Clinical trial NCT06260306: Hip Activation vs. Hip Activation + Core Stabilization
Official title: Comparison of a Hip Activation Versus a Combined Hip Activation and Core Stabilization Program on Improving Lower Extremity Function: A Single-Blind Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Movement, Abnormal
Lower Extremity Problem
Lead sponsor: Louisiana State University Health Sciences Center Shreveport
Sponsor class: OTHER
First posted: 2024-02-15
Enrollment: 34
Sex: ALL
Minimum age (years): 22
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this investigation is to compare the effects of a combined hip activation and core stabilization training home exercise program (HEP) versus a hip activation training HEP alone on lower extremity (LE) frontal plane mechanics in healthy individuals.

Specific Aim 1: To determine whether between- and/or within-group differences exist on the Forward Step-Down test (FSDT) when comparing a combined hip activation and core stabilization training HEP as compared to a hip activation training HEP.

Specific Aim 2: To determine whether between- and/or within-group differences exist on the peak external knee abduction moment when comparing a combined hip activation and core stabilization training HEP to a hip activation training HEP.

Specific Aim 3: To determine whether between- and/or within-group differences exist on gluteal and core muscle surface electromyography (sEMG) when comparing a combined hip activation and core stabilization training HEP to a hip activation training HEP.

Specific Aim 4: To determine whether a dose-response relationship exists between HEP compliance and change on the FSDT, peak external knee abduction moment, and sEMG.


Eligibility criteria: Inclusion Criteria:

* Participants will be current first- or second-year Doctor of Physical Therapy (DPT) students in the School of Allied Health Professions (SAHP) at Louisiana State University Health Shreveport over the age of 21.

Exclusion Criteria:

* Current pain or pathology in either LE which currently limits their ability to perform the FSDT or drop landing task, a history of low back pain in the last three months, known pregnancy, as pregnancy is a risk factor for diastasis rectus abdominis (DRA) which may be exacerbated by participation in the intervention and could be a confounding variable, and current participation in other clinical trials.

Primary outcomes:
measure: Forward Step Down Test (FSDT)
timeFrame: Pre- and post-eight week intervention
Secondary outcomes:
measure: Maximal volitional isometric contraction (MVIC) via sensory electromyography (sEMG) of gluteus maximus (GMax)
timeFrame: Pre- and post-eight week intervention
measure: Mean activation of GMax via sEMG
timeFrame: Pre- and post-eight week intervention
measure: Peak activation of GMax via sEMG
timeFrame: Pre- and post-eight week intervention
measure: MVIC via sEMG of gluteus medius (GMed)
timeFrame: Pre- and post-eight week intervention
measure: Mean activation of GMed via sEMG
timeFrame: Pre- and post-eight week intervention
measure: Peak activation of GMed via sEMG
timeFrame: Pre- and post-eight week intervention
measure: MVIC via of transversus abdominis (TA)
timeFrame: Pre- and post-eight week intervention
measure: Mean activation of TA via sEMG
timeFrame: Pre- and post-eight week intervention
measure: Peak activation of TA via sEMG
timeFrame: Pre- and post-eight week intervention
measure: Peak external knee abduction moment during drop landing task
timeFrame: Pre- and post-eight week intervention
measure: Compliance with Home Exercise Program
timeFrame: Post-eight week intervention
Other outcomes:
Locations:
city: Shreveport
country: United States
facility: LSU Health Sciences Center at Shreveport
state: Louisiana
Study officials:
affiliation: LSU Health Sciences Center at Shreveport
name: Daniel W. Flowers, PT, DPT, PhD
role: PRINCIPAL_INVESTIGATOR
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