group will perform inspiratory muscle training for 30 breaths, twice daily [morning: between 7:00 and 13:00 and evening: between 16:00 and 22:00], 7 days per week for 8 weeks, with a breathing frequency of 15 breaths per minute and a duty cycle of 0.5.
One exercise session will be supervised in a clinic per week, other sessions will be performed at home in every week during the training.
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Dancers will be perform at a load setting of level 1 (corresponding to ~10% baseline MIP), using the same device as the training group.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change of baseline postural stability test score in Biodex Balance System after 8 weeks
Tijdsspanne: Eight weeks
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The Postural Stability Test evaluates static balance of participants.
Postural Stability Test emphasizes a patient's ability to maintain center of balance.
The patient's score on this test assesses deviations from center, thus a lower score is more desirable than a higher score.
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Eight weeks
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Change of baseline athlete single leg stability score in Biodex Balance System after 8 weeks
Tijdsspanne: Eight weeks
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The test protocol for the Athlete Single Leg Stability Testing allows clinicians to test athletes against data derived from studies using the Biodex Balance System.
The stability level will challenge athletes and provide the data necessary to assess the athlete's single leg postural stability.
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Eight weeks
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Change of baseline limits of stability test score in Biodex Balance System after 8 weeks
Tijdsspanne: Eight weeks
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Limits of stability test evaluates dynamic balance of participants.
Biodex balance system measures limits of stability for forward, backward, right and left side movements.
It will calculate the maximum distance a person can lean without losing balance.
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Eight weeks
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Change of baseline diaphragm thickness after 8 weeks
Tijdsspanne: Eight weeks
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Two-dimensional B-mode ultrasound will be measure diaphragm thickness at the zone of apposition during inspiration or expiration using the intercostal approach.
Diaphragm thickness will be measure as the vertical distance between the pleural and peritoneal layer at both Total Lung Capacity [TLC] and Functional Residual Capacity [FRC].
Measurements will be perform on the right hemidiaphragm with the volunteer in the supine position.
All measurements will be perform 3 times and the average value for each calculate.
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Eight weeks
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Change of baseline maximum inspiratory pressure after 8 weeks
Tijdsspanne: Eight weeks
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Maximum inspiratory pressure (MIP) will be measure using a hand-held mouth pressure device.
Three maximal manoeuvres will perform and the highest value record.
Indirect measure of respiratory (inspiratory) muscle strength, expressed in cmH20.
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Eight weeks
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Change of baseline maximum expiratory pressure after 8 weeks
Tijdsspanne: Eight weeks
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Maximum expiratory pressure (MEP) will be measure using a hand-held mouth pressure device.
Three maximal manoeuvres will perform and the highest value record.
Indirect measure of respiratory (expiratory) muscle strength, expressed in cmH20.
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Eight weeks
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Change of baseline biering-sorenson test score after 8 weeks
Tijdsspanne: Eight weeks
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Eight weeks
|
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Change of baseline oswestry disability index after 8 weeks
Tijdsspanne: Eight weeks
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Eight weeks
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Sensu Dincer, Dr., Istanbul University Faculty of Medicine Sports Medicine Department
- Hoofdonderzoeker: Turker Sahinkaya, Lecturer, Istanbul University Faculty of Medicine Sports Medicine Department
- Studie directeur: Bulent Bayraktar, Prof. Dr., Istanbul University Faculty of Medicine Sports Medicine Department
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- Ferraro FV, Gavin JP, Wainwright T, McConnell A. The effects of 8 weeks of inspiratory muscle training on the balance of healthy older adults: a randomized, double-blind, placebo-controlled study. Physiol Rep. 2019 May;7(9):e14076. doi: 10.14814/phy2.14076.
- Janssens L, McConnell AK, Pijnenburg M, Claeys K, Goossens N, Lysens R, Troosters T, Brumagne S. Inspiratory muscle training affects proprioceptive use and low back pain. Med Sci Sports Exerc. 2015 Jan;47(1):12-9. doi: 10.1249/MSS.0000000000000385.
- Watson T, Graning J, McPherson S, Carter E, Edwards J, Melcher I, Burgess T. DANCE, BALANCE AND CORE MUSCLE PERFORMANCE MEASURES ARE IMPROVED FOLLOWING A 9-WEEK CORE STABILIZATION TRAINING PROGRAM AMONG COMPETITIVE COLLEGIATE Dancers. Int J Sports Phys Ther. 2017 Feb;12(1):25-41.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Verwacht)
1 mei 2021
Primaire voltooiing (Verwacht)
1 september 2021
Studie voltooiing (Verwacht)
1 oktober 2021
Studieregistratiedata
Eerst ingediend
12 april 2021
Eerst ingediend dat voldeed aan de QC-criteria
13 april 2021
Eerst geplaatst (Werkelijk)
15 april 2021
Updates van studierecords
Laatste update geplaatst (Werkelijk)
15 april 2021
Laatste update ingediend die voldeed aan QC-criteria
13 april 2021
Laatst geverifieerd
1 april 2021
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- Iuhaksu01
Plan Individuele Deelnemersgegevens (IPD)
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ONBESLIST
Beschrijving IPD-plan
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Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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