Effects of Dynamic Neuromuscular Stabilization Exercises Versus Balance Exercises in Older Adults
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Dynamic Neuromuscular Stabilization Exercises, Balance Exercises.
- Who it may be relevant to
- Registry conditions: Age-Related Balance Impairment, Healthy Older Adults. Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effects of Dynamic Neuromuscular Stabilization Exercises Versus Balance Exercises on Functional Outcomes, Balance, and Quality of Life in Older Adults
Overview
The aim of this study is to compare the effects of Dynamic Neuromuscular Stabilization (DNS) based exercises and balance exercises on functional capacity, balance, muscle strength, and quality of life in older adults.
Detailed description
Aging leads to a decline in postural control, muscle strength, balance, and functional capacity, increasing the risk of falls and negatively impacting quality of life. Therefore, investigating the effectiveness of exercise approaches targeting neuromuscular control and stability in older adults is of great importance.
Dynamic Neuromuscular Stabilization (DNS) is a developmental kinesiology-based approach that aims to reactivate the deep stabilizer system, promote diaphragmatic breathing, and restore optimal movement patterns. Traditional balance exercises are commonly used in older adults to improve balance performance. However, evidence regarding the effects of DNS exercises on functional capacity, balance, and quality of life in older adults is limited.
The aim of this randomized controlled clinical trial is to compare the effects of Dynamic Neuromuscular Stabilization exercises and traditional balance exercises on functional capacity, balance, and quality of life in older adults. Individuals aged 65 and over will be included in the study and randomized into two groups: a DNS exercise group and a balance exercise group.
Functional capacity and physical performance assessments will be conducted using the Hand Grip Strength Test, Short Physical Performance Battery (SPPB), and Timed Up and Walk Test. Trunk stability and deep stabilizer system activation will be assessed using the Stabilizer Pressure Biofeedback (SPB) device. Physical activity level will be measured using the Physical Activity Assessment Scale for the Elderly, and quality of life will be measured using the SF-12 Quality of Life Scale. All assessments will be conducted before the intervention and after the exercise program.
Interventions
- Other Dynamic Neuromuscular Stabilization Exercises
Participants in this group will receive Dynamic Neuromuscular Stabilization (DNS) exercises based on developmental kinesiology principles. The intervention focuses on activation and coordination of the deep stabilizing system, diaphragmatic breathing, regulation of intra-abdominal pressure, and restoration of optimal postural and movement patterns. Exercises will be performed in progressively challenging positions appropriate for older adults and will be supervised by a physiotherapist throughou - Other Balance Exercises
Conventional static and dynamic balance exercises commonly used in geriatric rehabilitation, including weight-shifting and functional balance tasks, supervised by a physiotherapist.
Primary outcome measures
- Short Physical Performance Battery (SPPB) [Time frame: 6 weeks]
- Timed Up and Go Test (TUG) [Time frame: 6 weeks]
- Stabilizer Pressure Biofeedback (SPB) [Time frame: 6 weeks]
Secondary outcome measures (3)
- Hand Grip Strength Test [Time frame: 6 weeks]
- Physical Activity Scale for the Elderly (PASE) [Time frame: 6 weeks]
- Short Form-12 Health Survey (SF-12) [Time frame: 6 weeks]
Eligibility criteria
Inclusion criteria
- Older adults aged 65 and over, of both sexes
- Ability to walk independently and perform basic daily living activities without assistance
- Willingness to participate and written consent
Exclusion criteria
- Severe neurological disorders or advanced cognitive impairment
- Serious cardiopulmonary or systemic diseases that would prevent participation in exercise
- History of orthopedic surgery or acute trauma within the last 6 months
- Psychiatric disorders or communication difficulties that would prevent participation
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Yeditepe University — Istanbul
Identifiers
NCT: NCT07495280 · IrmakCetinel