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The aim of this interventional study was to evaluate the immediate effects of a single bout of 30 squats performed on an unstable surface versus a stable surface on postural stability, bilateral coordination, and dynamic balance in healty subjects. We hypothesized that performing squats on an unstable surface would result in significantly greater improvements in these parameters compared to squats on a stable surface. By comparing the immediate effects under randomized conditions, this study seeks to contribute novel insights into the role of surface stability in acute exercise-induced balance adaptations.
Despite the growing interest in instability training, there remains a lack of evidence regarding the acute effects of squats performed on stable versus unstable surfaces on key balance-related outcomes, including postural stability, bilateral coordination, and dynamic balance. Filling this gap is essential for informing clinical decision-making and optimizing performance and rehabilitation strategies. The study recruited young, relatively healthy, and physically active individuals-students (n = 42). Inclusion criteria were: 1) age between 18 and 35 years, and 2) voluntary consent to participate. Exclusion criteria were: 1) history of lower limb injury within the past six months, and 2) inability to maintain postural balance during testing.The study applied the following procedures: Participant Data Collection, Leg Length Measurement, Determination of Dominant Leg, Postural Stability Assesment, Dynamic Stability Assessment, and Bilateral coordination assessment.
All assessments were performed under controlled laboratory conditions by the same examiner to ensure reliability. Participants were instructed to avoid caffeine, strenuous exercise, and alcohol consumption for at least 12 hours prior to testing. and their hands placed on their hips.
Participants performed 30 bodyweight squats while standing with their feet shoulder-width apart and their hands placed on their hips. Each squat was executed to approximately 90° of knee flexion at the lowest point. The movements were paced using a metronome, with participants completing 30 squats within 45 seconds to ensure a consistent tempo and intensity.
The test was conducted under two conditions: on a stable surface and on an unstable surface, with a 48-hour interval between the two sessions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy student volunteers | Experimental | 42 students were tested under three conditions |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Condition - no exercise before testing | Other | Participants were tested without any exercise |
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| Measure | Description | Time Frame |
|---|---|---|
| Postural stability | Individuals were asked to stand on the platform with both feet barefoot; the platform's instabil-ity level was set to 11 (with 11 representing a predefined setting on the system). Foot position was determined using the Biodex Balance System (BBS) platform, with the cuboid bones serv-ing as anatomical landmarks to ensure that the foot was centred; subjects' arms were positioned on their hips throughout testing. Postural stability tests were measured in 10-second trials with a 10-second rest period between tests, with a total of three trials conducted.
| Under three conditions (Condition 0, condition 1 an Condition 3) at least 48 hours apart |
| Bilteral Coordination | Using the Biodex machine the following parameters were measured:
| Under three conditions (Condition 0, condition 1 an Condition 3) at least 48 hours apart. |
| Measure | Description | Time Frame |
|---|---|---|
| Dynamic balance | For Dynamic balance Y Balance test was used. Three attempts each leg were conducted, to anterior, poster-omedial and posterolateral directions. The mean of all three reaches were analysed. Participants were instructed to stand barefoot, maintain a single-leg stance and extend the contralateral leg to reach as far as possible along specified lines. The supporting leg could not move, hands were placed on the hips. Y Balance test's score was calculated using this formula: Normalized Reach Distance = (Sum of reach distances in three directions: Limb length) × 100. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of health promotion and rehabilitation | Kaunas | Kauno M. Sav. | 44221 | Lithuania |
There are no plans to share individual participant data, as the consent obtained from participants does not include permission for data sharing with other researchers.
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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Single group under three different conditions: no exercise, exercise on stable surface, and exercise on unstable surface.
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No masking is applied in this study. This is a single-arm, open-label trial; therefore, no participants, care providers, investigators, or outcome assessors are masked.
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| Condition - exercise on unstable surface | Other | Participants performed 30 squats on unstable surface before testing |
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| Condition - exercise on stable surface | Other | Participants performed 30 squats on stable surface before testing |
|
| Under three conditions (Condition 0, condition 1 an Condition 3) at least 48 hours apart |
| Body hight | in cm | Befor testing |
| Body weight | in kg | Before testing |