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StressNCT07571369

Stress Modulation and Dynamic Balance

A study testing Dynamic balance exercises and Dual task exercises in people with Stress, run by Kafrelsheikh University at 1 site in Egypt.

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Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This three-arm, parallel-group, randomized controlled trial (RCT) investigates whether dual-task therapeutic exercises (dynamic balance + cognitive task) improve perceived stress and dynamic balance in 72 healthy university students (19- 22 years) compared to traditional balance training alone or a control group… Read more about this study

Who is it for?
Ages 19 to 22 yearsHealthy volunteers can take part
Conditions the study is for
Stress
What is being tested?
Dynamic balance exercises and Dual task exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteEgypt
Study dates
9 Oct 2026to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 19 to 22 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants will be included if they meet the following criteria:
  • Age between 19 and 22 years. Body Mass Index (BMI) ranging from 18.5 to 29.9 kg/m². Both males and females. Apparently healthy individuals with no diagnosed neurological, musculoskeletal, or psychological disorders.
  • Ability to understand instructions and provide informed consent. Willingness to participate and comply with the study protocol.

Who cannot join

  • Participants will be excluded if they have any of the following:
  • Any neurological disorder affecting balance (e.g., vestibular disorders, Parkinson's disease, multiple sclerosis, peripheral neuropathy).
  • Any recent musculoskeletal injury (within the last 6 months) affecting the lower limbs or spine.
  • History of lower limb or spinal surgery. Severe visual or auditory impairment not corrected by aids. Use of medications that may affect balance or cognitive function (e.g., sedatives, antidepressants, anxiolytics, antipsychotics).
  • Pregnancy. Uncontrolled cardiovascular or respiratory disorders limiting exercise tolerance.
  • Current diagnosis of major psychiatric disorders (e.g., major depression, generalized anxiety disorder, panic disorder).
  • Regular participation in balance training, mind-body exercises (e.g., yoga, Pilates, tai chi), or structured stress management programs within the last 6 months.
  • Participation in another interventional study at the same time.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ammar Ghallab, TEACHING ASSISTANT contact

+201065825099

ammarsgh122017@gmail.com

Egypt1 site, 1 recruiting
  • Faculty of physical therapy kafrelsheikh university

    Kafrelsheikh

    Ammar Ghallab, 0201065825099, ammarsgh122017@gmail.com

    Recruiting

Other trials in Egypt

About this study

Official title: Impact of Dual Task Therapeutic Exercises on Stress Modulation and Dynamic Balance in University Students

This three-arm, parallel-group, randomized controlled trial (RCT) investigates whether dual-task therapeutic exercises (dynamic balance + cognitive task) improve perceived stress and dynamic balance in 72 healthy university students (19- 22 years) compared to traditional balance training alone or a control group receiving low intensity exercises. The dual-task group performs the same dynamic balance exercises (e.g., backward walking, tandem gait, single-leg reaches) while simultaneously engaging in cognitive tasks (verbal fluency, arithmetic, or working memory). The intervention lasts 6 weeks (2 sessions/week, 20-30 min each). Primary outcomes are Perceived Stress Scale (PSS-10) scores and objective dynamic balance indices (anterior/posterior/lateral deviation, overall stability) measured via the Balance check 636 device. Assessments occur at baseline and post-intervention by a blinded assessor. The study addresses a gap: no prior trial has examined combined effects of dual-task training on both stress modulation and balance in this population.

Read the detailed description

Study Design

  • Type: Pre-post RCT, three parallel groups (n=24 each).
  • Setting: Outpatient Clinic \& Balance Laboratory, Faculty of Physical Therapy, Kafr Elsheikh University.
  • Blinding: Assessor blinded to group allocation.

Population \& Eligibility

  • Sample: 72 students (both sexes), age 19-22 , BMI 18.5-29.9.
  • Inclusion: Free from neurological, musculoskeletal, or psychiatric disorders; willing to comply.
  • Exclusion: Lower limb/spine injury/surgery (past 6 months), vestibular disorders, pregnancy, medications affecting balance/cognition, regular balance or mind-body training in past 6 months.

