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Christopher J. Burcal, Alejandra Y. Trier and Erik A. Wikstrom

Context:

Both balance training and selected interventions meant to target sensory structures (STARS) have been shown to be effective at restoring deficits associated with chronic ankle instability (CAI). Clinicians often use multiple treatment modalities in patients with CAI. However, evidence for combined intervention effectiveness in CAI patients remains limited.

Objective:

To determine if augmenting a balance-training protocol with STARS (BTS) results in greater improvements than balance training (BT) alone in those with CAI.

Design:

Randomized-controlled trial.

Setting:

Research laboratory.

Patients:

24 CAI participants (age 21.3 ± 2.0 y; height 169.8 ± 12.9 cm; mass 72.5 ± 22.2 kg) were randomized into 2 groups: BT and BTS.

Interventions:

Participants completed a 4-week progression-based balance-training protocol consisting of 3 20-min sessions per week. The experimental group also received a 5-min set of STARS treatments consisting of calf stretching, plantar massage, ankle joint mobilizations, and ankle joint traction before each balance-training session.

Main Outcome Measures:

Outcomes included self-assessed disability, Star Excursion Balance Test reach distance, and time-to-boundary calculated from static balance trials. All outcomes were assessed before, and 24-hours and 1-week after protocol completion. Self-assessed disability was also captured 1-month after the intervention.

Results:

No significant group differences were identified (P > .10). Both groups demonstrated improvements in all outcome categories after the interventions (P < .10), many of which were retained at 1-week posttest (P < .10). Although 90% CIs include zero, effect sizes favor BTS. Similarly, only the BTS group exceeded the minimal detectable change for time-to-boundary outcomes.

Conclusions:

While statistically no more effective, exceeding minimal detectable change scores and favorable effect sizes suggest that a 4-week progressive BTS program may be more effective at improving self-assessed disability and postural control in CAI patients than balance training in isolation.

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Danny Lum and Tiago M. Barbosa

meta-analysis providing an estimate of the contributions by several factors to the improvement in OTBS time-trial performance (such as age, training status, and duration of training program). Methods Literature Search A systematic search of randomized controlled trials on the effects of strength

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Silvia Varela, José M. Cancela, Manuel Seijo-Martinez and Carlos Ayán

.R.L. , Coley , N. , Moll van Charante , E.P. , van Gool , W.A. , Richard , E. , & Andrieu , S. ( 2017 ). Determinants of dropout and nonadherence in a dementia prevention randomized controlled trial: The prevention of dementia by intensive vascular care trial . Journal of the American Geriatrics

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Pedro Lopez, Mikel Izquierdo, Regis Radaelli, Graciele Sbruzzi, Rafael Grazioli, Ronei Silveira Pinto and Eduardo Lusa Cadore

). Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report . Journal of the American Geriatrics Society, 52 , 625 – 634 . PubMed ID: 15066083 doi:10.1111/j.1532-5415.2004.52174.x 10.1111/j.1532-5415.2004.52174.x

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Wei Sun, Xiujie Ma, Lin Wang, Cui Zhang, Qipeng Song, Houxin Gu and Dewei Mao

Study Design A randomized controlled trial was designed to compare the effects of TCC and BW exercises on balance with SLS during a 16-week training program. Both TCC and BW groups participated in a 60-min moderate-intensity intervention exercise for at least five sessions weekly for 16 weeks. Balance

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Waynne F. Faria, Filipe R. Mendonça, Géssika C. Santos, Sarah G. Kennedy, Rui G.M. Elias and Antonio Stabelini Neto

training (RT) is effective in reducing the incidence of cardiovascular risk factors ( 1 , 42 ). A systematic review conducted with randomized controlled trials in the pediatric population reported that moderate-intensity continuous training combined with resistance training (MICT + RT) is more effective to

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Anna Lina Rahlf, Klaus-Michael Braumann and Astrid Zech

control . Int J Sports Phys Ther . 2013 ; 8 ( 4 ): 393 – 406 . PubMed ID: 24175126 24175126 16. Nunes GS , de Noronha M , Cunha HS , Ruschel C , Borges NG Jr . Effect of kinesio taping on jumping and balance in athletes: a crossover randomized controlled trial . J Strength Cond Res

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Sascha Ketelhut, Sebastian R. Ketelhut and Kerstin Ketelhut

The present study was conducted as a parallel-arm cluster-randomized controlled trial. A cohort of 105 students (mean age = 8.2 [0.6] y; 51% girls; body mass index [BMI] = 17.8 [3.0] kg/m 2 ) was recruited from a pool of schools participating in the health promotion project “SMS. Sei schlau. Mach mit

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Alexei Wong, Arturo Figueroa, Marcos A. Sanchez-Gonzalez, Won-Mok Son, Oksana Chernykh and Song-Young Park

. References Astin , J.A. , Berman , B.M. , Bausell , B. , Lee , W.L. , Hochberg , M. , & Forys , K.L. ( 2003 ). The efficacy of mindfulness meditation plus Qigong movement therapy in the treatment of fibromyalgia: A randomized controlled trial . Journal of Rheumatology, 30 ( 10 ), 2257 – 2262

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Jared D. Ramer, María E. Santiago-Rodríguez, Catherine L. Davis, David X. Marquez, Stacy L. Frazier and Eduardo E. Bustamante

randomized controlled trial assigned African American children with ADHD and/or DBD to a 10-week aerobic exercise program (PA) or a similar, but sedentary, attention control (AC) program with the same duration, staff, rules, routines, reinforcements, and school setting. We hypothesized that (1) children