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Stability clinical trials

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NCT ID: NCT05782803 Completed - Rehabilitation Clinical Trials

Investigation of the Effect of Craniocervical Flexion Training on Suprahyoid Muscles in Healthy Individuals

Start date: February 15, 2023
Phase: N/A
Study type: Interventional

Swallowing; It is a complex, dynamic, sensorimotor process involving more than 30 muscles located bilaterally in the oral, pharyngeal, and esophageal regions and involving the safe delivery of the food taken from the mouth to the stomach as a result of sequential and coordinated movements. The cervical region is important in terms of swallowing function, as it acts as a bridge between the oral and esophageal structures through the pharynx, hosts the larynx and upper respiratory tract, which plays an important role in safe swallowing, and contributes to the stabilization and preservation of posture thanks to the muscles in its structure. Craniocervical flexion (CCF) occurs at the atlantooccipital joint and upper cervical segments such as C1-2. While superficial muscles such as the SCM and anterior scalene muscles contract in cervical flexion, deep muscles such as the longus colli and capitis, which are mainly primary cervical stabilizer muscles, are activated in CCF. CCF is a movement felt as flexion in the upper part of the cervical region with a slight retraction of the chin. It is also known that the suprahyoid muscles are activated in CCF. Swallowing in the CCF posture has been shown to occur with less suprahyoid muscle activation. The cervical region must provide proper alignment, posture, and stabilization for effective and safe swallowing. Postural changes in the cervical region, and changes in the position of the hyoid bone cause changes in gravity, oropharyngeal structures, and muscle length-tension relationship, thereby changing the dynamics of swallowing function. Therefore, it is not possible to consider the cervical region separately from the swallowing function. However, the focus of the exercises to be chosen for the cervical region is different and the effects that are likely to occur may also be different. There is no study in the literature on the activation of superficial and deep muscles activated during swallowing of craniocervical flexion training exercises, which aim to improve cervical region mechanics by focusing especially on deep cervical flexors. The aim of this study is to investigate the effect of craniocervical flexion training (CCF) on swallowing-related structures in healthy individuals.

NCT ID: NCT05663229 Completed - Stability Clinical Trials

Postural Analysis of Patients Receiving Rehabilitation Program

Start date: December 1, 2022
Phase:
Study type: Observational

This is a study for evaluation of posture of patients with neurological disease in rehabilitation department.

NCT ID: NCT05224362 Completed - Balance Clinical Trials

Acute Effects of Elastic Band Resistance on Postural Stability and Physical Function in Older Adults

Start date: April 6, 2022
Phase: N/A
Study type: Interventional

Current balance and stability interventions have been shown to improve balance through targeting balance impairments and retraining effects. However, there are key facilitators and barriers 'that older adults may face to participate in such interventions'. Additionally, physical activity interventions fail to integrate older adults into the co-design and co-production of PA interventions. The study will aim to identify the impact and practicalities of an exercise intervention in older adults by performing pre selected exercises with an elastic resistance band attached at the hip and chest region to challenge balance. Static posturography will assess the impacts of the exercise intervention on balance and stability. Researcher led interviews will focus on the participants perceptions of the activities and decision making of exercise selection by selecting components that they are confident to perform which is a key element to creating a practical and enjoyable exercise programme for the older population. This will co-create an intervention that is accessible, acceptable, and appropriate for older adults. The study will establish the physical impact and practicalities of a novel elastic band resistance exercise intervention in older adults by performing force plate posturography and researcher led interviews that will focus on the participants perceptions of the activities and intensity levels to co-create an intervention that is accessible, acceptable, and appropriate for older adults.

NCT ID: NCT05074511 Completed - Ankle Injuries Clinical Trials

Weight Variations Impacts on the Ankle of the Child

Start date: October 15, 2021
Phase:
Study type: Observational

Obesity is a global health problem. It changes the measurement of the human body and makes a big change to move the body. The increased weight and mass change the way the limbs and whole body generate and react to force Excess fat also interferes with joint-muscle interactions that are important for functional capacity and postural balance The tendency to increase the thickness of the abdomen contributes to anterior movement of the COM of the body. The purpose of the study is to investigate the biomechanical effect of weight on foot stability in children.

