CClinicalTrials.gg
Status unknownNCT04845802Updated Apr 15, 2021

Effects of Inspiratory Muscle Training on Diaphragm Thickness, Respiratory Muscle Strength and Balance in Dancers.

An interventional study of Inspiratory muscle training(high-IMT group) and Inspiratory muscle training(low-IMT group) in Athletic Injuries, sponsored by Istanbul University. Status unknown. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-15.

Sponsored by Istanbul University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Dance is a performing art form consisting of sports and art intertwined and complex dynamic choreographic figures were handled aesthetically and physically of narrative. Scientific studies are insufficient on dance and health and performance of dancers in the literature although dance is the most used type of art and sport in all societies and for all age groups. It is seen that the core stabilization (central forces) of the dancers is insufficient when the current studies were examined, this insufficient stabilization causes biomechanical changes in the trunk, and indirectly affects the lower extremities. Consequently, insufficient stabilization was shown to be caused impairment of force generation and injuries. In addition, lack of core stabilization of dancers may cause impairment in balance and postural control. Therefore, dancers need a good postural control with provided by an effective core stabilization training in order to exhibit a successful and healthy performance. It is shown that inspiratory muscle training (IMT) improves diaphragm strength and diaphragm thickness. Considering the relation between diaphragm muscle forming the upper (ceiling) part of the core area, and balance, IMT may also have an impact on postural control and balance alongside the standard clinical parameters such as respiratory muscle strength and diaphragm thickness in dancers. Thus, the aim of this study was to investigate the effects of inspiratory muscle training on diaphragm thickness, postural stability, balance, respiratory muscle strength in dancers.

02

Conditions studied

  • Athletic Injuries

Keywords

  • Inspiratory Muscle Training
  • Diaphragm
  • Respiratory Muscle Strength
  • Balance
  • Dancer
03

In context

Respiratory Aspiration

1,092 studies on the registry are indexed under Respiratory Aspiration; 216 are open to participants now.

This study's planned enrollment of 40 is close to the median of 42 across 881 interventional studies indexed under Respiratory Aspiration.

Browse Respiratory Aspiration studies →

Lead sponsor

Istanbul University is the lead sponsor of 496 studies on the registry; 79 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Dancer (for least two years)
  • Stable clinical condition (no injury in last 2 months)

Exclusion criteria

Exclusion Criteria:

  • Documented diagnosis of vestibular, neurological or orthopedic disorders which may affect balance and mobility
  • Having of chronic pulmonary disease
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Training Group

    Dancers in this group will perform inspiratory muscle training for 30 breaths, twice daily \[morning: between 7:00 and 13:00 and evening: between 16:00 and 22:00\], 7 days per week for 8 weeks, with a breathing frequency of 15 breaths per minute and a duty cycle of 0.5. One exercise session will be supervised in a clinic per week, other sessions will be performed at home in every week during the training.

    Other: Inspiratory muscle training(high-IMT group)

  • Sham comparator
    Sham Group

    Dancers in this group will perform inspiratory muscle training for 30 breaths, twice daily \[morning: between 7:00 and 13:00 and evening: between 16:00 and 22:00\], 7 days per week for 8 weeks, with a breathing frequency of 15 breaths per minute and a duty cycle of 0.5. One exercise session will be supervised in a clinic per week, other sessions will be performed at home in every week during the training.

    Other: Inspiratory muscle training(low-IMT group)

Interventions

  • OtherInspiratory muscle training(high-IMT group)

    A mechanical pressure threshold loading device (POWERbreathe, POWERbreathe International Ltd, UK) will be used for the training. Training intensity will set at 60% of the maximum inspiratory pressure.

    Also known as: [high-IMT group]

  • OtherInspiratory muscle training(low-IMT group)

    Dancers will be perform at a load setting of level 1 (corresponding to \~10% baseline MIP), using the same device as the training group.

    Also known as: [low-IMT group]

06

What researchers measure

Primary outcomes

  1. Change of baseline postural stability test score in Biodex Balance System after 8 weeks

    The Postural Stability Test evaluates static balance of participants. Postural Stability Test emphasizes a patient's ability to maintain center of balance. The patient's score on this test assesses deviations from center, thus a lower score is more desirable than a higher score.

