Core Stabilization, Hearing Disorders in Children, Postural Control, Respiratory Functions, Respiratory Muscle Strength
Conditions
Brief summary
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.
Detailed description
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.
Interventions
OTHERCore 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.
OTHERNo Intervention
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.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Between the ages of 7-16 * Clinically diagnosed sensorineural hearing loss * Prelingual hearing loss * No neurological and orthopedic problems * Absence of syndrome or disease that may lead to mental disorder, impaired development and impaired vision * Not participating in any core stabilization, strengthening and balance program in the past six months * No medication to affect respiratory functions in the past 3 months * Parental permission for participation of child in the study
Exclusion criteria
* Intellectual disability for participating to the evaluation and training program * Presence of chronic respiratory disease * Not to join the training for more than 3 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory muscle strength | Eight weeks | Change from baseline maximum inspiratory pressure and maximum expiratory pressure at 8 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory Functions-FEV1 | Eight weeks | Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks |
| Respiratory Functions-PEF | Eight weeks | Change from baseline Peak Expiratory Flow (PEF) at 8 weeks |
| Postural control-postural stability | Eight weeks | Change from baseline postural stability test score in Biodex Balance System at 8 weeks |
| Respiratory Functions-FVC | Eight weeks | Change from baseline Forced Vital Capacity (FVC) at 8 weeks |
| Postural control-sensory integration | Eight weeks | Change from baseline sensory integration and balance test core in Biodex Balance System at 8 weeks |
| Postural control-BESS | Eight weeks | Change from baseline Balance Error Scoring System (BESS) test scores at 8 weeks |
| Postural control-limits of stability | Eight weeks | Change from baseline limits of stability test score in Biodex Balance System at 8 weeks |
Countries
Turkey (Türkiye)
Outcome results
None listed