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ID
Source
Brief title
Health condition
taekwondo, ageing, dynamic balance, movement coordination, fysical fitness
veroudering, senioren, dynamische balans, coordinatie, taekwondo training, cardiale conditie
Sponsors and support
Neurologist, Dept Neurology
Academisch Ziekenhuis Maastricht
P Debeyelaan 25 6202 AZ Maastricht
e-mail: J.lodder@mumc.nl
Intervention
Outcome measures
Primary outcome
Sample size estimation is based on the principle outcome parameter, which is the decrease in angle error on the Motor orientation ability test. Motor orientation ability (“coordination”) will be measured by the ability to adjust the base of support from a tilted orientation back to a perfect horizontal orientation (the subjective proprioceptive horizontal or SPH).
Secondary outcome
1. Cardio-respiratory capacity: The exercise tolerance will be evaluated as the maximal heart rate and the blood pressure pre- during and post-exercise. The test will be combined with ECG montoring;
2. Static and dynamic movement components: Testing of posture balance, galt parameters, static and dynamic balance and muscle power and flexibility;
3. Some aspects of cognitive speed, measured with a reaction test, Digit Symbol Coding (WAIS-IV), Digit Span (WAIS-IV), Letter Fluency and Trailmaking Test A and B.
Background summary
Rationale:
The quality of locomotion decreases with age, and especially its so-called dynamic components, which are conditional for normal walking ability. Programs aiming at improving locomotion quality mainly direct at the static components, whereas Taekwondo training aims to improve especially dynamic movement components.
Objective:
To investigate whether a one year Taekwondo training one hour a week improves balance parameters and dynamic locomotion aspects in senior, healthy persons. Cardio-respiratory function, motor reaction speed, and static movement components will also be measured.
Study design:
Intervention study, with each participant serving as his/her own control.
Study population:
24 healthy volunteers, aging 40-75.
Intervention:
One year Taekwondo training, at least one hour a week.
Main study parameters/endpoints:
Improvement in postural balance, motor orientation ability, dynamic balance, motor reaction time, and cardio-respiratory capacity.
Study objective
One year Taekwondo training one hour a week improves balance parameters in senior, healthy persons (and as sec. parameters:cardio-respiratory capacity , static and dynamic movement components, and some aspects of cognitive speed).
Study design
Before the start of the one-year weekly training sessions (october 2009), and after this year, when at least 40 sessions have been attended.
Intervention
Training sessions:
Intensity of training exercises will be adjusted to age and physical condition of the volunteers. The programs will generally contain the following elements:
1. A warming-up with muscle strengthening and stretching exercises;
2. TWD techniques, such as stances, blockings, kicks and punches, which will be trained as basic exercises, with training cushions, or facing an opponent. However, regular WTF TWD sparring will not be practiced!;
3. POOMSE, or style figures, which are fixed patterns, illustrating a fight against one or more imaginary opponents. Within one year the two basic POOMSE’s YL-Chang and Y-Chang will be practiced, and likely be mastered at one year;
4. A number of elementary self defense techniques based on TWD elements.
Complexity and intensity of Taekwondo exercise programs increase over time, while what is fitting and attainable considering the trainee’s capability is closely observed.
Training facilities:
Trainings can be attended weekly on Wednesdays from 17.30-18.30 PM in the training facility of the Department of Physical therapy AZM (pending the decision of the RvB AZM, reservation of the room has been granted by the head of the Dept. of Physical Therapy, Mr. G. Roox).
Inclusion criteria
Healthy volunteers, aging 40-75 years of age, who will follow weekly at least one hour Taekwondo training session.
Exclusion criteria
All volunteers will have a routine neurological and cardiological investigation, including an exercise ECG. The neurologist and cardiologist should both agree that there are no contra-indications to the proposed exercise program. They will report their conclusions in a short report on each individual volunteer. If found indicated, additional information with treating physicians will be sought. When any doubt about eligibility remains, the volunteer will be excluded. The reason for exclusion will be explained to the volunteer. If necessary, the volunteer will be advised to contact his/her general physician, to whom the relevant information will be conveyed, unless the volunteer would object. This applies also to any fortuitous medical finding that would result from the screening procedure.
Exclusion criteria:
1. Psychiatric affliction (under current psychiatric treatment);
2. Disease of nervous system or locomotion that are expected to interfere with training;
3. Use of oral anticoagulants;
4. Negative judgment of any treating physician, program neurologist or cardiologist, after respective investigations, including the exercise ECG test.
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL700 |
| NTR-old | NTR2243 |
| CCMO | NL28788.068.09 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
| OMON | NL-OMON33200 |