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Effects of Dynamic Neuromuscular Stabilization Exercises Versus Balance Exercises in Older Adults

ConditionsAge-Related Balance ImpairmentHealthy Older Adults
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorYeditepe University

About this trial

The aim of this study is to compare the effects of Dynamic Neuromuscular Stabilization (DNS) based exercises and balance exercises on functional capacity, balance, muscle strength, and quality of life in older adults.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Older adults aged 65 and over, of both sexes

Ability to walk independently and perform basic daily living activities without assistance

Willingness to participate and written consent

Disqualifiers

Severe neurological disorders or advanced cognitive impairment

Serious cardiopulmonary or systemic diseases that would prevent participation in exercise

History of orthopedic surgery or acute trauma within the last 6 months

Psychiatric disorders or communication difficulties that would prevent participation

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dynamic Neuromuscular Stabilization Exercises

    Other intervention

    Participants in this group will receive Dynamic Neuromuscular Stabilization (DNS) exercises based on developmental kinesiology principles. The intervention focuses on activation and coordination of the deep stabilizing system, diaphragmatic breathing, regulation of intra-abdominal pressure, and restoration of optimal postural and movement patterns. Exercises will be performed in progressively challenging positions appropriate for older adults and will be supervised by a physiotherapist throughout the intervention period.

  • Balance Exercises

    Other intervention

    Conventional static and dynamic balance exercises commonly used in geriatric rehabilitation, including weight-shifting and functional balance tasks, supervised by a physiotherapist.

Treatment groups

18 Participants
are divided into 2 treatment groups
Group A: Dynamic Neuromuscular Stabilization (DNS) Exercise GroupExperimental treatment 1 intervention
Group B: Balance Exercise GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Short Physical Performance Battery (SPPB)

The Short Physical Performance Battery (SPPB) will be used to assess functional capacity, including balance, gait speed, and lower extremity strength in older adults. Higher scores indicate better physical performance. In elderly individuals, a total SPPB score of 8 points or less is considered a clinically significant threshold for poor physical performance and frailty. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks
2

Timed Up and Go Test (TUG)

The Timed Up and Go Test will be used to evaluate dynamic balance and functional mobility. Shorter completion times indicate better balance and mobility performance. In the elderly population, a TUG test duration of 13.5 seconds or more is used as a cut-off value indicating an increased risk of falls. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks
3

Stabilizer Pressure Biofeedback (SPB)

Stabilizer Pressure Biofeedback will be used to assess activation and control of the deep stabilizing system during specific stabilization tasks. In elderly individuals, maintaining a pressure change of 0-2 mmHg compared to an initial pressure of 40 mmHg during the abdominal drawing-in maneuver, as assessed by Stabilizer Pressure Biofeedback, is considered the optimal value for proper activation of the deep abdominal muscles. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks

Secondary outcomes

1

Hand Grip Strength Test

Hand grip strength will be assessed using a hand dynamometer to evaluate upper extremity muscle strength as an indicator of overall muscle function. In elderly individuals, a hand grip strength below 16 kg in women and 27 kg in men is considered an indicator of low muscle strength and possible sarcopenia. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks
2

Physical Activity Scale for the Elderly (PASE)

The Physical Activity Scale for the Elderly (PASE) will be used to assess habitual physical activity levels in older adults. A PASE score of 67 or below is considered indicative of low physical activity levels and physical inactivity in elderly individuals. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks
3

Short Form-12 Health Survey (SF-12)

Health-related quality of life will be evaluated using the Short Form-12 (SF-12) questionnaire, including physical and mental component summary scores. In older individuals, SF-12 component scores below 50 indicate that health-related quality of life is below societal norms. Assessments will be conducted as an initial assessment before the six-week exercise program and as a final assessment after the program is completed.

Time frame
6 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Yeditepe University

Lead sponsor

Source ClinicalTrials.gov

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