NCT07837778

Brief Summary

This study will compare standing balance in adults ages 18 to 50 during normal standing, inward anchoring, and outward anchoring. Anchoring involves standing with the feet wider than shoulder width and trying to pull the legs together or push them apart without moving the feet. Participants will complete all three conditions in a randomly assigned order. A researcher will use a handheld force-measuring instrument at six points on the pelvis to measure how much pressure participants can resist before a foot lifts from the floor. Participants will also rate how stable they feel after each anchoring condition. The first 18 participants will repeat assessments to evaluate measurement consistency. Participation is expected to last 60 minutes, or 90 minutes for those completing repeat assessments.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
20mo left

Started Aug 2026

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress7%
Aug 2026May 2028

Study Start

First participant enrolled

August 23, 2026

Completed
17 days until next milestone

First Submitted

Initial submission to the registry

September 9, 2026

Completed
15 days until next milestone

First Posted

Study publicly available on registry

September 24, 2026

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2027

Expected
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 2, 2028

Last Updated

September 24, 2026

Status Verified

September 1, 2026

Enrollment Period

1.1 years

First QC Date

September 9, 2026

Last Update Submit

September 17, 2026

Conditions

Keywords

Postural Balance, Postural Stability, Anchoring, Handheld Dynamometry

Outcome Measures

Primary Outcomes (8)

  • Mean Break-Point Force at the Right Anterior Superior Iliac Spine

    A microFET2 handheld dynamometer is applied at the right anterior superior iliac spine during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance

    Day 1

  • Mean Break-Point Force at the Left Anterior Superior Iliac Spine

    A microFET2 handheld dynamometer is applied at the left anterior superior iliac spine during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance.

    Day 1

  • Mean Break-Point Force at the Right Iliac Crest

    A microFET2 handheld dynamometer is applied at the right iliac crest during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance

    Day 1

  • Mean Break-Point Force at the Left Iliac Crest

    A microFET2 handheld dynamometer is applied at the left iliac crest during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance.

    Day 1

  • Mean Break-Point Force at the Right Posterior Superior Iliac Spine

    A microFET2 handheld dynamometer is applied at the right posterior superior iliac spine during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance.

    Day 1

  • Mean Break-Point Force at the Left Posterior Superior Iliac Spine

    A microFET2 handheld dynamometer is applied at the left posterior superior iliac spine during normal stance, inward anchoring, and outward anchoring. Force in newtons is recorded when the sole of the foot closest to the tester leaves the floor. Three readings are collected per stance.

    Day 1

  • Perceived Stability Rating After Inward Anchoring

    After inward anchoring, participants answer how stable they felt during that stance. Ratings range from 0 (not at all stable) to 10 (completely stable); 5 means neutral, or the same stability as normal standing. Higher scores indicate greater perceived stability.

    Day 1

  • Perceived Stability Rating After Outward Anchoring

    After outward anchoring, participants answer how stable they felt during that stance. Ratings range from 0 (not at all stable) to 10 (completely stable); 5 means neutral, or the same stability as normal standing. Higher scores indicate greater perceived stability

    Day 1

Study Arms (6)

Normal Stance → Inward Anchoring → Outward Anchoring

EXPERIMENTAL

Participants complete normal stance, then inward anchoring, then outward anchoring. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Normal Stance → Outward Anchoring → Inward Anchoring

EXPERIMENTAL

Participants complete normal stance, then outward anchoring, then inward anchoring. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Outward Anchoring → Normal Stance → Inward Anchoring

EXPERIMENTAL

Participants complete outward anchoring, then normal stance, then inward anchoring. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Outward Anchoring → Inward Anchoring → Normal Stance

EXPERIMENTAL

Participants complete outward anchoring, then inward anchoring, then normal stance. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Inward Anchoring → Normal Stance → Outward Anchoring

EXPERIMENTAL

Participants complete inward anchoring, then normal stance, then outward anchoring. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Inward Anchoring → Outward Anchoring → Normal Stance

EXPERIMENTAL

Participants complete inward anchoring, then outward anchoring, then normal stance. The same force assessments are performed in each condition, with two minutes of rest between conditions.