Randomization \& Groups

  • Computer-generated block randomization with opaque sealed envelopes.
  • Group A (Balance only): dynamic balance exercises (backward walking, lateral stepping, single-leg forward/lateral reach, tandem gait).
  • Group B (Dual-task): same balance exercises plus concurrent cognitive tasks: verbal fluency (e.g., name words starting with letter 'S'), arithmetic (e.g., subtract 7 from 100), or working memory (digit span backward). Cognitive tasks varied across sessions.
  • Group C (Control): Participants will receive supervised, low-intensity exercises consisting of ankle pumps, seated knee flexion and extension, shoulder circles, and gentle cervical range-of-motion exercises. Sessions will be conducted for a duration and frequency consistent with the approved study protocol.

Intervention Protocol

  • Duration: 6 weeks, twice/week, each session 20-30 minutes.
  • Progression Not Explicitly Stated - but exercises are fixed (10 repetitions or 10 m distance per item).
  • Safety: Arms crossed over chest in most exercises to eliminate upper limb compensation.

Outcome Measures (assessed at baseline \& week 6)

  • Primary - Perceived Stress: Arabic PSS-10 (0-40, higher = worse).
  • Primary - Dynamic Balance: Balance check 636 (multiaxial wobble board with real-time software) - records anterior/posterior/right/left average deviations and overall stability index.
  • Anthropometric: Weight, height, BMI via standard scale.

Statistical Analysis

  • Software: SPSS v26.
  • Normality: Shapiro-Wilk test.
  • Within-group: Paired t-test or Wilcoxon signed-rank.
  • Between-groups (post-intervention): One-way ANOVA or Kruskal-Wallis; post-hoc with Bonferroni.
  • Power: G*Power (α=0.05, power=0.9, effect size 0.46) → n=72 (24/group, allowing 10% dropout).
  • Significance level: p < 0.05.

Hypotheses (Null)

  • No significant effect of dual-task exercises on stress modulation or dynamic balance.
  • No significant difference between dual-task and balance-only groups.

Limitations Noted in Protocol

  • No long-term follow-up.
  • Single-site, student population (limited generalizability).
  • No objective stress biomarker (only self-report PSS).

Timeline \& Ethics

  • Participants sign informed consent (Helsinki protocol). Voluntary withdrawal allowed without justification.
  • Study period: not explicitly dated; protocol submitted 2026 for master's degree.
Conditions
Stress
Being tested
Dynamic balance exercises, Control group, Dual task exercises

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dynamic balance exercisesOther

    Participants perform a structured set of dynamic balance exercises under single-task conditions (motor task only). Exercises include:

    1. Controlled Backward Walking (CBW): Walk backward in a straight line (10 meters) using a toe-heel strike pattern; maintain upright trunk, head forward, arms naturally at sides.
    2. Controlled Lateral Dynamic Stepping (CLDS): Step sideways along a 10 meter path; feet shoulder-width apart, knees slightly flexed, hands clasped at chest; gaze fixed forward.
    3. Single-Leg Forward Reach (SLFR): Stand on one limb, hands crossed over chest; reach the non-standing leg forward to touch the floor with toes, return without losing balance. 10 repetitions per leg.
    4. Single-Leg Lateral Reach (SLSR): Same as SLFR but reaching sideways (lateral abduction). 10 repetitions per leg.
    5. Dynamic Tandem Gait (DTG): Walk heel-to-toe in a straight line (10 meters) with hands crossed over chest; gaze fixed forward
  • Control groupOther

    Control Group: Participants will receive supervised, low-intensity exercises consisting of ankle pumps, seated knee flexion and extension, shoulder circles, and gentle cervical range-of-motion exercises. Sessions will be conducted for a duration and frequency consistent with the approved study protocol.

