None listed
Conditions
Brief summary
Movement quality has been described as an individual’s ability to perform a specific movement pattern in an optimal manner. Poor movement quality is typified by the inability to perform basic, or ‘fundamental’, movement tasks in a balanced and well-coordinated manner, which is underpinned by a disruption to the way muscles normally move and support joints during these movement tasks. Poor movement quality has been shown to significantly alter the loading of individual joints, reduce an individual’s ability to express strength and power, and limit the ability to complete movement tasks effectively. Conversely, good movement quality has been said to allow the safe and effective loading of joints, subsequently improving performance capabilities. The assessment of movement quality is therefore said to provide an indication of muscular dysfunction. We suggest that this information can then be used to design an appropriate exercise intervention targeting improvements in that dysfunction, and therefore improvements in movement quality. The proposed research will look to see whether a specific training intervention can yield improvements in movement quality and physical performance, and whether those improvements occur to a greater degree in comparison to a more traditional resistance training program. To achieve these aims, healthy adults (18-55 y) will undergo 1 of 2 interventions, either 1) an individualized exercise intervention guided by a movement quality assessment, or 2) a standard resistance training program in accordance to the ACSM guidelines. Each training protocol will involve 2 60 minute training sessions per week, for a duration of 8 weeks. Primary (movement quality score) and secondary (physical performance measures) outcome measures will be recorded at baseline, and at the completion of the 8 week intervention.
Interventions
Participants within the intervention group will undertake an 8 week individualized exercise regime to improve strength and quality of movement, which will be based upon the results of their individual movement quality assessment outcome score. The exercise intervention will be based around the results of their movement quality assessment, and will be targeting improvements in movement quality. Exercise selection and progression will be determined at the discretion of the trainers providing the i
Participants within the intervention group will undertake an 8 week individualized exercise regime to improve strength and quality of movement, which will be based upon the results of their individual movement quality assessment outcome score. The exercise intervention will be based around the results of their movement quality assessment, and will be targeting improvements in movement quality. Exercise selection and progression will be determined at the discretion of the trainers providing the intervention based upon their movement quality assessment results. The Movement quality assessment will involve the evaluation of 9 movements that occur commonly in gym settings, and allow the identification of movement dysfunction and potential muscular imbalances. These movements include the following: a bilateral squat; a forward lunge; a dead-lift with a bent over row; a single leg squat; an overhead reach; a seated thoracic rotation; a 4 point hold with opposite arm and leg lifts (also known as a bird dog); a push up; and an active straight leg raise test. Poor performance on any one (or more) of these test will identify areas of muscular imbalance or dysfunction that will be used to guide subsequent exercise prescription. The control group will undertake an 8 week traditional resistance training exercise regime to improve strength and aerobic fitness. The trainers providing the training regime to the control group will not have access to their movement quality assessment information, and will not be targeting improvements in movement quality. Each exercise regime will consist of 2 sessions per week, lasting 60 minutes each session, for a total time commitment of 16 hours per participant over 8 weeks. Every session, for both the intervention and control group, will be one-on-one with a trainer. These sessions will be performed at The University of South Australia's City East Campus Gym facility. The training performed on both the control and intervention group will be made progressively more challenging by incorporating the principle of progressive overload (increments of 2-10% weekly). All training will be supervised by accredited exercise trainers. The sessions will be performed at a moderate to vigorous intensity, with sessional RPE being obtained at the end of each session. All sessions will be recorded to provide information on the exercises performed each session, with the loads used for those exercises. The programs will be structured in accordance the ACSM guidelines for exercise prescription, in which each core muscle group will be trained for 3 sets of 8-12 repetitions per session.
Sponsors
University of South Australia
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
People will be eligible for participation if they are considered low risk in accordance with the Exercise and Sports Science Australia (ESSA) adult pre-exercise screening tool. Participants will be excluded if they have any barriers restricting their ability to perform vigorous physical activity, such as pre-existing injury or inadequate time to commit to the intervention.
Exclusion criteria
Are classified as moderate or high risk in accordance with the Exercise and Sports Science Australia (ESSA) adult pre-exercise screening tool. Have barriers restricting their ability to perform vigorous physical activity, such as pre-existing injury or inadequate time to commit to the intervention.
Outcome results
None listed