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Muscle Function clinical trials

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NCT ID: NCT06379282 Recruiting - Clinical trials for Chronic Lymphocytic Leukemia

Investigating the Role of Energy Balance Modification on Health Responses in Chronic Lymphocytic Leukaemia

HIT-CLL
Start date: October 14, 2022
Phase: N/A
Study type: Interventional

This randomised control clinical trial aims to investigate the effects of exercise training and diet on physical and functional fitness and immunological and metabolic changes in adults with chronic lymphocytic leukaemia. Investigators will randomise participants to either 12 weeks of supervised/semi-supervised exercise only, exercise + nutritional guidance, or no exercise.

NCT ID: NCT06067477 Recruiting - Clinical trials for Vitamin D Deficiency

Estimation of the Dietary Requirement for Vitamin D in Ethnic Groups

Start date: October 2023
Phase: N/A
Study type: Interventional

The aim of this study is to perform a double-blind, randomised, dose-response trial of vitamin D3 supplementation in United Kingdom (UK)-dwelling adults of white European, South Asian, and black African/Caribbean ethnicity to investigate the distribution of dietary intakes needed to maintain adequate vitamin D status in winter, as indicated by serum 25(OH)D concentrations at ranges of >25 to 50 nmol/L. In addition, this study will investigate the effect of vitamin D3 supplementation on immune health, muscular strength, and overall health.

NCT ID: NCT05929118 Completed - Clinical trials for Anterior Cruciate Ligament Reconstruction

The Effect of Aquatic Rehabilitation on Knee Function in Anterior Cruciate Ligament Reconstruction Patients.

Start date: November 1, 2020
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to compare the applicability and effectiveness of an aquatic rehabilitation training program with a conventional land-based rehabilitation program in terms of lower extremity biomechanics and knee function in Anterior Cruciate Ligament Reconstruction (ACLR) patients. The main questions it aims to answer are: - Does aquatic rehabilitation accelerate the recovery of gait symmetry and muscle function in patients after ACLR? - Previous studies have not uncovered the training characteristics of aquatic rehabilitation, which allow for training movements that cannot be performed on land, and it is unknown whether these different training movement characteristics are more effective for patients with ACLR. Participants were randomly divided into an aquatic rehabilitation group (AR) and a land-based rehabilitation group (LR), and each group performed 70-90 minutes of training per session for a total of 6 sessions. This included warm-up activities, mobility training, strength training, functional exercises, and finishing activities. Each training session was conducted 1-2 days apart, 2-3 sessions per week, and the training was completed within 2-3 weeks.

NCT ID: NCT05617222 Recruiting - Muscle Function Clinical Trials

The Impact of Bed Rest, Aging and NMES on Skeletal Muscle

Start date: April 29, 2022
Phase: N/A
Study type: Interventional

Loss of muscle mass is common phenotypic trait of muscular disuse and ageing. The loss of muscle mass affects, among others, the ability to maintain homeostasis of glucose metabolism and the energy reservoir in catabolic conditions, while also affecting mechanical muscle function which can cause detrimental impairments in general functional status and hence quality of life. However, a limited amount of research has attempted to elucidate molecular regulators of muscle mass loss following bed rest in older individuals and across genders. Consequently, the mechanistic drivers are unresolved and there are currently no effective therapeutic strategies to counteract muscle wasting and loss of function in individuals submitted to bed rest e.g. during hospitalization. Purpose The purpose is to examine the effects of 5 days of bed rest on muscle mass, including myofibrillar protein synthesis and breakdown, and muscle function, and elucidate molecular regulators of muscle mass loss and metabolic pathways, while also investigating if potential negative effects can be counteracted by daily NeuroMuscular Electrical Stimulation (NMES) across different age and genders. Methods The study is designed as a randomized controlled cross-over 5-day bed rest study including a group of healthy young (18-30 years) and healthy old (65-80 years) men and women. Participants will receive daily electrical stimulation (NMES) of the thigh muscles (30 min x 3/day) on one leg (ES), while the other leg serves as a control (CON). Participants will be tested at baseline (pre) and after (post) intervention for muscle strength, muscle power, balance, and muscle activation. Blood samples are collected at several time points and muscle biopsies are sampled pre- and post-intervention along with assessment of whole-body muscle mass and thigh muscle mass. Scientific exposition The results from the study can potentially provide insight into the adaptive mechanisms associated with NMES training and muscular disuse on both cellular- and whole-body level. The understanding of the underlying mechanisms is crucial for the application of NMES in a therapeutic context and will furthermore help us understand the basic mechanism regulating the skeletal muscle mass during both training and muscular disuse. Overall, the results can potentially help establishing treatments to counteract loss of muscle mass, muscle function and muscle health during periods of muscular disuse.

