- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT04845802
Effects of Inspiratory Muscle Training on Diaphragm Thickness, Respiratory Muscle Strength and Balance in Dancers.
13 april 2021 uppdaterad av: 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.
Studieöversikt
Status
Har inte rekryterat ännu
Betingelser
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Förväntat)
40
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studiekontakt
- Namn: Hakan Aksu
- Telefonnummer: +90 5332165106
- E-post: fizyoterapistha@gmail.com
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 65 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Allt
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: 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.
Andra namn:
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Sham Comparator: 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.
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Change of baseline postural stability test score in Biodex Balance System after 8 weeks
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
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Change of baseline biering-sorenson test score after 8 weeks
Tidsram: Eight weeks
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Eight weeks
|
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Change of baseline oswestry disability index after 8 weeks
Tidsram: Eight weeks
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Eight weeks
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Sensu Dincer, Dr., Istanbul University Faculty of Medicine Sports Medicine Department
- Huvudutredare: Turker Sahinkaya, Lecturer, Istanbul University Faculty of Medicine Sports Medicine Department
- Studierektor: Bulent Bayraktar, Prof. Dr., Istanbul University Faculty of Medicine Sports Medicine Department
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Förväntat)
1 maj 2021
Primärt slutförande (Förväntat)
1 september 2021
Avslutad studie (Förväntat)
1 oktober 2021
Studieregistreringsdatum
Först inskickad
12 april 2021
Först inskickad som uppfyllde QC-kriterierna
13 april 2021
Första postat (Faktisk)
15 april 2021
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
15 april 2021
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
13 april 2021
Senast verifierad
1 april 2021
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- Iuhaksu01
Plan för individuella deltagardata (IPD)
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IPD-planbeskrivning
Patients may not want to share the data with anyone other than the researchers involved in the study.
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