PERFORMANCE-ENHANCING EFFECTNCT06601881
The Effects of Thoracic Mobilization and Diaphragmatic Breathing on Postural Sway in Archers
A study testing Experimental in people with PERFORMANCE-ENHANCING EFFECT, run by Kocaeli Sağlık ve Teknoloji Üniversitesi.
Trial summary
Shooting in archery requires tremendous postural stability to minimize oscillations when the upper body area is under high muscle tension. Postural oscillations depend especially on the alignment of the target and the arrow and the center of gravity being within the base of support. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- PERFORMANCE-ENHANCING EFFECT
- What is being tested?
- Experimental
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 30 participants
- Where
- No sites listed yet
- Study dates
- 15 Oct 2024to 15 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- healthy
- Individuals over the age of 18
- Individuals have been practicing archery for at least 2 years and
- Individuals have a WA (World Archery Federation) score between 360-570
Who cannot join
- Surgery in the trunk, upper extremities, neck and lower back within the last 1 year,
- Athletes who have sustained injuries to the trunk, upper limbs, lower back and neck in the last 6 months,
- Athletes who have suffered from respiratory system diseases such as pneumonia, acute bronchitis, etc. that may affect respiratory capacity within the last 1 year
- Athletes with chronic respiratory system diseases (asthma, emphysema, chronic bronchitis, etc.) will be excluded from the study.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Investigation of the Effects of Thorocal Mobilization and Diaphragmatic Breathing Training on Postural Stability and Target Consistency in Archery.
Shooting in archery requires tremendous postural stability to minimize oscillations when the upper body area is under high muscle tension. Postural oscillations depend especially on the alignment of the target and the arrow and the center of gravity being within the base of support. In addition, it has been reported that heart rate changes and breathing patterns affect postural control and therefore performance. Increasing pulse values during shooting negatively affect shooting performance by causing increased postural oscillations and body shaking. The breathing pattern directly affects postural oscillations by affecting the heart rate.It has been reported that the diaphragm has important effects on breathing and trunk control due to its anatomical connections and that the diaphragm movement during breathing is synchronized with the stabilization function. During breathing, the diaphragm descends into the abdominal cavity, causing a positive pressure increase in the intra-abdominal region. Due to this increasing pressure, it expands the abdominal area to the limit allowed by the abdominal muscles and the abdominal wall. Then, with the eccentric contraction of the abdominal muscles, the descent of the diaphragm is blocked at a certain point and the abdominal muscles resist the movement of the diaphragm. In response to this counter-reaction, the diaphragm realizes inspiration by providing a 3-dimensional expansion by opening the lower ribs to the posterolateral. It has been reported that the stabilization effect of the diaphragm is the result of its contraction especially towards these sides, therefore a good level of thoracic mobilization will increase the lateral contraction capacity of the diaphragm. This is ultimately associated with a stronger stabilization effect. On the other hand, impairment of synchronization may result in spinal segments being under excessive stress and reducing stability. Studies in patients and healthy individuals have shown that diaphragmatic breathing contributes to balance by increasing the strength of the diaphragm and deep core muscles. Shooting performance in archery is closely related to the correct breathing pattern and diaphragmatic movement, as it is affected by trunk mobility and postural stability. On the other hand, when we look at the contents of archery training, there are general condition-increasing exercises, special muscle strengthening exercises, methods for developing mental skills and techniques, and methods such as diving and bungee jumping as new training methods. It was observed that exercises were not included in the training programs. The aim of this study is to investigate the scope of postural stability and target stability of thoracic mobilization techniques and diaphragmatic breathing training in order to reveal the stabilization level of the diaphragm at the optimum level in archers.
- Conditions
- PERFORMANCE-ENHANCING EFFECT
- Being tested
- Experimental, Control (placebo) group
- Keywords
- ARCHERY, postural stability, diaphragmatic breathing training, thoracal mobilization exercises
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ExperimentalOther
Also called Thoracic mobilization exercises and Diaphragmatic Breathing Training
Thoracic mobilization exercises will include:
- Thoracic Spine Extension exersice
- Thoracic rotation exersice
- Cat-Camel Exercise
- Lateral Flexion of the Thoracic Spine
- Muscules Psoas Stretching
- Diaphragm Release Technique
Diaphragmatic Breathing Training will include:
- Diaphragmatic Breathing
- Crocodile Breathing Technique
- Breathing with an exercise band
- Pursed lip breathing
Control (placebo) groupOther
Placebo Thoracic mobilization exercises will include:
- Placebo Thoracic Spine Extension exersice
- Placebo Thoracic rotation exersice
- Placebo Cat-Camel Exercise
- Placebo Lateral Flexion of the Thoracic Spine
- Placebo Muscules Psoas Stretching
- Placebo Diaphragm Release Technique
Placebo Diaphragmatic Breathing Training will include:
- Placebo Diaphragmatic Breathing
- Placebo Crocodile Breathing Technique
- Placebo Breathing with an exercise band
- Placebo Pursed lip breathing
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group- Group I | Experimental | individuals will do thoracic mobilization exercises and Diaphragmatic Breathing Training Receives: Other: Experimental |
| Control group- Group II | Active comparator | Control Group will do plasebo Diaphragmatic Breathing Training and plaseboThoracic mobilization exercises Receives: Other: Control (placebo) group |
What is being measured
The primary outcome is the main question the study is designed to answer.