NCT ID: NCT05397418 Active, not recruiting - Muscle Function Clinical Trials

Female Muscle Enhancement

FemME
Start date: May 1, 2022
Phase: N/A
Study type: Interventional

Participating in regular physical activity has been shown to reduce the risk of developing some diseases and disabilities that can occur with ageing. Muscles naturally decline with age, and in females this appears to occur more so around the time of menopause. Time, work, family commitments and the availability of facilities have all been identified as barriers to exercise in middle age. Increasing activity levels in middle age appears to improve muscle function and bone health. However, there is a lack of evidence in how muscle function responds to low impact resistance exercise in middle aged females. This study aims to assess the effectiveness and the mechanisms associated with building muscle as well as the effect on quality of life in middle aged (40-60 years) females using a low impact resistance training programme.

NCT ID: NCT04619784 Recruiting - Parkinson Disease Clinical Trials

Effect of Pilates Application on Abdominal Muscle Function, Core Stability, Musculoskeletal Pain, Quality of Life, Anxiety and Depression in Parkinson's Patients

Start date: April 16, 2018
Phase: N/A
Study type: Interventional

In this study, it is aimed to investigate the effect of Pilates application on abdominal muscle function, core stability, musculoskeletal pain, quality of life, anxiety and depression in Parkinson's Patients.

NCT ID: NCT04563611 Completed - Cognitive Function Clinical Trials

Effect of Exercises on Hamstring Muscle Function, Injury Risk, Agility and Cognitive Function

Start date: February 9, 2021
Phase: N/A
Study type: Interventional

Hamstring muscle injuries (HMI) occurs frequently during excessive motions of the physiologic capability of these muscles. It is reported in the literature that impairments in muscle architecture, such as a decrease in the eccentric strength of the hamstring muscles of the knee (lengthening and contraction of the muscle), delay in the reaction time of the hamstring muscles, overactivity of the hamstring muscles, a decrease in the length of the hamstring muscle fibers, and inadequate cognitive functions may lead to HMI. Preventive and therapeutic exercises of HMI consist many different eccentric exercises, such as the Askling L-protocol and particularly Nordic hamstring exercise, for increasing the hamstring flexibility. However, it has been stated in recent studies that hamstring muscles should not be focused on alone, and a holistic exercise intervention that includes and addresses the present risk factors related to HMI is needed. Within our knowledge, the effect of a defined or improved holistic exercise approach to prevent and/or treat HMI has not been studied in the literature. Considering the risk factors underlying HMI, an exercise involving a holistic approach is needed to prevent all the risk factors. Turkish Get Up (TGU) exercise is a kind of cognitive exercise which activates all muscles and let to contract simultaneously during standing up from the supine position and turning back in 7 stages. Since the exercise originates from former Turkish athletes, it has been included in the literature as TGU. Hence, the exercise originates from former Turkish athletes, it has called as TGU. TGU exercise improves the effective and strong transition ability of the body while developing the pattern of standing up from the lying position on the floor and turning back by increasing condition/ endurance. Meanwhile, this exercise is a progressive coordinative and cognitive exercise, it requires completing each step before the next movement. The role of cognitive skills and neuroscience in the interpretation, prediction and improvement of sports performance is getting popular in recent years. Previous researches reported that athletes with reduced cognitive skills had lower sportive achievements. It has also stated that the impairment in cognitive skills tend muscles to be injured. However, no studies that investigate the effectiveness of cognitive function in preventing HMI have been encountered. So, the present study will be the first study investigating effects of a special exercise addressing cognitive function which is generally ignored in the treatment of HMI. It is aimed to figure out whether Turkish Get Up exercise or Supine sliding leg curls and Nordic Hamstring exercises are more effective on hamstring muscle function, ınjury risk, agility and cognitive function. Healthy recreational people aged between 18-25 will assign to this study. The participants will randomly be allocated four groups (Nordic protocol group, Supine sliding leg curls group, Turkish Get Up (TGU) and control group). The exercise protocols will be applied two days a week for 6 weeks, and the control group will receive no special exercise training. Participants' hamstring muscle strengths will be evaluated with ISOMED 2000 isokinetic dynamometer, the hamstring flexibility with digital inclinometer device, injury risk with FMS™, agility with T-agility test, and the cognitive function with CNS Vital Signs in computer environment at baseline and 6 weeks after interventions.