NCT ID: NCT03866096 Completed - Stability Clinical Trials

Neuromuscular Training and Strengthening CORE in Volleyball Amateur Players 18 to 25 Years

Start date: March 8, 2019
Phase: N/A
Study type: Interventional

Introduction. The most popular injuries in volleyball are the ones who occur in knee joints, due the jumps and landings that happen through the game. For this reason there is a high index of loss of stability because of the dynamic valgus during the landing, a loss of balance and a decrease of power during the jumps. Objective. Evaluate the effectiveness of neuromuscular training in combination with strengthening of CORE in the improvement of knee joint stability, balance and power in vertical jump in volleyball players from 18 to 25 years old. Study design. Randomized, multicenter, single-blind clinical study with follow-up period. Methods. The study will be realized with an initial sample of 30 players, which in a random way, will be divided into two groups: experimental and control. It will be realized an initial evaluation where sociodemographic, anthropometric and clinical measures will be taken, and the study variables: knee joint stability (single leg squat test), balance (star excursion balance test) and vertical jump (sargent jump test). The intervention will last six weeks, with two sessions per week of approximately twenty minutes each. Expected results. The investigators expected to observe improvement in the stability in the knee joint, balance and power in the vertical jump in 18-25 years volleyball players that have received a neuromuscular training with strengthening of CORE.

NCT ID: NCT03387839 Completed - Osteoarthritis Clinical Trials

Antero-Posterior Knee Stability

Start date: January 2016
Phase: N/A
Study type: Observational

A retrospective one-time evaluation of total knee patients one year or more postoperative, to compare antero-posterior (AP) stability with the TELOS Stress device/stress x-rays and clinical outcomes. Multiple implant brand/models will be included in the study.

NCT ID: NCT00708136 Completed - Balance Clinical Trials

Effect of Water-Exercise on Balance Function of Healthy Elderly Individuals

EWEB
Start date: January 2006
Phase: N/A
Study type: Interventional

The proposed project is a Randomized Controlled study design. Seniors (age >65) willing to participate in the study will be shortly interviewed to assess eligibility according to the inclusion-exclusion criteria. The first 60 subjects who upon questioning were judged to meet the following inclusion criteria: 1. able to stand independently 90 seconds 2. able to walk 10 meters (with cane if necessary) 3. able to understand verbal instructions. The exclusion criteria will be: 1. Serious visual impairment 2. Inability to ambulate independently (cane acceptable, walker not). 3. Severely impaired cognitive status (score less then 24 in Mini Mental State Examination). 4. Persons with impaired communication capabilities. The whole project will be conducted over a period of 24 months. The proposed study is a randomized experimental intervention/ control group design. A total of 60 elderly volunteer subjects will be randomly assigned to two groups, exercise group (30) and control group (30). Twelve training periods will be performed with 8 subjects participating in training during each period (4 exercise groups). The exercise group will meet on 24 occasions over a period of 12 weeks (2 times/week). Gait and balance function will be tested in both groups with well established measuring techniques before and after the training period. The measuring techniques 1. Medical background variables. 2. Berg Balance Scale. 3. Late life Function and Disability Instrument. 4. Get up and go test - stand up and walk 3 meters turn around and walk back to the chair. 5. Fall Efficacy Scale 6. Fall incidence and fall severity. 7. 6-minute walk test. The control group will not perform any specific balance training during the 12 week period. These individuals from control will participate in a separate exercise program after the training period. The water training intervention is performed on different levels where each level reflects different increasing demands on the postural control system. The water exercises also include perturbation exercises that trigger specific reflex-like balance responses. On each level the instructor can instantly modify an exercise to be more or less challenging for each participant.