measurement of anterior-posterior, medio-lateral sway
The data obtained with the force platform will be analyzed using Matscan 7.10 software and the center of gravity movement area - COF area/cm²; Anteroposterior sway/cm; Side sway-mediolateral sway/cm values, center of pressure displacement rate-VCP, mm/s-statokinesiogram area-mm² will be determined.
Measured: will be measured at initially,6 week and 10 week
measurement of total score from archers shots
As a result of shooting 60 arrows on the target board, the points will be added up and the total score will be obtained.
Measured: will be measured at ınitially, 6 week and 10 week
Secondary outcomes (1)
measurement of Maximum inspiratory pressure (MİP-MEP)
maximum inspiratory pressure and maximum expiratory pressure will be mesured by MicroRPM device
Measured: changes of Maximum inspiratory pressure( Maximum inspiratory pressure and Maximum expiratory pressure) will be measured at ınitially, 6 week and 10 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start15 Oct 2024 (estimated)
- Primary completion20 Oct 2025 (estimated)
- Study completion15 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PERFORMANCE-ENHANCING EFFECTStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kocaeli Sağlık ve Teknoloji Üniversitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gamze Aydoğan, Kocaeli Sağlık ve Teknoloji Üniversitesi
- Investigators
- Gamze Aydoğan, MsC, PT, Principal investigator, PhD studentNilüfer Kablan, asst. Prof, Principal investigator, head of physical medicine and rehabilitation departmentYaşar Tatar, Prof. MD, Study director, Professor at the Faculty of Sports Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06601881
- Sponsor's protocol ID
- 09.23.1196
- Status last verified
- Sep 2024
- First submitted
- 16 Sep 2024
- Last updated
- 19 Sep 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Effects of Thorocal Mobilization and Diaphragmatic Breathing Training on Postural Stability and Target Consistency in Archery.
- ClinicalTrials.gov ID
- NCT06601881
- Acronym / sponsor ID
- 09.23.1196
- Conditions
- PERFORMANCE-ENHANCING EFFECT
- Keywords
- ARCHERY, postural stability, diaphragmatic breathing training, thoracal mobilization exercises
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Kocaeli Sağlık ve Teknoloji ÜniversitesiUniversity, hospital or other
- Study start
- 15 Oct 2024 (estimated)
- Primary completion
- 20 Oct 2025 (estimated)
- Study completion
- 15 Dec 2025 (estimated)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Shooting in archery requires tremendous postural stability to minimize oscillations when the upper body area is under high muscle tension. Postural oscillations depend especially on the alignment of the target and the arrow and the center of gravity being within the base of support. In addition, it has been reported that heart rate changes and breathing patterns affect postural control and therefore performance. Increasing pulse values during shooting negatively affect shooting performance by causing increased postural oscillations and body shaking. The breathing pattern directly affects postural oscillations by affecting the heart rate.It has been reported that the diaphragm has important effects on breathing and trunk control due to its anatomical connections and that the diaphragm movement during breathing is synchronized with the stabilization function. During breathing, the diaphragm descends into the abdominal cavity, causing a positive pressure increase in the intra-abdominal region. Due to this increasing pressure, it expands the abdominal area to the limit allowed by the abdominal muscles and the abdominal wall. Then, with the eccentric contraction of the abdominal muscles, the descent of the diaphragm is blocked at a certain point and the abdominal muscles resist the movement of the diaphragm. In response to this counter-reaction, the diaphragm realizes inspiration by providing a 3-dimensional expansion by opening the lower ribs to the posterolateral. It has been reported that the stabilization effect of the diaphragm is the result of its contraction especially towards these sides, therefore a good level of thoracic mobilization will increase the lateral contraction capacity of the diaphragm. This is ultimately associated with a stronger stabilization effect. On the other hand, impairment of synchronization may result in spinal segments being under excessive stress and reducing stability. Studies in patients and healthy individuals have shown that diaphragmatic breathing contributes to balance by increasing the strength of the diaphragm and deep core muscles. Shooting performance in archery is closely related to