NCT ID: NCT04300504 Completed - Muscle Function Clinical Trials

Muscle in Obesity: Imaging, Function and microRNA

Start date: September 1, 2021
Phase:
Study type: Observational

Growing evidence suggests that dynapenic abdominal obesity is associated with a greater risk of falls, functional disability and hospitalisation compared to those with dynapenia, obesity or neither phenotype. Understanding the pathogenesis underlying this phenotype has the potential to inform potential treatment strategies. MicroRNAs can act as messengers at the cellular level to promote or block processes for muscle growth and repair, amongst other things. There is evidence that ageing changes microRNA levels in the muscle and that these changes may result in reduced muscle quality and quantity. However, it is not known whether being obese can change microRNA levels in muscle and how this relates to physical performance. The aim of this study is to investigate the effect of dynapenic abdominal obesity on microRNA levels in serum and muscle quality and quantity in the legs of older women. This is an observational, cross-sectional study. The investigators will recruit 4 groups of older women: normal weight, normal weight with dynapenia, obese and obese with dynapenia. The investigators will measure the microRNA levels in serum. The investigators will measure the quantity and fat content of muscle in the legs using magnetic resonance imaging. Muscle strength, fatigue and balance will be measured using gait (walking) analysis, balance tests, and a machine designed to measure leg strength and fatigue. The investigators will measure and compare microRNA levels between groups. The investigators will use databases and computer programmes to look at all of the microRNAs which are different between groups and see how they affect the muscle. The investigators will compare muscle strength, size and fatigue between groups. The investigators will explore relationships of muscle quantity and quality measures with microRNA changes in the muscle. This approach will allow the investigators to understand how obesity affects the microRNA profile of muscle and whether this translates into impairment of function and mobility.

NCT ID: NCT04241497 Not yet recruiting - Clinical trials for Pulmonary Arterial Hypertension

Home-based Exercise Training in Patients With Pulmonary Arterial Hypertension: Effect on Skeletal Muscular Function and Metabolism

Start date: March 2020
Phase: N/A
Study type: Interventional

Pulmonary Arterial Hypertension has gone from a disease that causes rapid death to a more chronic condition. Yet, improved survival is associated with major challenges for clinicians as most patients remain with poor quality of life and limited exercise capacity. The effects of exercise training on exercise capacity have been largely evaluated and showed an improvement in 6-minutes walking distance (6MWD), peak V'O2. It is also known that exercise program improves quality of life. Maximal volitional and nonvolitional strength of the quadriceps are reduced in patients with Pulmonary Arterial Hypertension and correlated to exercise capacity. Moreover, on the cellular level, alterations are observed in both the respiratory as well as the peripheral muscles. Muscle fiber size has been reported to be decreased in some studies or conversely unaltered in human and animal models. Reduction in type I fibers and a more anaerobic energy metabolism has also been reported, but not in all studies. Likewise, a loss in capillary density in quadriceps of patients with Pulmonary Arterial Hypertension and rats has been reported, but could not be confirmed in other studies. While the impact of exercise training on clinical outcomes such as exercise capacity or quality of life is well known, this data highlight the fact that the underlying causes of peripheral muscle weakness as well as the mechanisms underlying the clinical improvements observed with exercise programs are not completely understood. Improvement of muscle cell metabolism in part via the enhancement of oxidative cellular metabolism and decrease in intracellular lipid accumulation may play a role in improving muscle function and exercise capacity. In this study, we intend to evaluate the impact of a 12 weeks home-based rehabilitation program on peripheral muscle function and metabolism, focusing on lipid infiltration, oxidative metabolism and epigenetic factors that can be involved in metabolic syndrome, in patients with Pulmonary Arterial Hypertension.

NCT ID: NCT03956732 Completed - Bone Health Clinical Trials

Effects of Milk Protein and Vitamin D on Children's Growth and Health

D-pro
Start date: June 20, 2019
Phase: N/A
Study type: Interventional

The purpose of D-pro is to investigate the combined and separate effects of milk protein and vitamin D on bone health, growth, muscle function, body composition and cardiometabolic health in 6-8-year-old children.