Other: Normal StanceOther: Inward AnchoringOther: Outward Anchoring

Interventions

Participants stand normally while the tester performs the protocol's pelvic force assessments. This condition provides the within-participant comparison for the two anchoring techniques

Inward Anchoring → Normal Stance → Outward AnchoringInward Anchoring → Outward Anchoring → Normal StanceNormal Stance → Inward Anchoring → Outward AnchoringNormal Stance → Outward Anchoring → Inward AnchoringOutward Anchoring → Inward Anchoring → Normal StanceOutward Anchoring → Normal Stance → Inward Anchoring

Participants stand upright with their feet wider than shoulder width and attempt to pull their legs toward each other without moving the feet. They maintain the position during the pelvic force assessments.

Inward Anchoring → Normal Stance → Outward AnchoringInward Anchoring → Outward Anchoring → Normal StanceNormal Stance → Inward Anchoring → Outward AnchoringNormal Stance → Outward Anchoring → Inward AnchoringOutward Anchoring → Inward Anchoring → Normal StanceOutward Anchoring → Normal Stance → Inward Anchoring

Participants stand upright with their feet wider than shoulder width and attempt to push their legs away from each other without moving the feet. They maintain the position during the pelvic force assessments.

Inward Anchoring → Normal Stance → Outward AnchoringInward Anchoring → Outward Anchoring → Normal StanceNormal Stance → Inward Anchoring → Outward AnchoringNormal Stance → Outward Anchoring → Inward AnchoringOutward Anchoring → Inward Anchoring → Normal StanceOutward Anchoring → Normal Stance → Inward Anchoring

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Adults aged 18-50 years.
  • Able to provide informed consent and independently read, write, and communicate in English.

You may not qualify if:

  • History of neurological or vestibular conditions affecting balance, such as stroke, Parkinson's disease, multiple sclerosis, or vertigo, or uncorrected/inadequately corrected visual deficits affecting postural control.
  • Lower-extremity or spinal injury, orthopedic surgery, or a musculoskeletal condition within the past 6-12 months that may affect balance, force production, or safe participation.
  • Current pain or dysfunction limiting safe standing or weight-bearing tasks.
  • Use of medications that may affect balance, coordination, or muscle performance, such as muscle relaxants, opioids, or sedatives.
  • A cardiovascular or systemic condition that makes participation unsafe, such as uncontrolled hypertension, dizziness, or syncope, or inability to stand independently for the duration of testing.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Central Florida Spine and Mobility Lab

Orlando, Florida, 32816, United States

RECRUITING

Related Publications (14)

  • Thomas DT, R S, Prabhakar AJ, Dineshbhai PV, Eapen C. Hip abductor strengthening in patients diagnosed with knee osteoarthritis - a systematic review and meta-analysis. BMC Musculoskelet Disord. 2022 Jun 29;23(1):622. doi: 10.1186/s12891-022-05557-6.

    PMID: 35768802BACKGROUND
  • Iwamoto K, Yoshio M, Takata Y, Kozuka N. Reliability and validity of standing balance assessment index using a hand-held dynamometer in stroke patients. J Phys Ther Sci. 2016 Nov;28(11):3158-3161. doi: 10.1589/jpts.28.3158. Epub 2016 Nov 29.

    PMID: 27942140BACKGROUND
  • Hyun SJ, Lee J, Lee BH. The Effects of Sit-to-Stand Training Combined with Real-Time Visual Feedback on Strength, Balance, Gait Ability, and Quality of Life in Patients with Stroke: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021 Nov 21;18(22):12229. doi: 10.3390/ijerph182212229.

    PMID: 34831986BACKGROUND
  • Delmore RJ, Laudner KG, Torry MR. Adductor longus activation during common hip exercises. J Sport Rehabil. 2014 May;23(2):79-87. doi: 10.1123/jsr.2012-0046. Epub 2013 Aug 12.

