"Core Stabilization Exercises in Hearing Impaired Children"

Bezmialem Vakif University30 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hearing Disorders in Children Core Stabilization Respiratory Muscle Strength Respiratory Functions Postural Control

Interventions

Core Stabilization ExercisesOTHER

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.

No InterventionOTHER

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.

Eligibility

Sex: ALLMin age: 7 YearsMax age: 16 Years

Medical Language ↔ Plain English

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

Locations (1)

Bezmialem Vakif University

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Respiratory muscle strength

Change from baseline maximum inspiratory pressure and maximum expiratory pressure at 8 weeks

Time frame: Eight weeks

Secondary Outcomes

Respiratory Functions-FVC

Change from baseline Forced Vital Capacity (FVC) at 8 weeks

Time frame: Eight weeks

Respiratory Functions-FEV1

Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks

Time frame: Eight weeks

Respiratory Functions-PEF

Change from baseline Peak Expiratory Flow (PEF) at 8 weeks

Time frame: Eight weeks

Postural control-postural stability

Change from baseline postural stability test score in Biodex Balance System at 8 weeks

Time frame: Eight weeks

Postural control-limits of stability

Change from baseline limits of stability test score in Biodex Balance System at 8 weeks

Time frame: Eight weeks

Postural control-sensory integration

Change from baseline sensory integration and balance test core in Biodex Balance System at 8 weeks

Time frame: Eight weeks

Postural control-BESS

Change from baseline Balance Error Scoring System (BESS) test scores at 8 weeks

Time frame: Eight weeks

Data from ClinicalTrials.gov

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