"Core Stabilization Exercises in Hearing Impaired Children"

Postural Control Clinical Trial

Official title:

"The Effect of Core Stabilization Exercises on Respiratory Muscle Strength, Respiratory Functions and Postural Control in Hearing Impaired Children"

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03487757
• Other study ID #: bvudtuncer01
• Status: Completed
• Phase: N/A
• Start date: July 1, 2018
• Est. completion date: January 1, 2020

Study information

• Verified date: March 2020
• Source: Bezmialem Vakif University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this study the investigators will examine the effects of core stabilization exercises on respiratory muscle strength, respiratory functions and postural control in hearing-impaired children.

Description:

Hearing organs develop together with the vestibular system and work with close cooperation. Because of this close neuro-anatomic relationship; cochlear, semicircular canal, or both may cause damage to the vestibular dysfunction, resulting in imbalance. Sensory impairment in children with hearing loss may lead to decreased muscle strength and respiratory function with balance and coordination disorders. Core stabilization is provided anatomically with abdominal muscles at the front, spinal and gluteal muscles at the back, diaphragm at the top and pelvic floor and hip muscles at the bottom. Core stabilization training is a training to increase the strength, endurance and neuromuscular control of the aforementioned muscles.

When the literature is checked, the invetigators find that postural control is being evaluated in children with hearing impairment, but there are few studies evaluating respiratory functions. However, they did not encounter a study in which respiratory muscle strength was assessed in these children. In this study the investigators will examine the effects of core stabilization exercises on respiratory muscle strength, respiratory functions and postural control in hearing-impaired children.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: January 1, 2020
• Est. primary completion date: December 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 7 Years to 16 Years

Eligibility

Inclusion Criteria:

• Between the ages of 7-16

• Clinically diagnosed sensorineural hearing loss

• Prelingual hearing loss

• No neurological and orthopedic problems

• Absence of syndrome or disease that may lead to mental disorder, impaired development and impaired vision

• Not participating in any core stabilization, strengthening and balance program in the past six months

• No medication to affect respiratory functions in the past 3 months

• Parental permission for participation of child in the study

Exclusion Criteria:

• Intellectual disability for participating to the evaluation and training program

• Presence of chronic respiratory disease

• Not to join the training for more than 3 days

Related Conditions & MeSH terms

• Core Stabilization
• Deafness
• Hearing Disorders
• Hearing Disorders in Children
• Hearing Loss
• Postural Control
• Respiratory Functions
• Respiratory Muscle Strength

Intervention

Other:
• Core Stabilization Exercises
Jeffrey's core stabilization exercise training protocol will be performed to the training group. This protocol includes exercises progressing gradually from level 1 to level 3. Level 1; static contraction training on a stable surface, level 2; dynamic training on a stable surface, level 3; dynamic and resistant training on an unstable surface.
• No Intervention
Since no training is given to the control group during the study period, it is ethically necessary to give the same training to the control group if the benefit is achieved when the study is completed.

Locations

Country	Name	City	State
Turkey	Bezmialem Vakif University	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Bezmialem Vakif University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Respiratory muscle strength	Change from baseline maximum inspiratory pressure and maximum expiratory pressure at 8 weeks	Eight weeks
Secondary	Respiratory Functions-FVC	Change from baseline Forced Vital Capacity (FVC) at 8 weeks	Eight weeks
Secondary	Respiratory Functions-FEV1	Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks	Eight weeks
Secondary	Respiratory Functions-PEF	Change from baseline Peak Expiratory Flow (PEF) at 8 weeks	Eight weeks
Secondary	Postural control-postural stability	Change from baseline postural stability test score in Biodex Balance System at 8 weeks	Eight weeks
Secondary	Postural control-limits of stability	Change from baseline limits of stability test score in Biodex Balance System at 8 weeks	Eight weeks
Secondary	Postural control-sensory integration	Change from baseline sensory integration and balance test core in Biodex Balance System at 8 weeks	Eight weeks
Secondary	Postural control-BESS	Change from baseline Balance Error Scoring System (BESS) test scores at 8 weeks	Eight weeks