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NCT Number: NCT06823674

The Relationship of Core Endurance With Cervical Stabilization and Proprioception in Women With and Without Pilates Exercise

The aim of this study was to investigate the relationship between core endurance and cervical stabilization and proprioception in women with and without Pilates exercise. The study was conducted with 40 volunteer female participants aged 20-50 years. The study group was selected from women who did Pilates exercises 2 days a week for at least 12 weeks under the supervision of a physiotherapist, while the control group was selected from women who did not participate in any Pilates, yoga or exercise program in the last 1 year and were sedentary according to the International Physical Activity Questionnaire. Lateral Bridge Test, Static Trunk Extension Test, Trunk Flexor Endurance Test, Cervical Joint Position Error Test, Cervical Region Deep Flexor Muscle Endurance Tests were applied to the participants and Craniocervical Flexion data of the participants were evaluated with Stabilizer Pressure Biofeedback Device and the results were recorded. These results indicate that high performance in core endurance is associated with improved performance in cervical stabilization. As a result of this study, it was concluded that Pilates has a significant effect on core endurance, cervical stabilization and proprioception in women.

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Key information

Conditions

Pilates Exercise

Age range

20 year–50 year

Sex eligibility

Female

Study type

Observational

Primary location

Burak Sapmaz Fizyoterapi ve Danışmanlık Merkezi

Mersin, 33960, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being between 20-50 years old
  • Volunteering to participate in the study
  • Having practiced Pilates at least 2 days a week for at least 12 weeks for the study group
  • For the control group, not having participated in any pilates, yoga or exercise program in the last year and being sedentary according to the International Physical Activity Questionnaire

Exclusion criteria

  • Presence of pain during assessments
  • Cervical and/or lumbar disc herniation
  • Spine pathology

Treatment and study plan

core endurance test

Other

The study group was selected from women who did pilates exercises 2 days a week for at least 12 weeks under the supervision of a physiotherapist, while the control group was selected from women who did not participate in any pilates, yoga or exercise program in the last 1 year and were sedentary according to the International Physical Activity Questionnaire. Lateral Bridge Test, Static Trunk Extension Test, Trunk Flexors Endurance Test, Cervical Joint Position Error Test, Cervical Region Deep Flexor Muscle Endurance Tests were applied to the participants and Craniocervical Flexion data of the participants were evaluated with Stabilizer Pressure Biofeedback Device.

cervical stabilization test

Other

The study group was selected from women who did pilates exercises 2 days a week for at least 12 weeks under the supervision of a physiotherapist, while the control group was selected from women who did not participate in any pilates, yoga or exercise program in the last 1 year and were sedentary according to the International Physical Activity Questionnaire. Lateral Bridge Test, Static Trunk Extension Test, Trunk Flexors Endurance Test, Cervical Joint Position Error Test, Cervical Region Deep Flexor Muscle Endurance Tests were applied to the participants and Craniocervical Flexion data of the participants were evaluated with Stabilizer Pressure Biofeedback Device.

cervical proprioception test

Other

The study group was selected from women who did pilates exercises 2 days a week for at least 12 weeks under the supervision of a physiotherapist, while the control group was selected from women who did not participate in any pilates, yoga or exercise program in the last 1 year and were sedentary according to the International Physical Activity Questionnaire. Lateral Bridge Test, Static Trunk Extension Test, Trunk Flexors Endurance Test, Cervical Joint Position Error Test, Cervical Region Deep Flexor Muscle Endurance Tests were applied to the participants and Craniocervical Flexion data of the participants were evaluated with Stabilizer Pressure Biofeedback Device.

Primary outcomes

  1. Evaluation of Core Muscle Endurance between Pilates and Non-Pilates Groups Mann Whitney U Test Analysis

    Time frame: 01.05.2024- 20.07.2024

    The endurance of the core muscles was used to assess the static resistance of the core region with three tests evaluating the trunk flexors, trunk extensors and lateral bridge exercise. Lateral Bridge Test, Static Trunk Extension Test (Sorensen Test) and Trunk Flexors Endurance Test were evaluated, measurements were recorded in seconds using a stopwatch. The tests were repeated twice and the best result value was recorded. The test was terminated when the person administered was unable to maintain the position or when the person said that they could not continue the test

  2. Mann Whitney U Test Analysis of Deep Neck Flexor Muscle Endurance Assessment Between Pilates and Non-Pilates Exercise Groups

    Time frame: 01.05.2024- 20.07.2024

    The participant was positioned in the supine hook position with hands relaxed on the abdomen. The participant was instructed to pull his/her chin inwards (chin tuck) and lift his/her head off the bed while maintaining this position (approximately 2.5 cm). The participant was asked to maintain this position for as long as possible without distortion and the time to maintain the position was recorded in seconds. In order to perform the test correctly, the test was demonstrated to the individuals in a practical way before starting the test. The test duration was kept short to prevent pain and fatigue of the participant. The test was stopped when the jaw position (craniocervical flexion movement and jaw) was lost and sudden pain increased and the subject did not want to continue the test. A single test was performed and the time was recorded in seconds.

  3. Chi-Square Test Analysis of Completion Distributions of Stages in Craniocervical Flexion Measurement with Stabilizer Pressure Biofeedback Device According to Groups

    Time frame: 01.05.2024- 20.07.2024

    In our study, after the participants were placed supine on the examination bed, the pressure cell was placed under the nape of the neck without inflation. The cell was inflated to 20 mmHg, taking care not to slide the cell to the lower cervical region. The participant was asked to press the chin towards the neck without lifting the head as if saying 'yes' (posterior cervical tilt). The participant was instructed to place the tongue on the upper palate, bring the lips together but keep the teeth slightly apart.

    The test consists of 5 stages. The value of the stabiliser device, which was set at 20 mmHg, was asked to increase by 2 mmHg at each stage until it reached 30 mmHg (20- 22- 24- 26- 28- 30 mmHg). The participant was asked to stay at each pressure value for 30 s and to complete the test by giving 30 s rest time after each pressure. The test was terminated at the stage where the participant could not complete the pressure value that he/she should keep constant for 30 s.

  4. Cervical Joint Position Error Test (Cervical Proprioception Assessment) Between Pilates and Non-Pilates Exercise Groups

    Time frame: 01.05.2024- 20.07.2024

    It is a measurement tool used to clinically assess participants' cervicocephalic proprioception ability. Cervicocephalic proprioception describes the sense of position of one's head and neck in space. It measures the ability of a blindfolded participant to accurately return the head position to a predetermined neutral point after cervical joint movement

Sponsors and collaborators

Lead sponsor

Istanbul Arel University

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Feb 12, 2025
Registry last updated
Feb 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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