Effect of Exercise of Shoulder - Pelvic Coupling Pattern on Breathing Using Proprioceptive Technique

NCT07442942 | Completed

• 1 other identifier: 1041478-2023-HR-023
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the effects of proprioceptive neuromuscular facilitation scapula-pelvis coupling pattern exercise on Respiratory capacity and quality of life in elderly people aged 65 years or older and to use it in clinical intervention. The hypotheses of the study were set as follows: First, PNF scapula-pelvic coupling pattern and Chest cage expansion exercise would have an effect on respiratory capacity for the elderly. Second, the PNF scapula-pelvic coupling pattern and Chest cage expansion exercise would have an effect on Chest cage expansion test. Third, PNF scapula-pelvic coupling pattern and Chest cage expansion exercise would have an effect on quality of life.

Conditions

Older Adults (60 - 85 Years Old)

Outcome Measures

Primary Outcomes (1)

• Pulmonary Function Test

  ulmonary function was measured using a diagnostic spirometer (PONY FX, Italy). To ensure accurate measurement, sufficient explanation and demonstration were provided so that the participants could fully understand the procedure prior to testing. For the assessment, participants were seated comfortably in a chair. To prevent air leakage through the nose, a nose clip was applied, and a personal mouthpiece was held firmly between the teeth with the lips sealed tightly around it. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC ratio, and peak expiratory flow (PEF) were measured. Participants were instructed to perform three normal resting breaths, followed by a maximal inhalation. They were then encouraged to exhale as forcefully and rapidly as possible into the spirometer turbine and to maintain exhalation for 5-6 seconds. After one demonstration and practice trial, a total of four measurements were performed, and the best value was used for analysis.

  1 year

Secondary Outcomes (2)

• Chest Cage Expansion Test

  1 year

• Quality of Life Assessment

  1 year

Study Arms (2)

roprioceptive neuromuscular facilitation scapula-pelvis coupling pattern exercise group

EXPERIMENTAL

The PNF combination of scapular and pelvic pattern intervention was conducted for 30 minutes per session, three times per week, for four weeks. The PNF combination of scapular and pelvic pattern was applied by combining scapular posterior depression with pelvic anterior elevation, and scapular anterior elevation with pelvic posterior depression. During scapular anterior elevation combined with pelvic posterior depression, the therapist placed their hands on the shoulder joint and acromion, and on the ischial tuberosity to provide resistance. During scapular posterior depression combined with pelvic anterior elevation, resistance was applied by placing the hands on the inferior angle of the scapula and the anterior superior iliac spine. Among the PNF techniques, rhythmic initiation was first used to facilitate movement education and enhance kinesthetic awareness. Afterward, dynamic reversals were applied to promote muscle strengthening in the participants.

Behavioral: PNF combination of scapular and pelvic pattern intervention

Chest cages expansion exercises group

ACTIVE COMPARATOR

The chest expansion exercise was performed in a seated upright position. The participant interlocked their fingers behind the head and, during exhalation, brought both elbows together while flexing the trunk muscles. During inhalation, the participant moved the elbows outward while extending the trunk to expand the chest wall. The trunk rotation exercise was performed from the same starting position as the chest expansion exercise. During exhalation, the participant rotated and flexed the trunk, lowering the elbow toward the opposite knee. During inhalation, the participant returned to the starting position. This exercise was performed alternately on both sides.

Behavioral: Chest cages expansion exercises intervention

Interventions

PNF combination of scapular and pelvic pattern intervention BEHAVIORAL

The PNF combination of scapular and pelvic pattern intervention was conducted for 30 minutes per session, three times per week, for four weeks. The PNF combination of scapular and pelvic pattern was applied by combining scapular posterior depression with pelvic anterior elevation, and scapular anterior elevation with pelvic posterior depression. During scapular anterior elevation combined with pelvic posterior depression, the therapist placed their hands on the shoulder joint and acromion, and on the ischial tuberosity to provide resistance. During scapular posterior depression combined with pelvic anterior elevation, resistance was applied by placing the hands on the inferior angle of the scapula and the anterior superior iliac spine. Among the PNF techniques, rhythmic initiation was first used to facilitate movement education and enhance kinesthetic awareness. Afterward, dynamic reversals were applied to promote muscle strengthening in the participants.

roprioceptive neuromuscular facilitation scapula-pelvis coupling pattern exercise group

Chest cages expansion exercises intervention BEHAVIORAL

The chest expansion exercise was performed in a seated upright position. The participant interlocked their fingers behind the head and, during exhalation, brought both elbows together while flexing the trunk muscles. During inhalation, the participant moved the elbows outward while extending the trunk to expand the chest wall. The trunk rotation exercise was performed from the same starting position as the chest expansion exercise. During exhalation, the participant rotated and flexed the trunk, lowering the elbow toward the opposite knee. During inhalation, the participant returned to the starting position. This exercise was performed alternately on both sides.

Chest cages expansion exercises group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Participants who were able to communicate adequately
• Participants without any musculoskeletal disorders
• Participants aged 65 years or older
• Participants with a score of 24 or higher on a cognitive function test

You may not qualify if:

• Participants who declined to participate in the study
• Participants with an implanted pacemaker
• Participants whose oxygen saturation level was below 90% during the pulmonary function test

Sponsors & Collaborators

• Boung-hyoun Moon: lead

Study Sites (1)

Nambu University

Gwangju, Gwangsan-guGwangsan-gu, 62271, South Korea

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Clinical Professor

Model Details: Proprioceptive neuromuscular facilitation (PNF) scapula-pelvis coupling pattern exercise group and Chest cage expansion exercise group

Study Record Dates

• First Submitted: February 21, 2026
• First Posted: March 2, 2026
• Study Start: April 15, 2023
• Primary Completion: September 26, 2023
• Study Completion: September 26, 2023
• Last Updated: March 2, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)