  • Dual task exercisesOther

    Arm B: Dual-Task Therapeutic Exercise Group

    Intervention Type: Other (Dual-Task Training)

    Intervention Name: Dual-Task Therapeutic Exercise

    Description:

    Participants perform exactly the same dynamic balance exercises as Arm A, but simultaneously with a secondary cognitive task (dual-task condition). The cognitive task is performed throughout the duration of each balance exercise. Cognitive tasks are varied across sessions to maintain engagement and avoid habituation, and include:

    • Verbal Fluency Task: e.g., "Name as many words as you can starting with the letter 'S'" or "Name as many animals/fruits/cities."
    • Arithmetic Task: e.g., "Count backwards from 100 by 7" or "Subtract 3 from 50, then 3 from that number, and so on."
    • Working Memory Task: The therapist reads a list of numbers or words; the participant recalls them in reverse order (digits backward).
Study groups in NCT07571369
Study groupRoleWhat they receive
Dynamic Balance Training OnlyActive comparatorParticipants perform a structured set of dynamic balance exercises under single-task conditions (motor task only). Exercises include: 1. Controlled Backward Walking (CBW): Walk backward in a straight line (10 meters) using a toe-heel strike pattern; maintain upright trunk, head forward, arms naturally at sides. 2. Controlled Lateral Dynamic Stepping (CLDS): Step sideways along a 10 meter path; feet shoulder-width apart, knees slightly flexed, hands clasped at chest; gaze fixed forward. 3. Single-Leg Forward Reach (SLFR): Stand on one limb, hands crossed over chest; reach the non-standing leg forward to touch the floor with toes, return without losing balance. 10 repetitions per leg. 4. Single-Leg Lateral Reach (SLSR): Same as SLFR but reaching sideways (lateral abduction). 10 repetitions per leg. 5. Dynamic Tandem Gait (DTG): Walk heel-to-toe in a straight line (10 meters) with hands crossed over chest; gaze fixed forward. Delivery: In-person, supervised by a trained physical ther
Receives: Other: Dynamic balance exercises
Dual task therapeutic exercisesExperimentalArm B: Dual-Task Therapeutic Exercise Group Intervention Type: Other (Dual-Task Training) Intervention Name: Dual-Task Therapeutic Exercise Description: Participants perform exactly the same dynamic balance exercises as Arm A, but simultaneously with a secondary cognitive task (dual-task condition). The cognitive task is performed throughout the duration of each balance exercise. Cognitive tasks are varied across sessions to maintain engagement and avoid habituation, and include: * Verbal Fluency Task: e.g., "Name as many words as you can starting with the letter 'S'" or "Name as many animals/fruits/cities." * Arithmetic Task: e.g., "Count backwards from 100 by 7" or "Subtract 3 from 50, then 3 from that number, and so on." * Working Memory Task: The therapist reads a list of numbers or words; the participant recalls them in reverse order (digits backward). Delivery: In-person, supervised by the same trained physical therapist as Arm A. Frequency \& Duration: Twice weekly for 6
Receives: Other: Dual task exercises
Control Group: Participants will receive supervised, low-intensity exercisesActive comparatorControl Group: Participants will receive supervised, low-intensity exercises consisting of ankle pumps, seated knee flexion and extension, shoulder circles, and gentle cervical range-of-motion exercises. Sessions will be conducted for a duration and frequency consistent with the approved study protocol.
Receives: Other: Control group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Balance check 636

    Measured: baseline and at 6 weeks post-treatment

  2. PERCEIVED SRESS SCALE

    The Perceived Stress Scale (PSS-10) is a 10-item self-report questionnaire designed to measure the degree to which situations in one's life over the past month are appraised as stressful. Items assess feelings of unpredictability, uncontrollability, and overload (e.g., "How often have you felt nervous and stressed?"). Responses are rated on a 5-point Likert scale from 0 (never) to 4 (very often). Total scores range from 0 to 40, with higher scores indicating higher perceived stress.

    Measured: baseline and at 6 weeks post-treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 May 2026
  2. Study start9 Oct 2026
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07571369
Sponsor's protocol ID
Effect of Exercises on stress
Status last verified
Oct 2026
First submitted
24 Apr 2026
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Dynamic balance exercises and Dual task exercises in people with Stress, run by Kafrelsheikh University at 1 site in Egypt.

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 3 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ammar Ghallab, TEACHING ASSISTANT (+201065825099, ammarsgh122017@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Balance check 636 (time frame: baseline and at 6 weeks post-treatment). 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 26 Oct 2026.

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