Ignite Creation Date:
2024-05-06 @ 7:58 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06202924
Status:
COMPLETED
Last Update Posted:
2024-03-15
First Post:
2024-01-02
Brief Title:
Muscle Strength and Balance in Individuals With Joint Hypermobility
Sponsor:
Gazi University
Organization:
Gazi University
Study Overview
Official Title:
The Effect of Attention Focus on Muscle Strength and Balance in Individuals With Joint Hypermobility
Status:
COMPLETED
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Joint hypermobility is a clinical condition characterized by joints having a range of motion beyond their normal limits Joint hypermobility JH makes the joints more vulnerable to trauma in individuals with increased joint range of motion changes in neuromuscular reflexes and decreased joint position sense Individuals with JH have difficulty in stabilization and end of extension range of motion compared to healthy individuals Accordingly findings such as balance problems and an increased risk of falling occur in these patients Recent evidence suggests that children and adults with JH may be identified with seemingly unrelated common clinical problems such as chronic fatigue anxiety and a range of gastrointestinal functional disorders
The use of internal and external focus in learning motor skills is important in terms of performance and activity In the external focus of attention EF attention is directed to movement and an environmental stimulus In the internal focus IF attention is directed directly to body movements In revealing positive effects in external focus Methods such as metaphor analogy imaginary objects mental analogies can be used Adopting an external focus of attention focusing on the effects of movements on the object or environment as opposed to an internal focus of attention focusing on body movements has been found to significantly improve performance on a variety of tasks For example to improve balance performance while a patient performs a single-leg balance task on a Bosu ball the therapist may instruct the patient using an internal focus of attention such as minimize movement of the feet However instructions can also be given externally by changing just one word such as minimize Bosus movement Additionally a metaphor eg stand still as if stuck to Velcro analogy imagine being on top of a mountain stay on the mountain an object attached to the body keep the tape stuck to the chest still or the target of the movement An imaginary object eg straight line of which a mental image is obtained has been used within external focus instructions
The use of internal and external focus in learning motor skills is important in terms of performance and activity In the external focus of attention EF attention is directed to movement and an environmental stimulus In the internal focus IF attention is directed directly to body movements In revealing positive effects in external focus Methods such as metaphor analogy imaginary objects mental analogies can be used Adopting an external focus of attention focusing on the effects of movements on the object or environment as opposed to an internal focus of attention focusing on body movements has been found to significantly improve performance on a variety of tasks For example to improve balance performance while a patient performs a single-leg balance task on a Bosu ball the therapist may instruct the patient using an internal focus of attention such as minimize movement of the feet However instructions can also be given externally by changing just one word such as minimize Bosus movement Additionally a metaphor eg stand still as if stuck to Velcro analogy imagine being on top of a mountain stay on the mountain an object attached to the body keep the tape stuck to the chest still or the target of the movement An imaginary object eg straight line of which a mental image is obtained has been used within external focus instructions
Detailed Description:
Joint hypermobility is a clinical condition characterized by joints having a range of motion beyond their normal limits Joint hypermobility JH makes the joints more vulnerable to trauma in individuals with increased joint range of motion changes in neuromuscular reflexes and decreased joint position sense Individuals with external focus EF have difficulty in stabilization and end of extension range of motion compared to healthy individuals Accordingly findings such as balance problems and an increased risk of falling occur in these patients Recent evidence suggests that children and adults with JH may be identified with seemingly unrelated common clinical problems such as chronic fatigue anxiety and a range of gastrointestinal functional disorders
The benefit of an external focus of attention compared to an internal focus of attention to enhance motor skill learning and performance has been consistently demonstrated by a large body of evidence across different populations tasks and skill levels These developments included tasks such as balance running agility performance direction changing performance force production horizontal and vertical jumping performance In general an external focus of attention has been shown to produce more accurate performance improved reaction time and more efficient movement eg reduced muscle activity According to the constrained action hypothesis an IF encourages broader involvement of cognitive processes due to greater reliance on conscious control strategies These strategies interfere with the normal automatic control processes of the motor system An EF on the other hand encourages these automatic control processes thus further enhancing motor learning With the use of external focus of attention in neuromuscular training It has been stated that in addition to improving motor performance and biomechanical changes the connection between the sensory areas of the brain and the thalamus has increased It has been found to possibly reduce noise in the central nervous system that interferes with fine movement control and affects the outcome of movement dopamine availability may increase which may strengthen memory by increasing synaptogenesis processes It has been stated in publications that newly learned motor skills can be preserved and resistance to stress and fatigue can be achieved Considering all these situations investigators think that young individuals with joint hypermobility may have problems with muscle strength and balance skills which are among the physical fitness parameters It is important to optimally evaluate physical fitness parameters in order to prevent injuries and ensure the effectiveness of the modalities used in treatment This study was planned to investigate whether external focus of attention is effective in revealing balance skills and muscle strength at an optimal level compared to internal focus of attention in individuals with joint hypermobility
The benefit of an external focus of attention compared to an internal focus of attention to enhance motor skill learning and performance has been consistently demonstrated by a large body of evidence across different populations tasks and skill levels These developments included tasks such as balance running agility performance direction changing performance force production horizontal and vertical jumping performance In general an external focus of attention has been shown to produce more accurate performance improved reaction time and more efficient movement eg reduced muscle activity According to the constrained action hypothesis an IF encourages broader involvement of cognitive processes due to greater reliance on conscious control strategies These strategies interfere with the normal automatic control processes of the motor system An EF on the other hand encourages these automatic control processes thus further enhancing motor learning With the use of external focus of attention in neuromuscular training It has been stated that in addition to improving motor performance and biomechanical changes the connection between the sensory areas of the brain and the thalamus has increased It has been found to possibly reduce noise in the central nervous system that interferes with fine movement control and affects the outcome of movement dopamine availability may increase which may strengthen memory by increasing synaptogenesis processes It has been stated in publications that newly learned motor skills can be preserved and resistance to stress and fatigue can be achieved Considering all these situations investigators think that young individuals with joint hypermobility may have problems with muscle strength and balance skills which are among the physical fitness parameters It is important to optimally evaluate physical fitness parameters in order to prevent injuries and ensure the effectiveness of the modalities used in treatment This study was planned to investigate whether external focus of attention is effective in revealing balance skills and muscle strength at an optimal level compared to internal focus of attention in individuals with joint hypermobility
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None