UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060187
Receipt number R000068838
Scientific Title Effect of 12-Week Unstable Surfaces Resistance Training on Muscle Stiffness, Muscle Co-Activation, and Balance in Older Individuals
Date of disclosure of the study information 2025/12/23
Last modified on 2025/12/23 23:36:55

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Basic information

Public title

How 12 Weeks of Balance-Based Resistance Training Affects Muscle and Balance in Older Adults

Acronym

URT-Balance

Scientific Title

Effect of 12-Week Unstable Surfaces Resistance Training on Muscle Stiffness, Muscle Co-Activation, and Balance in Older Individuals

Scientific Title:Acronym

Effect of 12-Week Unstable Surfaces Resistance Training on Muscle Stiffness, Muscle Co-Activation, and Balance in Older Individuals (URT-Balance)

Region

Asia(except Japan)


Condition

Condition

Age-related balance impairment and muscle dysfunction in older adults

Classification by specialty

Geriatrics Rehabilitation medicine Not applicable
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of this study is to evaluate the effects of a 12-week unstable surfaces resistance training (URT) program compared to stable resistance training (SRT) on muscle stiffness, muscle co-activation, and balance performance in older adults. This study aims to determine whether URT can improve neuromuscular efficiency, reduce joint pain, and enhance balance, thereby reducing fall risk and supporting functional independence in the elderly population.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes


1. Change in static balance assessed by Balance Error Scoring System (BESS) at baseline and after 12 weeks.
2. Change in dynamic balance assessed by Y-Balance Test (YBT) at baseline and after 12 weeks.

Key secondary outcomes


1. Change in muscle stiffness (quadriceps and hamstrings), measured by shear wave elastography (SWE) at baseline and after 12 weeks.
2. Change in knee pain intensity, measured using Visual Analogue Scale (VAS) at baseline and after 12 weeks.
3.Change in lower-limb muscle co-activation during squat movements (squat-down, stand-up, and transition phases), measured by surface EMG at baseline and after 12 weeks of intervention.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Maneuver

Interventions/Control_1

Unstable Resistance Training (URT): Participants performed lower-limb instability resistance training for 12 weeks (3 sessions per week). Each session included warm-up, main training, and cool-down. The training involved exercises like squats, lunges, and step-ups performed on unstable surfaces (e.g., balance pads). The intensity and duration were progressively increased and matched with the control group.

Interventions/Control_2

Standard Resistance Training (SRT): Participants performed traditional lower-limb resistance training for 12 weeks (3 sessions per week). Exercises included bodyweight or resistance band squats, lunges, and step-ups on stable surfaces. The intensity and total training volume were matched to the URT group to ensure comparability.

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

65 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Aged between 65 and 75 years.

Able to walk independently on level ground and up/down stairs with normal joint function (flexion and extension).

No history of hip, knee, or ankle pain, surgery, or trauma in the last six months.

Willing to voluntarily participate and sign the informed consent form.

Key exclusion criteria

Presence of any severe neuromusculoskeletal injuries or diseases.

Diagnosed with serious cardiovascular, cerebrovascular diseases, or mental disorders.

Inability to perform or cooperate with the required physical tasks.

Known allergy to surface electrodes.

Any other severe medical conditions or reasons that may prevent completion of the study.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Ping
Middle name
Last name Liu

Organization

Universiti Malaya

Division name

Faculty of Sports and Exercise Science

Zip code

50603

Address

Universiti Malaya, 50603 Kuala Lumpur, Malaysia

TEL

+8613639443653

Email

liu2578794@gmail.com


Public contact

Name of contact person

1st name Ping
Middle name
Last name Liu

Organization

Universiti Malaya

Division name

Faculty of Sports and Exercise Science

Zip code

50603

Address

Universiti Malaya, 50603 Kuala Lumpur, Malaysia

TEL

+8613639443653

Homepage URL


Email

liu2578794@gmail.com


Sponsor or person

Institute

None.

Institute

Department

Personal name

Ping Liu


Funding Source

Organization

None.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Qufu Normal University

Address

No. 57 Jingxuan West Road, Qufu City, Shandong, China

Tel

+8613639443653

Email

yangyuewei@163.com


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 12 Month 23 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

50

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

Completed

Date of protocol fixation

2024 Year 04 Month 01 Day

Date of IRB

2024 Year 06 Month 01 Day

Anticipated trial start date

2024 Year 06 Month 01 Day

Last follow-up date

2025 Year 10 Month 01 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 12 Month 23 Day

Last modified on

2025 Year 12 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068838