Effects of Dynamic Neuromuscular Stabilization Exercises Versus Balance Exercises in Older Adults

Yeditepe University

Status: Not yet enrolling

Conditions: Healthy Older Adults; Age-Related Balance Impairment

Treatments: Other: Dynamic Neuromuscular Stabilization Exercises; Other: Balance Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT07495280

IrmakCetinel

Details and patient eligibility

About

The aim of this study is to compare the effects of Dynamic Neuromuscular Stabilization (DNS) based exercises and balance exercises on functional capacity, balance, muscle strength, and quality of life in older adults.

Full description

Aging leads to a decline in postural control, muscle strength, balance, and functional capacity, increasing the risk of falls and negatively impacting quality of life. Therefore, investigating the effectiveness of exercise approaches targeting neuromuscular control and stability in older adults is of great importance.

Dynamic Neuromuscular Stabilization (DNS) is a developmental kinesiology-based approach that aims to reactivate the deep stabilizer system, promote diaphragmatic breathing, and restore optimal movement patterns. Traditional balance exercises are commonly used in older adults to improve balance performance. However, evidence regarding the effects of DNS exercises on functional capacity, balance, and quality of life in older adults is limited.

The aim of this randomized controlled clinical trial is to compare the effects of Dynamic Neuromuscular Stabilization exercises and traditional balance exercises on functional capacity, balance, and quality of life in older adults. Individuals aged 65 and over will be included in the study and randomized into two groups: a DNS exercise group and a balance exercise group.

Functional capacity and physical performance assessments will be conducted using the Hand Grip Strength Test, Short Physical Performance Battery (SPPB), and Timed Up and Walk Test. Trunk stability and deep stabilizer system activation will be assessed using the Stabilizer Pressure Biofeedback (SPB) device. Physical activity level will be measured using the Physical Activity Assessment Scale for the Elderly, and quality of life will be measured using the SF-12 Quality of Life Scale. All assessments will be conducted before the intervention and after the exercise program.

Enrollment: 18 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Older adults aged 65 and over, of both sexes
• Ability to walk independently and perform basic daily living activities without assistance
• Willingness to participate and written consent

Exclusion criteria

• Severe neurological disorders or advanced cognitive impairment
• Serious cardiopulmonary or systemic diseases that would prevent participation in exercise
• History of orthopedic surgery or acute trauma within the last 6 months
• Psychiatric disorders or communication difficulties that would prevent participation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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18 participants in 2 patient groups

Dynamic Neuromuscular Stabilization (DNS) Exercise Group

Experimental group

Description:

Participants assigned to this group will receive Dynamic Neuromuscular Stabilization (DNS) exercises focusing on trunk stabilization, diaphragmatic breathing, and activation of the deep stabilizing system.

Treatment:

Other: Dynamic Neuromuscular Stabilization Exercises

Balance Exercise Group

Active Comparator group

Description:

Participants assigned to this group will receive conventional balance exercises aimed at improving postural control and functional balance.

Treatment:

Other: Balance Exercises