Neuroathletic training is an innovative approach aimed at enhancing neurophysiological processes to improve motor control, reflex responses, balance, proprioception, and cognitive functions. While this method has shown promise in athletes, its acute effects on non-athletic individuals remain underexplored. The posterior chain (gluteus maximus, hamstrings, and erector spinae) plays a critical role in postural stability, movement, and injury prevention. Weakness in these muscles, coupled with poor balance and proprioception, may increase injury risk. Additionally, cognitive performance, including attention and reaction time, is vital for functional activities and may be enhanced through neuroathletic interventions. This study seeks to address the gap in understanding the acute effects of neuroathletic training on non-athletic individuals, providing evidence to support its integration into rehabilitation and injury prevention programs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
This intervention involves a 20-minute neuroathletic training session using the Z-Health® kit. It includes visual reset exercises (eye massage, palming), star chart eye muscle training, saccade training with letter cards, convergence-divergence drills using Brock string, vestibular activation through lunges, spinal and hip extension exercises, slap tap coordination drills, and use of pinhole glasses. The aim is to stimulate sensory pathways and enhance neuromotor readiness acutely.
This 20-minute warm-up consists of two components: 10 minutes of light walking at a moderate pace and 10 minutes of dynamic stretching (leg swings, hip flexor stretches, knee hugs, high knees, butt kicks, arm circles, and trunk rotations). It is intended to mimic standard pre-activity routines and serves as the comparator condition.
University of Health Sciences, Gulhane Faculty of Physiotherapy and Rehabilitation
Ankara, Etlik, Turkey (Türkiye)
Gluteus Maximus Muscle Strength (Newton)
Assessed using a digital handheld dynamometer (Lafayette Manual Muscle Tester, Model 01165) during maximal voluntary isometric contraction in prone hip extension. Three trials are conducted, and the highest value is recorded.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Erector Spinae Endurance (Seconds)
Evaluated using the Biering-Sørensen Test. Participants maintain a horizontal trunk position with the lower body fixed until fatigue. Time is recorded with a stopwatch.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Knee Joint Proprioception (Degrees)
Measured using an inclinometer to assess knee joint position sense. Angular deviation from 30° knee flexion target is recorded. The mean error across trials is used as the final score.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Dynamic Balance (Percent Reach Distance)
Assessed with the Y-Balance Test in three directions: anterior, posteromedial, and posterolateral. Reach distances are normalized to limb length and averaged to calculate dynamic balance performance.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Cognitive Performance - Stroop Test Reaction Time
Assesses selective attention and cognitive interference using the Stroop Color-Word Test. Reaction time is recorded in milliseconds during the incongruent trial phase.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Cognitive Performance - Stroop Test Error Count
Assesses accuracy during the Stroop Color-Word Test. The number of errors made during the incongruent trials is recorded.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Cognitive Performance - Trail Making Test Completion Time
Assesses visual attention and task-switching using Trail Making Test Parts A and B. Time to complete each part is recorded in seconds.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
Cognitive Performance - Trail Making Test Error Count
Assesses accuracy during Trail Making Test Parts A and B. The number of errors committed during each test part is recorded.
Time frame: Baseline, Immediately Post-Intervention, 15 Minutes Post, 30 Minutes Post
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