    Time frame: Eight weeks

  2. Change of baseline athlete single leg stability score in Biodex Balance System after 8 weeks

    The test protocol for the Athlete Single Leg Stability Testing allows clinicians to test athletes against data derived from studies using the Biodex Balance System. The stability level will challenge athletes and provide the data necessary to assess the athlete's single leg postural stability.

    Time frame: Eight weeks

  3. Change of baseline limits of stability test score in Biodex Balance System after 8 weeks

    Limits of stability test evaluates dynamic balance of participants. Biodex balance system measures limits of stability for forward, backward, right and left side movements. It will calculate the maximum distance a person can lean without losing balance.

    Time frame: Eight weeks

  4. Change of baseline diaphragm thickness after 8 weeks

    Two-dimensional B-mode ultrasound will be measure diaphragm thickness at the zone of apposition during inspiration or expiration using the intercostal approach. Diaphragm thickness will be measure as the vertical distance between the pleural and peritoneal layer at both Total Lung Capacity \[TLC\] and Functional Residual Capacity \[FRC\]. Measurements will be perform on the right hemidiaphragm with the volunteer in the supine position. All measurements will be perform 3 times and the average value for each calculate.

    Time frame: Eight weeks

  5. Change of baseline maximum inspiratory pressure after 8 weeks

    Maximum inspiratory pressure (MIP) will be measure using a hand-held mouth pressure device. Three maximal manoeuvres will perform and the highest value record. Indirect measure of respiratory (inspiratory) muscle strength, expressed in cmH20.

    Time frame: Eight weeks

  6. Change of baseline maximum expiratory pressure after 8 weeks

    Maximum expiratory pressure (MEP) will be measure using a hand-held mouth pressure device. Three maximal manoeuvres will perform and the highest value record. Indirect measure of respiratory (expiratory) muscle strength, expressed in cmH20.

    Time frame: Eight weeks

Secondary outcomes

  1. Change of baseline biering-sorenson test score after 8 weeks

    Time frame: Eight weeks

  2. Change of baseline oswestry disability index after 8 weeks

    Time frame: Eight weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Janssens L, McConnell AK, Pijnenburg M, Claeys K, Goossens N, Lysens R, Troosters T, Brumagne S. Inspiratory muscle training affects proprioceptive use and low back pain. Med Sci Sports Exerc. 2015 Jan;47(1):12-9. doi: 10.1249/MSS.0000000000000385. PubMed 24870567 ↗
  • Ferraro FV, Gavin JP, Wainwright T, McConnell A. The effects of 8 weeks of inspiratory muscle training on the balance of healthy older adults: a randomized, double-blind, placebo-controlled study. Physiol Rep. 2019 May;7(9):e14076. doi: 10.14814/phy2.14076. PubMed 31074198 ↗
  • Watson T, Graning J, McPherson S, Carter E, Edwards J, Melcher I, Burgess T. DANCE, BALANCE AND CORE MUSCLE PERFORMANCE MEASURES ARE IMPROVED FOLLOWING A 9-WEEK CORE STABILIZATION TRAINING PROGRAM AMONG COMPETITIVE COLLEGIATE Dancers. Int J Sports Phys Ther. 2017 Feb;12(1):25-41. PubMed 28217414 ↗

Individual participant data

Plan to share: Undecided — Patients may not want to share the data with anyone other than the researchers involved in the study.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04845802
Lead sponsor
Istanbul University
Responsible party
Hakan Aksu (PT, MSc Student in Exercise Physiology, Istanbul University) — Principal investigator
First posted
Apr 15, 2021
Start date
May 2021 (estimated)
Primary completion
Sep 2021 (estimated)
Completion
Oct 2021 (estimated)
Last update
Apr 15, 2021

Study contacts

Hakan Aksu
Contact
fizyoterapistha@gmail.com
5332165106 ext. +90
Sensu Dincer, Dr.
principal investigator · Istanbul University Faculty of Medicine Sports Medicine Department
Turker Sahinkaya, Lecturer
principal investigator · Istanbul University Faculty of Medicine Sports Medicine Department
Bulent Bayraktar, Prof. Dr.
study director · Istanbul University Faculty of Medicine Sports Medicine Department

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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