Unilateral Handgrip Dysfunction
Conditions
Keywords
Aikido, Handgrip Dysfunction, Adapted Physical Activity, Exercise Therapy
Brief summary
This study investigates the effects of an adapted aikido exercise program on the health of adults with unilateral wrist and/or hand dysfunction. The un- derlying assumption is that regular practice of adapted aikido may improve physical, psychological, and quality-of-life parameters in this population com- pared with a non-exercising control group.
Detailed description
The primary objective is to assess the physical health benefits derived from an adapted aikido training program in people with unilateral reduction of wrist and hand functionality. Secondary objectives are to examine poten- tial benefits on mental health and to evaluate the influence of aikido practice on quality of life. Accordingly, the working hypothesis is that participation in the program will lead to significant improvements in physical, functional, and psychological variables compared with the control group. A longitudinal, controlled, single-center study with repeated measures is proposed, including 20 adult participants, 10 in the intervention group and 10 in the control group, all without prior aikido experience and not practicing other martial arts during the study. The intervention consists of an adapted aikido program with two one-hour sessions per week over approximately four months, delivered by an experienced instructor, with systematic attendance recording to monitor adherence. Primary outcomes include arm muscle mass, muscle strength (analytical dynamometry and handgrip test), active range of motion of the wrist, el- bow, and shoulder, body mass index, and cardiac function assessed via heart rate during exercise. Secondary outcomes are upper limb function (DASH), pain (VAS), sleep quality (PSQI and accelerometry), body awareness (BAQ), mindfulness (MAAS), anxiety (Hamilton Anxiety Scale), and positive and negative affect (PANAS). Assessments will be conducted at three time points (baseline, mid-intervention, and post-intervention), combining clinical history, physical measurements, heart rate recordings, and psychological and quality-of-life questionnaires. Statistical analysis will include descriptive statistics, tests for normality and homoscedasticity, and repeated-measures ANCOVA with a significance level of 0.05 using R software, to determine the effect of adapted aikido on the different health indicators.
Interventions
OTHERParticipation in an adapted aikido program
The aikido program has been adapted for optimal practice by people with handgrip dysfunction. Several key components of the techniques have been modified to enable their performance by individuals with limited hand mo- bility.
Sponsors
Universidad Católica San Antonio de Murcia
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Be of legal age. * Have no prior knowledge of aikido. * Not be practicing other martial arts at the time of inclusion in the study or during the adapted training program. * Unilateral dysfunction of the hand and/or wrist that prevents or hinders tasks related to gripping (only for case group).
Exclusion criteria
* Presence of anatomical or functional alterations that could affect the performance of aikido techniques (other than those allowed for the study group). * Intellectual disability and/or inability to understand the informed con- sent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arm muscle mass | The evolution of the variable will be evaluated on days 60 and 120. | Estimated from arm circumference and triceps skinfold measurements. The instruments used will be an anthropometric tape and a skinfold caliper, respectively. |
| Muscle strength | The evolution of the variable will be evaluated on days 60 and 120. | Analytical strength measurements will be taken for the main muscles responsible for each movement of the upper limb, as well as a handgrip test to assess overall hand grip strength. The instruments used will be a Jamar dynamometer and a hand-held dynamometer. |
| Active joint mobility of the wrist, elbow, and shoulder | The evolution of the variable will be evaluated on days 60 and 120. | It will be measured using a digital inclinometer, an instrument that has shown lower measurement error than the universal goniome- ter, the standard tool for assessing joint range of motion. |
| Body Mass Index | The evolution of the variable will be evaluated on days 60 and 120. | It will be measured by bioelectrical impedance. |
| Cardiac function | The evolution of the variable will be evaluated on days 60 and 120. | It will be assessed by monitoring heart rate during exercise, using a chest-strap heart rate monitor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Upper limb function | The evolution of the variable will be evaluated on days 60 and 120. | Assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, in its validated Spanish version. |
| Wrist and hand pain | The evolution of the variable will be evaluated on days 60 and 120. | Measured using a Visual Analogue Scale |
| Sleep quality | The evolution of the variable will be evaluated on days 60 and 120. | Used as an indicator of quality of life and assessed with the Pittsburgh Sleep Quality Index (PSQI) and accelerometry. |
| Level of body awareness | The evolution of the variable will be evaluated on days 60 and 120. | Measured with the Body Awareness Questionnaire |
| Mindfulness or dispositional mindfulness values | The evolution of the variable will be evaluated on days 60 and 120. | Measured using the Mindfulness Attention Awareness Scale and used as an indicator of psychological well-being. |
| Anxiety level | The evolution of the variable will be evaluated on days 60 and 120. | Measured with the Hamilton Anxiety Scale, an anxiety scale with good psychometric properties that has been used in previous aikido studies. |
| Positive and negative affect values | The evolution of the variable will be evaluated on days 60 and 120. | Measured using the Positive Affect Negative Affect Schedule, a test previously used in aikido interventions to assess their effect on the psychological state of practitioners. |
Countries
Spain
Contacts
CONTACTFernando Cánovas García
Outcome results
None listed