The Effects of Core Stabilization Exercises on Balance, Trunk Muscle Endurance and Posture on Sedentary Individuals

Study Overview
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Brief Summary
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There are very few studies on the effect of core stabilization exercises on balance, posture and trunk muscle endurance in healthy sedentary individuals in literature. The goal of the study is to investigate the effects of core stabilization exercises on balance, trunk muscle endurance and posture in healthy sedentary individuals. According to the results of International Physical Activity Questionnaire, the researcher includes sedentary individuals over the age of 18 in the study. The participants are divided into two groups as control (n=21) and exercise (n=21) groups. The outcome measures are The Stabilizer Pressure Biofeedback Unit, New York Posture Assesment Scale, Korebalance Balance System, trunk muscle endurance tests. Intervention includes core stabilization exercises 3 times a week and walking twice a week for 6 weeks. There is no treatment or intervention for the control group. The researcher evaluates both groups at the beginning and 6 weeks after the intervention.

Detailed Description
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Core stabilization exercises are performed under the supervision of a physiotherapist as face-to-face exercises, guided online exercises, and as an individual home exercise each once a week, totaling 3 times a week. Each exercise will be performed with 10 repetitions for 8 seconds. Each of the exercises is varied from easy to difficult. Progress in the exercises will be achieved by increasing the difficulty level of the exercises according to the condition of the participant once every two weeks.

Official Title
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Investigation of the Effects of Core Stabilization Exercises on Balance, Trunk Muscle Endurance and Posture in Healthy Sedentary Individuals

Conditions
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Core Stabilization, Sedentary Behavior

Intervention / Treatment
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* Other: Core Stabilization Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be voluntary to participate in the study Being between the ages of 18-40 Being sedentary Exclusion Criteria: Not volunteering to participate in the study Having a complaint of low back pain in the last two months Being pregnant Having chronic lower extremity pain Having an orthopedic disease and undergoing a surgical operation Having had abdominal surgery Being a neurological disease pathology

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise Group<br>Intervention includes core stabilization exercises for 45 minutes 3 times a week. Participants do exercise face to face under supervision of a physiotherapist and via an online application under the supervision of a physiotherapist once a week. Also participants do home exercise once a week. Exercise group walk for an hour in other two days. | Other: Core Stabilization Exercises<br>* Core stabilization exercises are known as a very effective exercise method based on the motor learning principle, performed with the individual's own body weight to strengthen the muscles, improve balance, posture, trunk muscle endurance and flexibility.<br>|
| No Intervention: Control Group<br>There is no exercise or intervention for control group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Stabilizer Pressure Biofeedback Unite | This device evaluates contraction of deep abdominal muscles, muscle activity and segmental stability. The device has values between 0 mmHg and 200 mmHg, varying in intervals of 2 mmHg. Movement or change in position causes volume changes in the pressure bag. | 6 weeks | 
| New York Posture Assessment Scale | This test assesses alignment of various body parts of an individual in anatomical position. The New York Posture Rating Scale detects postural changes that may occur in 13 different parts of the body (back views of the head, shoulders, spine, hips, feet, and arches, and side (left side) views of the neck, chest, shoulders, back, trunk, abdomen, and waist). There are 3 figure drawings for each of the 13 different body parts that provide general postural alignment. | 6 weeks | 
| KoreBalance Balance System | The Korebalance Balance System is a computerized balance and exercise system. The software of the system assigns a score following static and dynamic balance evaluations. A higher score is associated with more balance disorders. | 6 weeks | 
| Trunk Muscle Endurance Tests | A number of isometric tests have been described for the evaluation of trunk extensor, flexor, and lateral flexor muscles. The endurance of the trunk flexor, trunk extensor and lateral flexor muscles is evaluated. Generally, in these tests, the evaluation is made by recording the maximum time that the person whose endurance is evaluated can maintain the test position. Measurements are made using a stopwatch and the result is recorded in seconds. The tests are repeated twice to save the best measurement value. Tests are terminated when the participant's position deteriorates or when the participant says he or she cannot continue the test. | 6 weeks | 
| International Physical Activity Questionnaire | The International Physical Activity Questionnaire is a scale developed by researchers from various countries with the support of the World Health Organization and the Centers for Disease Control. This survey lists activities and requests estimates of duration and frequency for each activity performed in the past week. The times are multiplied by the known Metabolic Equivalents (METs) per activity and the results for all items are summed, resulting in the overall physical activity score. | Before Intervention (First Assesment) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Trunk Muscle Endurance, Balance, Posture