UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050140
Receipt number R000057118
Scientific Title Development of a short-term exercise program specialized in improving children balance function for practical use in schools
Date of disclosure of the study information 2023/04/01
Last modified on 2024/04/08 14:34:04

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Basic information

Public title

Development of a short-term exercise program specialized in improving children balance function for practical use in schools

Acronym

Development of a short-term exercise program focused on improving balance function in children

Scientific Title

Development of a short-term exercise program specialized in improving children balance function for practical use in schools

Scientific Title:Acronym

Development of a short-term exercise program focused on improving balance function in children

Region

Japan


Condition

Condition

Healthy child

Classification by specialty

Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study is of great social significance because it aims to develop an exercise program to prevent and improve physical function decline due to inactivity brought on by the COVID-19 epidemic. In addition, this research is a groundbreaking approach toward a new approach of collaboration between academia and government, and we believe it is highly original. Specifically, we believe that the following three points can be achieved.
The study will identify children with impaired balance function by assessing their physical function in the athletic medical checkup.
Develop a short-term exercise program specialized for improving balance function, based on the data accumulated in the past.
Confirm the effectiveness of the developed exercise program in improving balance function, and put the program into practical use at collaborating schools.

Basic objectives2

Others

Basic objectives -Others

The purpose of this study is to develop an effective short-term intervention program for the decline of children's balance function. If we can develop an exercise program to maintain or improve physical function and obtain the effect of the intervention, it will be possible to propose an exercise program to schools, local governments, and school boards for after COVID-19 convergence, which will lead to the prevention of physical function decline in children.
The results of this study will lead to the practical application in schools of exercise programs specifically designed to improve children's balance function for after COVID-19 convergence.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Physical function assessment: gait function, body composition measurement, muscle strength measurement, balance function assessment, agility assessment, postural alignment, activity level
2. Lifestyle assessment by questionnaire: physical activity time, sleep time, screen time, self-esteem

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

A 60-minute exercise program (with a 15-minute break) will be conducted at the applicant's medical institution for a period of three months (a total of 8 sessions on every Sunday:Include two reserve days to accommodate absences). The exercise program will include a dance program to the music produced, exercises using balance pads, ladders, and balance balls to improve balance function, and lower extremity strength training (squatting and jumping), based on previous studies (Huang SY. Am J Health Promot 2012; Anjos I. Rev Paul Pediatr 2018; Yanovich E. Children 2022), combined with 6-8 different programs.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

6 years-old <=

Age-upper limit

9 years-old >=

Gender

Male and Female

Key inclusion criteria

Initiate locomotor physical examinations to identify children with impaired balance function.
Analyze the data of children who have participated in the locomotor physical checkups over the past 4 years and establish the reference values for balance function. For children whose balance function is judged to be lower than the standard value, distribute a survey form to those who wish to participate in a short-term exercise program specialized in balance function, and recruit participants.
Among the children who have participated in the physical exercise examination in the past (approximately 650 children as of September 2022), those whose balance function has been determined to be impaired will be contacted by their guardians to explain the exercise program, and consent for participation will be obtained from the children and their guardians if they wish to participate in the program.
Using G*Power (Heinrich Heine University, Germany), with effect size (d = 0.8), two-sided alpha value of 0.05, and power of 0.95, the optimal sample size for this study was confirmed to be 24 participants, therefore, considering a 30% dropout rate, 31 Participants will be recruited.

Key exclusion criteria

Orthopedic diseases, neuromuscular diseases

Target sample size

24


Research contact person

Name of lead principal investigator

1st name Tadashi
Middle name
Last name Ito

Organization

Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities

Division name

Three-Dimensional Motion Analysis Laboratory

Zip code

444-0002

Address

9-3 Koyaba, Kouryuji-cho, Okazaki

TEL

0564-64-7980

Email

tadashi.ito.0805@gmail.com


Public contact

Name of contact person

1st name Sho
Middle name
Last name Narahara

Organization

Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities

Division name

Department of Pediatrics

Zip code

444-0002

Address

9-3 Koyaba, Kouryuji-cho, Okazaki

TEL

0564-64-7980

Homepage URL


Email

narahara@mikawa-aoitori.jp


Sponsor or person

Institute

Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilitie

Institute

Department

Personal name



Funding Source

Organization

Nagoya University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Nagoya University

Name of secondary funder(s)

Saitama Medical University


IRB Contact (For public release)

Organization

Aichi Prefectural Mikawa Aoitori Ethics Review Board

Address

9-3 Koyaba, Kouryuji-cho, Okazaki

Tel

0564-64-7980

Email

sanjigen@mikawa-aoitori.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

愛知県三河青い鳥医療療育センター(愛知県)


Other administrative information

Date of disclosure of the study information

2023 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

24

Results

There was a total of 24 participants over two months, (n=12 boys, n=12 girls). Significant differences in height were observed as they increased throughout the growth of the participants involved in this dance program. However, there were no significant differences in the weight and body mass index and body fat percentages among the participants. Grip strength, standing broad jump, and two-step test improved from before the program. There was no change in physical activity time and back muscle strength.

Results date posted

2023 Year 10 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2024 Year 04 Month 08 Day

Baseline Characteristics

The dance was developed by a sports science permanent teacher, a professional dancer, and a physical therapist and evaluated in a community-based participatory study. In this program, trained dance instructors conducted one-hour dance sessions in a medical center. The sessions were held once a week for two months from June to August 2023. A physical therapist and a dance instructors led the elementary school children and assessed outcomes such as grip strength, lower extremity muscle strength, back muscle strength, balance function during movement, physical activity time, and adiposity. Descriptive statistics were used as the method of analysis.

Participant flow

Before initiating the development of the dance program, which was a collaborative effort between academic and medical institutions, children from Okazaki, Aichi Prefecture, underwent a medical examination and physical function evaluation before and during the COVID-19 epidemic to explore physical function that are likely to deteriorate. The study revealed a tendency for muscle strength and balance function to decline. The program was designed to be performed in a safe indoor environment and is free of charge for participants. Based on the research conducted by Schroeder et al., a dance program was developed with the involvement of dance instructors, sports instructors, physical therapists, and pediatricians as key advisors.
There were 36 total participants in the sample who applied to participate in this dance program. Data collected from the participants were evaluated before the start of the class and only once after the end of the class. Exclusion criteria included those with orthopedic, neurological, respiratory, or ophthalmologic problems; those with digestive disorders; and those who had more than 4 absences from the dance program, which could have affected the results of the physical function assessment and thus provided incomplete data. As a result, 12 of the 36 individuals were excluded, leaving 24 as the final sample used in this study.

Adverse events

Nothing in particular

Outcome measures

Grip strength
Standing broad jump
Back muscle strength
Two-Step Test
Physical Activity Time
Body Fat Percentage

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 03 Month 31 Day

Date of IRB

2023 Year 01 Month 17 Day

Anticipated trial start date

2023 Year 04 Month 01 Day

Last follow-up date

2023 Year 08 Month 31 Day

Date of closure to data entry

2024 Year 01 Month 31 Day

Date trial data considered complete


Date analysis concluded

2024 Year 02 Month 28 Day


Other

Other related information



Management information

Registered date

2023 Year 01 Month 26 Day

Last modified on

2024 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057118


Research Plan
Registered date File name

Research case data specifications
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Research case data
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