UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057971
Receipt number R000066276
Scientific Title Effects of Dynamic Steadiness Squat Training on Force Steadiness and Physical Function in Older Adults
Date of disclosure of the study information 2025/05/26
Last modified on 2025/11/24 12:22:27

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Basic information

Public title

Can Slow and Smooth Squats Improve Strength and Movement in Older Adults?

Acronym

The SMILE Study: Steady Movement Improving Lower-body Efficacy in Older Adults

Scientific Title

Effects of Dynamic Steadiness Squat Training on Force Steadiness and Physical Function in Older Adults

Scientific Title:Acronym

SMILE (Steady Movement Improving Lower-body Efficacy) Study

Region

Japan


Condition

Condition

N/A

Classification by specialty

Not applicable Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to examine the effects of a dynamic steadiness squat training program on functional ability and force steadiness in older adults.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Assessment of Force Steadiness During Squatting
Force steadiness during squatting will be assessed by measuring thigh angular velocity using an inertial sensor on the thigh. Variability in angular velocity will quantify force steadiness. Lower-limb muscle activity will also be assessed using surface electromyography (EMG).

Key secondary outcomes

2. Isometric Knee Extension and Flexion Strength Testing
Isometric knee extension and flexion strength will be measured with an isokinetic dynamometer. Muscle activity during testing will also be recorded via surface EMG.

3. Assessment of Lower-Limb Proprioception
Knee joint proprioception will be assessed by quantifying the difference between perceived and actual knee joint angles using an isokinetic dynamometer. This will evaluate changes in joint position sense.

4. Chair Rise Test
Participants will perform 10 repetitions of a sit-to-stand movement from a chair with a backrest, standing completely and sitting back down. The total time will be measured.

5. Stair Climb Test
Participants will ascend and descend a four-step flight of stairs as quickly and safely as possible, without handrails. The time from start to end will be recorded.

6. Single-Leg Stance with Eyes Open
Participants will stand barefoot on a force plate with hands on hips. While lifting the non-tested leg approximately 5 cm, the duration of balance maintained on the tested leg will be measured.

7. Timed Up and Go (TUG) Test
Participants will sit in a chair with armrests, then stand, walk 3 meters at a comfortable fast pace, turn, return, and sit down. The total time from standing up to re-seating will be recorded.

8. Force Steadiness During Isometric Contraction
Force steadiness will be measured during 12-second isometric contractions at 10% and 2.5% of maximal voluntary contraction (MVC). Lower limb muscle activity will also be assessed using surface EMG.

9. Force Steadiness During Concentric and Eccentric Contraction
Seated participants will have an inertial sensor on the lower leg to measure angular velocity during knee extension and flexion. Variability in angular velocity will quantify force steadiness. Lower limb muscle activity will also be evaluated using surface EMG.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

In the Dynamic Steadiness Squat Training group, a small wireless accelerometer connected to a tablet will be attached to the lateral surface of the participant's thigh. The angular velocity of the thigh will be displayed on the tablet in real time. Participants will perform bodyweight squats while viewing the real-time angular velocity displacement of their thigh on the tablet screen. During the squats, participants will be instructed to complete the downward and upward phases in 5 seconds each, and to consciously keep the variability of their thigh's angular velocity within a specified range. At home, participants will perform the same squat training as smoothly as possible, with an emphasis on minimizing unnecessary fluctuations.

Interventions/Control_2

In the Conventional Squat Training group, participants will be instructed to perform slow-paced squats at home. Each training session will consist of 3 to 5 sets of 10 repetitions.

Interventions/Control_3

To compare intervention training for Intervention 1 and Intervention 2, habitually untrained males and females in their 20s and 30s will serve as a control group and will not undergo any training.

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

65 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

Participants
The study will target community-dwelling older adults (both men and women) who are able to walk independently for at least 10 meters.

Control3
This study targets males and females in their 20s and 30s who are not habitually performing strength training.

Key exclusion criteria

Participants will be excluded from the study if they meet any of the following conditions:
1. Engaged in resistance training or high-intensity exercise within the past year.
2. Unable to commit to a training schedule of three sessions per week for eight weeks.
3. Diagnosed by a physician with a neurological or cardiovascular disease.
4. Advised by a physician to restrict physical activity for any reason.
5. Deemed by the investigators to be unsuitable for participation in the study.

Control3
1. Individuals who have been medically advised to avoid exercise, or who have injuries/disabilities that hinder exercise.
2. Individuals who habitually engage in strength training.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Yohei
Middle name
Last name Shimokochi

Organization

Osaka University of Health and Sport Sciences

Division name

School of Sport Sciences

Zip code

590-0496

Address

1-1 Asashirodai, Kumatori-cho, Sennangun, Osaka, 590-0496, Japan

TEL

072-453-8903

Email

yshimoko@ouhs.ac.jp


Public contact

Name of contact person

1st name Yohei
Middle name
Last name Shimokochi

Organization

Osaka University of Health and Sport Sciences

Division name

School of Sport Sciences

Zip code

590-0496

Address

1-1 Asashirodai, Kumatori-cho, Sennangun, Osaka, 590-0496, Japan

TEL

072-453-8903

Homepage URL


Email

yshimoko@ouhs.ac.jp


Sponsor or person

Institute

Osaka University of Health and Sport Sciences

Institute

Department

Personal name



Funding Source

Organization

Osaka University of Health and Sport Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University of Health and Sport Sciences

Address

1-1 Asashirodai, Kumatori-cho, Sennan-gun, Osaka, 590-0496, Japan

Tel

072-453-7022

Email

y-taki@ouhs.ac.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



Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 26 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2025 Year 04 Month 17 Day

Date of IRB

2025 Year 07 Month 01 Day

Anticipated trial start date

2025 Year 07 Month 08 Day

Last follow-up date

2025 Year 12 Month 17 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 05 Month 26 Day

Last modified on

2025 Year 11 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066276