An interventional study of Core Stabilization Exercises and No Intervention in Hearing Disorders in Children, Core Stabilization and Respiratory Muscle Strength, sponsored by Bezmialem Vakif University. Completed at 1 site in Turkey. Open to participants aged 7 Years to 16 Years. Per ClinicalTrials.gov, last updated 2020-03-11.
Sponsored by Bezmialem Vakif University · Not applicable, Interventional, and Treatment
In this study the investigators will examine the effects of core stabilization exercises on respiratory muscle strength, respiratory functions and postural control in hearing-impaired children.
Hearing organs develop together with the vestibular system and work with close cooperation. Because of this close neuro-anatomic relationship; cochlear, semicircular canal, or both may cause damage to the vestibular dysfunction, resulting in imbalance. Sensory impairment in children with hearing loss may lead to decreased muscle strength and respiratory function with balance and coordination disorders. Core stabilization is provided anatomically with abdominal muscles at the front, spinal and gluteal muscles at the back, diaphragm at the top and pelvic floor and hip muscles at the bottom. Core stabilization training is a training to increase the strength, endurance and neuromuscular control of the aforementioned muscles.
When the literature is checked, the invetigators find that postural control is being evaluated in children with hearing impairment, but there are few studies evaluating respiratory functions. However, they did not encounter a study in which respiratory muscle strength was assessed in these children. In this study the investigators will examine the effects of core stabilization exercises on respiratory muscle strength, respiratory functions and postural control in hearing-impaired children.
65 studies on the registry are indexed under Hearing Disorders; 17 are open to participants now.
This study's enrollment of 30 is below the median of 50 across 45 interventional studies indexed under Hearing Disorders.
Browse Hearing Disorders studies →Bezmialem Vakif University is the lead sponsor of 354 studies on the registry; 59 are open to participants now.
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Exclusion Criteria:
After recording the demographic and clinical information at the beginning of the study and after 8 weeks, respiratory muscle strength, respiratory functions and postural control evaluations will be performed to the children. They won't receive any intervention by this time. At the end of 8 weeks, they may be included in the 8-week physiotherapy program, which will be once a week and 45-60 minutes by supervision of physiotherapist and 4 days a week home exercise program. The program will include core stabilization exercise training.
Other: No Intervention
After recording the demographic and clinical information at the beginning of the study, respiratory muscle strength, respiratory functions and postural control evaluations will be performed to the children. They will be included in the 8-week physiotherapy program, which will be once a week and 45-60 minutes by supervision of physiotherapist and 4 days a week home exercise program. The program will include core stabilization exercise training. After the eight week training program the evaluations will be repeated.
Other: Core Stabilization Exercises
Jeffrey's core stabilization exercise training protocol will be performed to the training group. This protocol includes exercises progressing gradually from level 1 to level 3. Level 1; static contraction training on a stable surface, level 2; dynamic training on a stable surface, level 3; dynamic and resistant training on an unstable surface.
Since no training is given to the control group during the study period, it is ethically necessary to give the same training to the control group if the benefit is achieved when the study is completed.
Respiratory muscle strength
Change from baseline maximum inspiratory pressure and maximum expiratory pressure at 8 weeks
Time frame: Eight weeks
Respiratory Functions-FVC
Change from baseline Forced Vital Capacity (FVC) at 8 weeks
Time frame: Eight weeks
Respiratory Functions-FEV1
Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks
Time frame: Eight weeks
Respiratory Functions-PEF
Change from baseline Peak Expiratory Flow (PEF) at 8 weeks
Time frame: Eight weeks
Postural control-postural stability
Change from baseline postural stability test score in Biodex Balance System at 8 weeks
Time frame: Eight weeks
Postural control-limits of stability
Change from baseline limits of stability test score in Biodex Balance System at 8 weeks
Time frame: Eight weeks
Postural control-sensory integration
Change from baseline sensory integration and balance test core in Biodex Balance System at 8 weeks
Time frame: Eight weeks
Postural control-BESS
Change from baseline Balance Error Scoring System (BESS) test scores at 8 weeks
Time frame: Eight weeks
This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.
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