the correct breathing pattern and diaphragmatic movement, as it is affected by trunk mobility and postural stability. On the other hand, when we look at the contents of archery training, there are general condition-increasing exercises, special muscle strengthening exercises, methods for developing mental skills and techniques, and methods such as diving and bungee jumping as new training methods. It was observed that exercises were not included in the training programs. The aim of this study is to investigate the scope of postural stability and target stability of thoracic mobilization techniques and diaphragmatic breathing training in order to reveal the stabilization level of the diaphragm at the optimum level in archers.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Group- Group I | Experimental | Other: Experimentalindividuals will do thoracic mobilization exercises and Diaphragmatic Breathing Training |
| Control group- Group II | Active comparator | Other: Control (placebo) groupControl Group will do plasebo Diaphragmatic Breathing Training and plaseboThoracic mobilization exercises |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- healthy
- Individuals over the age of 18
- Individuals have been practicing archery for at least 2 years and
- Individuals have a WA (World Archery Federation) score between 360-570
Key exclusion criteria (4 listed)
- Surgery in the trunk, upper extremities, neck and lower back within the last 1 year,
- Athletes who have sustained injuries to the trunk, upper limbs, lower back and neck in the last 6 months,
- Athletes who have suffered from respiratory system diseases such as pneumonia, acute bronchitis, etc. that may affect respiratory capacity within the last 1 year
- Athletes with chronic respiratory system diseases (asthma, emphysema, chronic bronchitis, etc.) will be excluded from the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ExperimentalAlso: Thoracic mobilization exercises and Diaphragmatic Breathing TrainingThoracic mobilization exercises will include: 1. Thoracic Spine Extension exersice 2. Thoracic rotation exersice 3. Cat-Camel Exercise 4. Lateral Flexion of the Thoracic Spine 5. Muscules Psoas Stretching 6. Diaphragm Release Technique Diaphragmatic Breathing Training will include: 1. Diaphragmatic Breathing 2. Crocodile Breathing Technique 3. Breathing with an exercise band 4. Pursed lip breathing | Other | Experimental Group- Group I |
| Control (placebo) groupPlacebo Thoracic mobilization exercises will include: 1. Placebo Thoracic Spine Extension exersice 2. Placebo Thoracic rotation exersice 3. Placebo Cat-Camel Exercise 4. Placebo Lateral Flexion of the Thoracic Spine 5. Placebo Muscules Psoas Stretching 6. Placebo Diaphragm Release Technique Placebo Diaphragmatic Breathing Training will include: 1. Placebo Diaphragmatic Breathing 2. Placebo Crocodile Breathing Technique 3. Placebo Breathing with an exercise band 4. Placebo Pursed lip breathing | Other | Control group- Group II |
Primary outcome
measurement of anterior-posterior, medio-lateral sway
Time frame: will be measured at initially,6 week and 10 week
The data obtained with the force platform will be analyzed using Matscan 7.10 software and the center of gravity movement area - COF area/cm²; Anteroposterior sway/cm; Side sway-mediolateral sway/cm values, center of pressure displacement rate-VCP, mm/s-statokinesiogram area-mm² will be determined.
measurement of total score from archers shots
Time frame: will be measured at ınitially, 6 week and 10 week
As a result of shooting 60 arrows on the target board, the points will be added up and the total score will be obtained.
1 secondary outcome
measurement of Maximum inspiratory pressure (MİP-MEP)
Time frame: changes of Maximum inspiratory pressure( Maximum inspiratory pressure and Maximum expiratory pressure) will be measured at ınitially, 6 week and 10 week
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gamze Aydoğan, MsC, PT principal investigator
PhD student
Nilüfer Kablan, asst. Prof principal investigator
head of physical medicine and rehabilitation department
Yaşar Tatar, Prof. MD study director
Professor at the Faculty of Sports Sciences
Questions about this trial
What is this clinical trial studying?
A study testing Experimental in people with PERFORMANCE-ENHANCING EFFECT, run by Kocaeli Sağlık ve Teknoloji Üniversitesi.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Gamze aydoğan, MsC, PT (5073525262, gamzefiliz34@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
measurement of anterior-posterior, medio-lateral sway (time frame: will be measured at initially,6 week and 10 week). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.