    PMID: 23945760BACKGROUND
  • Inacio M, Creath R, Rogers MW. Low-dose hip abductor-adductor power training improves neuromechanical weight-transfer control during lateral balance recovery in older adults. Clin Biomech (Bristol). 2018 Dec;60:127-133. doi: 10.1016/j.clinbiomech.2018.10.018. Epub 2018 Oct 13.

    PMID: 30343209BACKGROUND
  • Sorlen N, Hult A, Nordstrom P, Nordstrom A, Johansson J. Short-term balance training and acute effects on postural sway in balance-deficient older adults: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2021 Mar 9;13(1):23. doi: 10.1186/s13102-021-00251-x.

    PMID: 33750421BACKGROUND
  • Low DC, Walsh GS, Arkesteijn M. Effectiveness of Exercise Interventions to Improve Postural Control in Older Adults: A Systematic Review and Meta-Analyses of Centre of Pressure Measurements. Sports Med. 2017 Jan;47(1):101-112. doi: 10.1007/s40279-016-0559-0.

    PMID: 27245061BACKGROUND
  • Hislop A, Collins NJ, Tucker K, Semciw AI. The association between hip strength, physical function and dynamic balance in people with unilateral knee osteoarthritis: A cross-sectional study. Musculoskelet Sci Pract. 2023 Feb;63:102696. doi: 10.1016/j.msksp.2022.102696. Epub 2022 Dec 5.

    PMID: 36549253BACKGROUND
  • Nakagawa HB, Ferraresi JR, Prata MG, Scheicher ME. Postural balance and functional independence of elderly people according to gender and age: cross-sectional study. Sao Paulo Med J. 2017 May-Jun;135(3):260-265. doi: 10.1590/1516-3180.2016.0325280217.

    PMID: 28746661BACKGROUND
  • Johansson J, Nordstrom A, Gustafson Y, Westling G, Nordstrom P. Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals. Age Ageing. 2017 Nov 1;46(6):964-970. doi: 10.1093/ageing/afx083.

    PMID: 28531243BACKGROUND
  • Wang Q, Li L, Mao M, Sun W, Zhang C, Mao D, Song Q. The relationships of postural stability with muscle strength and proprioception are different among older adults over and under 75 years of age. J Exerc Sci Fit. 2022 Oct;20(4):328-334. doi: 10.1016/j.jesf.2022.07.004. Epub 2022 Aug 7.

    PMID: 36033943BACKGROUND
  • Steinberg N, Nemet D, Pantanowitz M, Zeev A, Hallumi M, Sindiani M, Meckel Y, Eliakim A. Longitudinal Study Evaluating Postural Balance of Young Athletes. Percept Mot Skills. 2016 Feb;122(1):256-79. doi: 10.1177/0031512516628989. Epub 2016 Feb 1.

    PMID: 27420320BACKGROUND
  • Zemkova E, Zapletalova L. The Role of Neuromuscular Control of Postural and Core Stability in Functional Movement and Athlete Performance. Front Physiol. 2022 Feb 24;13:796097. doi: 10.3389/fphys.2022.796097. eCollection 2022.

    PMID: 35283763BACKGROUND
  • Sabashi K, Ishida T, Matsumoto H, Mikami K, Chiba T, Yamanaka M, Aoki Y, Tohyama H. Dynamic postural control correlates with activities of daily living and quality of life in patients with knee osteoarthritis. BMC Musculoskelet Disord. 2021 Mar 18;22(1):287. doi: 10.1186/s12891-021-04164-1.

    PMID: 33736640BACKGROUND

Study Officials

  • William J Hanney, PhD

    University of Central Florida

    PRINCIPAL INVESTIGATOR

Central Study Contacts

William J Hanney, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The assessor will be masked to the anchoring method
Purpose
SCREENING
Intervention Model
CROSSOVER
Model Details: Six randomized, counterbalanced sequence arms. Each participant completes normal stance, inward anchoring, and outward anchoring in the assigned order during one testing visit.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 9, 2026

First Posted

September 24, 2026

Study Start

August 23, 2026

Primary Completion (Estimated)

September 30, 2027

Study Completion (Estimated)

May 2, 2028

Last Updated

September 24, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Locations