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This study evaluates the effect of a rotation based exercise program on core muscle thickness. Additionally, a second aim is to demonstrate the ability of a clinical assessment tool to identify muscle thickness changes. Half of participants receive the rotation based exercises, while the other half perform a traditional core exercise program. It was hypothesized that the rotation based exercises would result in greater changes in muscle thickness.
A number of exercise programs and assessment tools have been evaluated for their ability to influence and measure the core muscles. Inefficient stability and asymmetrical muscle activity of the core have been linked to a wide range of lower extremity injuries. Training of the abdominal muscles to obtain symmetrical recruitment for optimal trunk stabilization is a widespread clinical practice, however valid and reliable assessment tools and effective intervention protocols are lacking. This study uniquely uses both a clinical assessment tool and musculoskeletal ultrasound to measure changes in the core muscles following an exercise intervention. The overall purpose of this study was to design a valid and reliable assessment tool and an effective training protocol to activate the core muscles.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rotation Exercises | Experimental | 8 minute program of rotation based exercises |
|
| Control Exercises | Active Comparator | 8 minute program of traditional exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotation Exercises | Other | The subjects received 7 trunk rotation stability exercises x 10 reps each |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Muscle Thickness | Musculoskeletal ultrasound measured changes in muscle thickness | Baseline and 10 minutes post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Clinical Muscle Assessment Using the Novel Sling Screen | Clinician based assessment of muscle function using the sling screen tool; Kappa coefficients were calculated to examine agreement between the 2 physical therapists that completed the sling screen assessments and to account for chance effects in scoring. A rating system was used for scoring performance. Min value on the scale is 2 and max value = 5; higher score is a better outcome. |
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Inclusion Criteria:
° Undergraduate and graduate subjects from the University of the Delaware student community.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrea DiTrani, PhD, ATC | Neumann University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Delaware | Newark | Delaware | 19702 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Rotation Exercises | 8 minute program of rotation based exercises Rotation Exercises: The subjects received 7 trunk rotation stability exercises x 10 reps each |
| FG001 | Control Exercises | 8 minute program of traditional exercises Control Exercises: The subjects received 7 traditional exercises x 10 reps each |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Rotation Exercises | 8 minute program of rotation based exercises Rotation Exercises: The subjects received 7 trunk rotation stability exercises x 10 reps each |
| BG001 | Control Exercises |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Changes in Muscle Thickness | Musculoskeletal ultrasound measured changes in muscle thickness | External Oblique | Posted | Mean | 95% Confidence Interval | centimeters | Baseline and 10 minutes post intervention |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Rotation Exercises | 8 minute program of rotation based exercises Rotation Exercises: The subjects received 7 trunk rotation stability exercises x 10 reps each |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Brian Catania | ChristianaCare | 302-838-4700 | bcatania@christianacare.org |
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| Control Exercises | Other | The subjects received 7 traditional exercises x 10 reps each |
|
|
| Baseline and 10 minutes post intervention |
8 minute program of traditional exercises
Control Exercises: The subjects received 7 traditional exercises x 10 reps each
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Secondary | Changes in Clinical Muscle Assessment Using the Novel Sling Screen | Clinician based assessment of muscle function using the sling screen tool; Kappa coefficients were calculated to examine agreement between the 2 physical therapists that completed the sling screen assessments and to account for chance effects in scoring. A rating system was used for scoring performance. Min value on the scale is 2 and max value = 5; higher score is a better outcome. | Anterior Sling | Posted | Mean | Standard Deviation | score on a scale | Baseline and 10 minutes post intervention |
|
|
|
| 0 |
| 16 |
| 0 |
| 16 |
| EG001 | Control Exercises | 8 minute program of traditional exercises Control Exercises: The subjects received 7 traditional exercises x 10 reps each | 0 | 15 | 0 | 15 |
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