The Comparisons of Effects of Core Stability Exercise and Tai Chi on Core Muscle Performances in Elderly

NCT04887363 | Completed

• 1 other identifier: KMUH-IRB-20120427
• Study Type: interventional
• Target: 71
• Locations: 0 countries
• Sites: N/A

Brief Summary

Core muscles and core stability has a key component in the postural control or balance. However, no clear evidence has been found for the positive relationship between core stability and postural control in the elderly, and the effects of core stabilizing training on postural control or balance in the elderly. The purposes of this project are to investigate the effects of core stability training program on muscle strength, muscle performance, and balance outcomes in elderly adults.

Conditions

Tai Ji

Outcome Measures

Primary Outcomes (8)

• Changes in strength of core muscle groups (trunk) at 12-week

  Using a custom-made isometric dynamometer to measure the strength of trunk flexors, extensors and rotators

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in strength of core muscle groups (hip) at 12-week

  Using a hand-held dynamometer to measure the hip muscle strength

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in endurance of core muscle groups at 12-week

  Using the Stabilizer Pressure Biofeedback Unit (PBU) during the leg-loading test to measure the endurance of lumbo-pelvic stability

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in flexibility of the lower back and hamstring muscles at 12-week

  Using the sit and reach test to measure the flexibility of the lower back and hamstring muscles

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in ability of the dynamic balance at 12-week

  Using the Dual-tasking 3m Timed up and go (3m-TUG) to measure dynamic balance and the fall risk. Mean time to perform 3m-TUG is 11.56 seconds

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in assessment of postural control at 12-week

  Using a force plate to collect the center of pressure (COP) displacement

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in muscle activity of selected core muscles during performing arm-raising tasks at 12-week

  Using a surface electromyography to record the muscle activity of abdominal and trunk muscles during performing arms-raising tasks with hand-holding 1.5-2 kg

  The assessments will be conducted 1 and 12 weeks following the intervention

• Changes in assessment of postural control during performing arm-raising tasks at 12-week

  Using a force plate to collect the center of pressure (COP) displacement during performing arms-raising tasks with hand-holding 1.5-2 kg

  The assessments will be conducted 1 and 12 weeks following the intervention

Study Arms (3)

Core exercise group

EXPERIMENTAL

The healthy community-dwelling older adults (60-74 years old), who had not received any core stability or Tai Chi Chuan training within the previous 6 months, were recruited in this study. All the subjects were independent in basic daily living activities and able to move freely without any assistance.

Behavioral: Core exercise

Tai Chi exercise group

EXPERIMENTAL

The healthy community-dwelling older adults (60-74 years old), who had not received any core stability or Tai Chi Chuan training within the previous 6 months, were recruited in this study. All the subjects were independent in basic daily living activities and able to move freely without any assistance.

Behavioral: Tai Chi exercise

Young adults group

NO INTERVENTION

The healthy young adults who have not any neurological, musculoskeletal or rheumatic disease were recruited as a reference group. They would not receive any training program in the study.

Interventions

Core exercise BEHAVIORAL

Participants will receive12-week, 60 minutes, 36-session exercise-based core stability training class. Participants need complete baseline assessments of muscle performance, and balance ability measures 1 week prior and 1 week and 12 weeks following the intervention. All subjects will receive two post-exercise measurements at 13th week and 25th week.

Core exercise group

Tai Chi exercise BEHAVIORAL

Participants will receive 12-week, 60 minutes, 36-session Tai Chi exercise training class. Participants need complete baseline assessments of muscle performance, and balance ability measures 1 week prior and 1 week and 12 weeks following the intervention. All subjects will receive two post-exercise measurements at 13th week and 25th week.

Tai Chi exercise group

Eligibility Criteria

• Age: 20 Years - 74 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Core exercise group and Tai Chi exercise group
• healthy community-dwelling older adults (60-74 years old)
• not received any core stability or Tai Chi Chuan training within the previous 6 months
• independent in basic daily living activities
• able to move freely without any assistance
• Young adults group a. Their age should be ranged between 20 - 59 years

You may not qualify if:

• All group
• have a history of orthopedic surgery on spine or lower extremity
• have any spine pathology (e.g., spondylolisthesis, disc herniation)
• have a pain over back or lower limbs to affect the ability to perform activities of daily living
• had a history of vestibular disease (e.g., Meniere' s disease)

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

MeSH Terms

Interventions

Aquatic Therapy

Intervention Hierarchy (Ancestors)

Hydrotherapy; Physical Therapy Modalities; Therapeutics; Rehabilitation

Study Officials

• Li-Jiun Liaw

  Kaohsiung Medical University Department of Physical Therapy Associate Professor

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 22, 2021
• First Posted: May 14, 2021
• Study Start: June 3, 2013
• Primary Completion: June 30, 2015
• Study Completion: June 30, 2015
• Last Updated: May 14, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share