Clinical trial NCT04499170: Effect of Muscular Energy Technique on Postural Control
Official title: Immediate Effect of the Muscle Energy Technique on Postural Control in the Elderly and Young Adults
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Balance Disorders Water
Keywords: Postural Balance
Musculoskeletal Manipulations
physiotherapy
Lead sponsor: Universidade Norte do Paraná
Sponsor class: OTHER
First posted: 2020-08-05
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Quasi-experimental research project to detect an immediate effect of a technique on postural balance measures.
Primary purpose: TREATMENT

Brief summary: The research aims to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults. The sample will be selected for convenience, being participants of both sexes, young and old. Evaluation of postural control through the force platform will be performed during the unipodal and semi-tandem balance tests. The main parameters of postural control will be calculated using the pressure center derivative. After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform.

Detailed description: Aging is considered a dynamic and progressive process, in which morphological, functional and biochemical changes occur. One of the factors associated with old age is the decrease in the ability to balance posture and the high risk of falls. The literature brings the benefits of physical exercise in improving balance and preventing falls. However, few studies point to the benefits of flexibility techniques and their relationship with balance. The objective of this research is to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults. The sample will be selected for convenience, with 50 participants of both sexes, young people between 18 and 35 years old and elderly people between 60 and 85 years old. Evaluation of postural control will be performed through the force platform during the unipodal and semi-tandem balance tests (2 repetitions of 30 seconds each, with rest of 30 seconds between them). The main parameters of postural control will be calculated using the pressure center derivative. After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform. An analysis of variance will be used to compare the effects between groups (young versus elderly) and intervention (pre- and post-TEM) and the effects of interaction on the main variables of postural control. A beneficial effect of TEM is expected, especially in the elderly group. The results found in this study will contribute to the use of TEM and the increase of relevant clinical information to benefit the ability to balance in the elderly, in order to reduce the risk of falls.

Eligibility criteria: Inclusion Criteria:

* Accepting to participate in a study on a voluntary basis;
* Aged between 18 and 35 years old for young adults and over 60 years old up to 85 years old for elderly people;
* Being physically independent;
* Not practicing regular physical activity as recommended by the ACSM 3 to 5 times a week with moderate and severe;
* Cognitive status\> 18 in the Mini-Mental State Examination.

Exclusion Criteria:

* Elderly with cognitive changes detectable by the Mini Mental State Examination (MMSE);
* A score lower than the score predicted for their level of education;
* Self-reported injuries;
* Falls in the last year;
* Musculoskeletal disorders;
* Systemic neurological-degenerative disease;
* Severe labyrinthitis and chronic diseases of the cardiovascular or respiratory system.

Primary outcomes:
measure: Balance
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Londrina
country: Brazil
facility: Laboratory of Functional Assessment and Human Motor Performance (LAFUP)
state: Parana
Study officials:
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