NCT07051577

Brief Summary

Archery is a sport that demands sport-specific motor performance, emphasizing fine motor control, postural stability, balance, and concentration skills. Athletes aim to deliver the arrow to the target by ensuring maximum stability with minimal body movement during shooting. While muscle strength, upper extremity endurance, and overall body stability are among the primary factors influencing performance, many other parameters also determine shooting success. Studies investigating muscle activity in archery have demonstrated that the primary muscle groups involved in shooting are the scapular muscles, shoulder girdle muscles, and forearm muscles. These muscles are activated at varying levels to facilitate target focus and play an active role in shooting by contributing to postural and scapular stabilization. Additionally, core muscles enhance movement capacity by centrally stabilizing the body during motion. Activation of pelvic-region muscles, in particular, contributes to improved balance skills, thereby making a meaningful impact on performance. Archers are expected to maintain stability by minimizing movement during shooting and to rapidly adapt to postural instability that may arise during aiming. Every involuntary movement decreases stability and makes it harder to hit the center of the target. In this context, executing motor actions with high precision and developing adaptive responses to postural instability are of great importance. One of the core components of the balance system-the visual system-also significantly affects performance. During postural sway, visual stabilization plays a critical role; as the distance to the target increases, displacements on the retina become larger, making visual focusing more challenging. Moreover, to make the shooting decision at the right moment, it is essential to maintain visual concentration effectively. In this project, while no intervention will be applied to the control group, archers using classical bows in the exercise group will participate in a six-week neuroscience-based exercise program. The program includes scapular and core stabilization, balance training, gaze stabilization, and NeuroTracker training. This six-week program is designed to be progressive and holistic, and its effects will be investigated. Muscle activity will be analyzed through EMG, postural sway will be assessed using the ProKin TecnoBody 252 stabilometric platform, clinical upper extremity balance will be evaluated with the Y Balance Test, eye tracking will be measured using the Pupil headset (Pupil Labs), and spinal stabilization endurance will be assessed through the Biering-Sorensen Test, Lateral Bridge Test, and the Step Test. Shooting performance will be evaluated based on target paper scores. Statistical analyses will be performed using IBM SPSS version 28. Both descriptive and inferential statistical methods will be utilized. Within the scope of descriptive statistics, participants' demographic characteristics and other key variables will be summarized using mean (X̀„), standard deviation (SD), frequency (n), and percentage (%). The findings will be evaluated at a significance level of p\<0.05. The study will include a comprehensive analysis using objective measurement methods. In the literature, no previous study has approached neuroscience-based exercise interventions for archers in such a comprehensive and multidimensional manner. This project aims not only to enhance athletic performance but also to prevent shoulder, scapular, and upper extremity injuries that may result from repetitive shooting movements. This research will be one of the first comprehensive studies to address balance, muscle activity, and cognitive performance in archery holistically, offering an original and scientifically valuable contribution to the sports science literature.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 18, 2025

Completed
16 days until next milestone

First Posted

Study publicly available on registry

July 4, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

September 15, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 15, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 15, 2025

Completed
Last Updated

September 10, 2025

Status Verified

September 1, 2025

Enrollment Period

2 months

First QC Date

June 18, 2025

Last Update Submit

September 3, 2025

Conditions

Keywords

archeryphysiotherapy and rehabilitationSports Vision Trainingbalancecore stabilization exercise therapy

Outcome Measures

Primary Outcomes (3)

  • Shooting Performance

    Each participant will perform two sets of archery shots on a 40 cm target face at an 18-meter shooting range, with 3 arrows per set. Scoring is based on a concentric ring system, with the center worth 10 points, decreasing outward to 9, 8, 7, and 6 points. The total score will be calculated as the sum of all shot values. The aim is to assess shooting accuracy and performance.

    Change from Shooting Performance at 6 weeks

  • Muscle Activity

    Each participant will perform a total of two sets of archery shots-3 arrows per set-at a FITA 40 cm target from an 18-meter shooting distance. During the shooting, EMG data will be recorded. Surface EMG will be used to measure the activation of the anterior, middle, and posterior parts of the M. Deltoideus; the upper, middle, and lower parts of the M. Trapezius; and the M. Serratus Anterior muscle.

    Change from Muscle Activity at 6 weeks

  • Muscle strength

    Muscle strength of the anterior, middle, and posterior parts of the M. Deltoideus; the upper, middle, and lower parts of the M. Trapezius; and the M. Serratus Anterior will be assessed using a myometer. During the measurement, the participant will be instructed to resist against maximal resistance applied by the examiner.

    Change in muscle strength over 6 weeks

Secondary Outcomes (6)

  • Postural Sway Assessment

    Change from Postural Sway Assessment at 6 weeks

  • Eye Tracking

    Change from Eye Tracking at 6 weeks

  • Endurance of extensor spinal stabilizer muscles

    Change from Endurance of extensor spinal stabilizer muscles at 6 weeks

  • Endurance of flexor spinal stabilizer muscles

    Change from Endurance of flexor spinal stabilizer muscles at 6 weeks

  • Endurance of oblique spinal stabilizer muscles

    Change from Endurance of oblique spinal stabilizer muscles at 6 weeks

  • +1 more secondary outcomes

Study Arms (2)

Control group

ACTIVE COMPARATOR

There are standard exercise programs consisting of scapular stabilization and balance exercises.These exercises are commonly used in clinical rehabilitation and will not include any additional neurosensory or visual components.

Other: control group

Intervention group

EXPERIMENTAL

Participants will receive neuroscience-based exercise training under researcher supervision, twice a week for 6 weeks. The program includes gaze stabilization, scapular and core stabilization, balance training, and NeuroTracker exercises in three progressive phases.

Other: Exercise Group

Interventions

Participants in the neuromuscular exercise group will undergo a training program supervised by the researcher, conducted twice a week for 6 weeks. This group will receive gaze stabilization training, core stabilization training, scapular stabilization training, balance training, and NeuroTracker training. The exercises provided to the neuromuscular exercise group are structured in three phases and progressively intensified based on phase transition criteria.

Intervention group

There are standard exercise programs consisting of scapular stabilization and balance exercises.These exercises are commonly used in clinical rehabilitation and will not include any additional neurosensory or visual components.

Control group

Eligibility Criteria

Age15 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Aged between 15 and 18 years
  • Licensed archer using a classical bow for at least 6 months
  • Using a clicker for at least 6 months
  • Training at least twice a week

You may not qualify if:

  • Presence of any symptoms related to the upper or lower extremities
  • Any type of surgical intervention in the upper extremity or spine
  • Presence of mental or cognitive disorders
  • Use of substances that may affect shooting performance, such as painkillers, sedatives, or alcohol
  • Withdrawal Criteria:
  • Reporting an injury or illness during the study
  • Experiencing acute muscle spasm
  • Choosing to discontinue participation
  • Failing to attend exercise training sessions on two consecutive occasions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • SULE TOPCU SAHIN, PhD (c)

    Istinye University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

SULE TOPCU SAHIN, PhD (c)

CONTACT

GUL DENIZ YILMAZ YELVAR, ASSOCIATE PROFESSOR

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator (PhD student in Physiotherapy)

Study Record Dates

First Submitted

June 18, 2025

First Posted

July 4, 2025

Study Start

September 15, 2025

Primary Completion

November 15, 2025

Study Completion

November 15, 2025

Last Updated

September 10, 2025

Record last verified: 2025-09