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This randomized, single-blind clinical trial investigates whether adding whole-body vibration (WBV) to a supervised foot core exercise program improves ankle muscle strength, balance, and proprioception in overweight and obese young adults (BMI 25.0-39.9 kg/m²). Participants attended 24 face-to-face sessions over 8 weeks (3×/week) under physiotherapist supervision. Outcomes included isometric inversion/eversion strength (hand-held dynamometry) and instrumented balance/proprioception tests (Limits of Stability, mCTSIB, single-leg balance, single-leg proprioception) recorded by a computerized balance analysis system.
Design: randomized controlled, single-blind, parallel-group trial conducted at İstinye University Physiotherapy and Rehabilitation Practice & Research Center. Eligible adults (18-35 years; BMI 25-39.9 kg/m²) able to stand barefoot ≥15 s single-leg and perform 5 repetitions of 60° knee-flexion squats without rest were enrolled. Stratified randomization (sex, BMI) with computer sequence (Research Randomizer) and sealed opaque envelopes allocated participants to: (1) Exercise Group (EG): progressive foot core exercises performed on a vibration platform with vibration OFF; (2) WBV-Combined Exercise Group (TEG): identical exercises WITH synchronous whole-body vibration (20-50 Hz; 15-60 s bouts) using a DKN Technology Xg-10 Pro device. Both groups completed 24 supervised sessions across 8 weeks (3×/week). A standardized warm-up/self-massage of the foot/ankle preceded exercises; progression targeted repetitions, active time, and (in TEG) vibration frequency.
Assessments were performed pre- and post-intervention in fixed order with rest intervals. Ankle inversion/eversion strength was measured using a J-Tech Commander Echo digital handheld dynamometer (kg-force). Balance and proprioception were quantified on the PROKIN computerized system (Limits of Stability; mCTSIB; single-leg balance; single-leg proprioception metrics including trunk total standard deviation and mean tracking error).
Statistical plan: normality by Shapiro-Wilk; parametric tests for normally distributed variables (paired t-test within groups; independent t-test between groups), Mann-Whitney U for non-normal age, chi-square for categorical variables; Cohen's d for effect size where within-group change was significant. Analyses in IBM SPSS 25.0. Sample size was estimated a priori for large effect (d=0.8), α=0.05, power=0.80 (planned n=26; 13/group). Post-hoc power for Limits of Stability change in TEG yielded d=0.96, power=0.87. No funding; no conflicts declared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise Group (EG) | Active Comparator | Progressive foot core exercise program performed on a vibration platform with vibration disabled; supervised 3×/week for 8 weeks (24 sessions). Standardized warm-up/self-massage, then sequence including foot tapping, bilateral heel raises, arch raises with toe ab/adduction, and single-leg stance on BOSU; progression by repetitions and active time. |
|
| WBV-Combined Exercise Group (TEG) | Experimental | Identical supervised foot core exercise program performed with whole-body vibration during exercises; same schedule (3×/week, 8 weeks). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supervised Foot Core Exercise Training (No Vibration) | Behavioral | 24 face-to-face sessions over 8 weeks; physiotherapist-led progression in repetitions/active time; performed on DKN Xg-10 Pro with vibration off. |
| Measure | Description | Time Frame |
|---|---|---|
| Limits of Stability (composite score, %) | Composite score from PROKIN computerized balance analysis system; higher scores reflect better voluntary control within stability boundaries; device-generated percentage scale. Safety Issue: No. | Baseline to Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Single-Leg Balance test (device score) | PROKIN single-leg stance performance metric; device software scoring. Safety Issue: No. | Baseline to Week 8 |
| Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) |
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Inclusion Criteria:
• Age 18-35 years; BMI 25.0-39.9 kg/m².
Exclusion Criteria:
Any medical history requiring regular physician follow-up.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istinye University Physiotherapy and Rehabilitation Practice & Research Center | Istanbul | Zeytinburnu | 3410 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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Randomized Controlled Single-Blind Trial with parallel allocation
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Single (Participant). Masking was applied to participants; groups were scheduled to avoid contact.
| Whole-Body Vibration via DKN Technology Xg-10 Pro | Device | Tri-directional vibration delivered during exercises at 20-50 Hz with 15-60 s stimulus durations per set, progressing across sessions; administered concurrently with the foot core tasks under physiotherapist supervision (total 24 sessions). |
|
PROKIN mCTSIB composite index; lower sway indicates better stability; device software
| Baseline to Week 8 |
| Ankle Strength (kg-force) | Maximal isometric eversion and inversion measured with J-Tech Commander Echo handheld dynamometer; each limb tested in standardized position; result recorded in kg-force. Safety Issue: No. | Baseline to Week 8 |
| Single-Leg Proprioception | ROKIN single-leg proprioception protocol; trunk sway variability (total SD) computed by device software; lower values reflect more stable proprioceptive control.PROKIN target-tracking error in single-leg proprioception task; lower is better. Safety Issue: No. | Baseline to Week 8 |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |