The Effects of Neuroscience Based Proprioceptive Exercise Training

NCT06554483 | Completed

• 1 other identifier: NEUROSCIENCE IN KNEE PAIN
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Neuroscience based proprioceptive exercise trainig using laser pointer (nbpet) is a new aproach exercise training method. In this study, This study aimed to investigate the effects of nbpet using laser pointer on different fonctional parameters.

Conditions

Chronic Knee Pain; Pain, Chronic; Elderly

Outcome Measures

Primary Outcomes (2)

• pain meausere

  Short-form McGill Pain Questionnaire (SF-MPQ) will used to examine pain level of participants. The main component of the SF-MPQ consists of 15 descriptive adjectives for the pain sensation (11 sensory and 4 affective), which are self-rated by the patient according to their intensity level on a point rating scale (0 = none,1 = mild, 2 = moderate, 3 = severe). Three pain scores are derived from the sum of the intensity rank values of the words chosen for sensory, affective and total descriptors. The total score is the sum of the intensity values.

  6 weeks

• position error

  Joint Position Error measurement will used to asses knee proprioception of elderly. It is a test performed with a wall-mounted board consisting of circles drawn at a distance of 1 cm from the patient and a laser placed on the patient's knee with appropriate belts. After the laser is placed on the patient's knee, the patient stands and tries to hold the laser light at the starting point with eyes open on the board placed 90 cm away. The patient is first asked to perform 10 repetitions of knee flexion and extension and then to return the laser to the starting position with eyes closed. In the final stage, the patient's horizontal, vertical and global distance from the laser light starting point is recorded in cm

  6 weeks

Secondary Outcomes (4)

• Range of motion

  6 weeks

• Qualitiy of life

  6 weeks

• Kinesiophobia

  6 weeks

• Time up and Go test

  6 weeks

Study Arms (2)

neuroscience based proprioceptive exercise training group

EXPERIMENTAL

Neuroscience based proprioceptive training using laser pointer A pre-created wallpaper indicating various directions is fixed on the wall 90 cm away from the patient (at the level of the patient's knee when the patient is standing upright). Then, the laser pointer (producted by NMC training system) will fixed to the patient's knee with the help of a velcro so as not to interfere with the patient's knee movement. At the beginning of the exercise, the patient is asked to move the light on the laser pointer to the midpoint of the wallpaper. The patient is then asked to follow the instructions on the wallpaper by moving the knee in flexion-extension, medio-lateral directions. These instructions are continued throughout the exercise in different directions. Meanwhile, the patient is asked to perform mild cognitive tasks such as counting numbers, names of people starting with any letter, city names or animal names. The training continued for approximately 20 minutes.

Other: Exercise

Proprioceptive exercise group

ACTIVE COMPARATOR

A proprioceptive training regimen will established with Swiss balls. The proprioceptive activities are advanced on a weekly basis in order to test the patient's balance in response. Patients have training in three stages: beginning, intermediate, and advanced. Each exercise is performed as 3x10 repetitions. Between sets, 2-3 minutes rest breaks is given. The beginning phase is applied in the 1st and 2nd weeks, the intemediate phase in the 3rd and 4th weeks, and the advanced phase in the 5th and 6th weeks.

Other: Exercise

Interventions

Exercise OTHER

supportive reliable exercise programs

Also known as: Proprioceptive exercise

Proprioceptive exercise group; neuroscience based proprioceptive exercise training group

Eligibility Criteria

• Age: 60 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• having a history of knee pain for 6 months or longer
• having unilateral knee pain, being 60 years of age or older, and completing the assessments.

You may not qualify if:

• being under 60 years of age, having bilateral knee pain
• being diagnosed with a disease that may cause knee pain (osteatritis, meniscus rupture, ACL rupture...)
• having knee pain for less than 6 months
• have visual and hearing impairments that affect exercise, having knee extension limitations.

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Aziz DENGIZ

Muş, 49100, Turkey (Türkiye)

Location

Related Publications (15)

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• Hajouj E, Hadian MR, Mir SM, Talebian S, Ghazi S. Effects of Innovative Aquatic Proprioceptive Training on Knee Proprioception in Athletes with Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial. Arch Bone Jt Surg. 2021 Sep;9(5):519-526. doi: 10.22038/abjs.2020.50106.2485.

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  PMID: 37205144 RESULT

MeSH Terms

Conditions

Chronic Pain

Interventions

Exercise; Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: participants will not be informed whether they are in the experimental or control group
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist. Prof.

Model Details: The participants will assigned to the experimental or control group by randomization method. Each group will include in an exercise program for 6 weeks, 2 sessions per week, each session for an average of 60 minutes. The exercise program of the experimental group consist of a combination of a 10-minute warm-up period with graded walking, mobility and stretching exercises, a 20-minute proprioceptive exercise program, a 20-minute nbpet using a laser pointer, and stretching and relaxation exercises that ended with a 10-minute cool-down period. Control group's exercise program consist of a 10-minute warm-up period with graded walking, mobility and stretching exercises, followed by a 40-minute proprioceptive exercise program and a 10-minute cool-down period consisting of stretching and relaxation exercises.

Study Record Dates

• First Submitted: July 25, 2024
• First Posted: August 15, 2024
• Study Start: June 3, 2024
• Primary Completion: October 1, 2024
• Study Completion: December 1, 2024
• Last Updated: May 29, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)