Acute Responses of Postural Alignment, Kinematic Synergy, and Intermuscular Coherence to Postural Muscle Facilitation (Retrospective)

Posture Clinical Trial

— PPMvsRCM  

Official title:

Acute Responses of Postural Alignment, Kinematic Synergy, and Intermuscular Coherence to Postural Muscle Facilitation (Retrospective)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05912751
• Other study ID #: 2021-288-RUC (Retrospective)
• Status: Completed
• Phase: N/A
• Start date: August 10, 2021
• Est. completion date: April 14, 2022

Study information

• Verified date: June 2023
• Source: Radford University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Postural alignment is often intervened upon in health, fitness, and physical medicine settings. Despite a long tradition in this area, current notions of optimal or normal posture are superficial and often logically inconsistent. A recent attempt to reconcile diverging opinions about good posture proposes that alignment be considered in relation to individual joints' natural tendencies to collapse under gravity. This theory allows different maladaptive postures to be described in terms of functional deficits and compensatory adaptations at the muscular level. Working within this type of theory, postural interventions may be able to account for comparative advantages in maintaining alignment between different muscle systems. This would represent a step forward from current practices, which usually attempt to force arbitrary alignment patterns indiscriminately.

The current study presents motion capture and electromyography (EMG) data evaluating the effects of two interventions on individual participants' bipedal standing alignment patterns with respect to the gravitational collapsing tendencies referenced above. Additional outcomes included functional grouping of muscle activation signals (via intermuscular coherence) and kinetic chain continuity. The interventions include 1) an experimental intervention purported to engage muscles that naturally resist the collapsing effects of gravity, and 2) a control intervention designed to inhibit other muscle groups that are sometimes involved in maintaining bipedal alignment in a compensatory role. Study outcomes are measured before and after both interventions to quantify the acute effects of each. All participants complete both interventions in random order, crossing over after a one-week washout period. This research will provide insight into the acute effects of studied interventions, specifically those relating to maintenance of bipedal alignment with respect to gravitational collapsing tendencies.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 10
• Est. completion date: April 14, 2022
• Est. primary completion date: April 14, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Healthy adult

• 18 - 40 years of age

Exclusion Criteria:

• Recent (< 6 months) history of lower extremity injury

• Recent (< 6 months) history of other musculoskeletal or neurological disorder affecting balance

• Contraindications to participation in physical activity

Related Conditions & MeSH terms

• Musculoskeletal Equilibrium
• Posture

Intervention

Other:
• Exercise Then Foam Roll
Participants in AB will perform the experimental (exercise) intervention first and the control (foam rolling) intervention second.
• Foam Roll Then Exercise
Participants in BA will perform the control (foam rolling) intervention first and the experimental (exercise) intervention second.

Locations

Country	Name	City	State
United States	Radford University Carilion	Roanoke	Virginia

Sponsors (1)

Lead Sponsor	Collaborator
Radford University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately before Intervention (Day 1)
Primary	Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately after Intervention (Day 1)
Primary	Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately before Intervention (Day 7)
Primary	Euclidean distance from the vector describing subject-specific, simulated gravitational collapse	This outcome is a cumulative descriptor of segment angle distance from the pattern in which an individual's posture would collapse. The reference point for each individual is calculated using both pre and post-intervention data for a given day.	Immediately after Intervention (Day 7)
Primary	Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately before Intervention (Day 1)
Primary	Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately after Intervention (Day 1)
Primary	Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately before Intervention (Day 7)
Primary	Pooled intermuscular coherence	Weighted average of frequency-domain correlations between muscle pairs belonging to anterior, posterior, and trunk muscle groups.	Immediately after Intervention (Day 7)
Secondary	Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately before Intervention (Day 1)
Secondary	Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately after Intervention (Day 1)
Secondary	Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately before Intervention (Day 7)
Secondary	Top-down kinetic chain continuity	The purpose of this outcome is to quantify the communication of motion from the upper body to the lower body. In a test involving placing hands-on-head and pulling the elbows back as far as possible, the response in the lower body is quantified by posterior rotation of the tibial segment.	Immediately after Intervention (Day 7)