Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial

Abstract Background Chronic stress and diseases occur more frequently in middle-aged compared to younger women and this is often the result of physical, psychological and socio-economic changes. These health consequences reduce lower body muscle mass and flexibility, leading to generalized impairmen...

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Main Authors: Shuho Kang, Ilbong Park, Min-Seong Ha
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-02972-w
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author Shuho Kang
Ilbong Park
Min-Seong Ha
author_facet Shuho Kang
Ilbong Park
Min-Seong Ha
author_sort Shuho Kang
collection DOAJ
description Abstract Background Chronic stress and diseases occur more frequently in middle-aged compared to younger women and this is often the result of physical, psychological and socio-economic changes. These health consequences reduce lower body muscle mass and flexibility, leading to generalized impairments in functional movement and balance. Dynamic Neuromuscular Stabilization (DNS) training using the inertial load of water is known for its positive impact on functional strength improvement and muscle stabilization. Objective This study aimed to determine the effect of DNS training using inertial water loads on functional movement and postural sway in middle-aged women. Method A sample of 24 middle-aged women participated in the study and were randomly divided into two groups: the experimental group, n = 12 (age: 58.33 ± 1.48 yrs, height: 162.16 ± 1.27 cm, weight: 61.77 ± 2.21 kg) and control group, n = 12 (age: 59.58 ± 1.13 yrs, height: 160.1 ± 1.13 cm, weight: 57.51 ± 1.12 kg). Center of Pressure (COP), moving distance, Root Mean Square (RMS), movement area and Functional Movement Screen (FMS) were conducted and analyzed pre- and post-examination. Participants engaged in the DNS training regimen, which utilized the inertial load of water, for 60 min each session, conducted twice weekly for 12 weeks. Results There were significant differences in the COP distance (p < 0.001), RMS (p < 0.05), COP area and FMS test (p < 0.001) in the pre-post comparison of each group. And significant differences were found in COP distance (p < 0.05), RMS (p < 0.05), COP area (p < 0.05) and FMS test (p < 0.05) between groups. The DNS training improved the dynamic stability of single-leg standing, torso stability and functional movement in middle-aged women. Conclusion DNS training programs using the inertial load of water have been shown to be effective in movement improvement and posture retention ability, which is beneficial for functional movement, equilibrium strategy, and dynamic stability of middle-aged women. Furthermore, the DNS training method designed in this study can be useful for trainees who require posture correction in a safe and effective way regardless of their age and gender.
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spelling doaj.art-28c7b547380a4e9395fe2a3847107e872024-03-05T20:08:43ZengBMCBMC Women's Health1472-68742024-03-0124111010.1186/s12905-024-02972-wEffect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trialShuho Kang0Ilbong Park1Min-Seong Ha2Department of Sports Rehabilitation, Busan University of Foreign StudiesDepartment of Sports Rehabilitation, Busan University of Foreign StudiesLaboratory of Sports Conditioning: Nutrition Biochemistry and Neuroscience, Department of Sports Science, College of the Arts and Sports, University of SeoulAbstract Background Chronic stress and diseases occur more frequently in middle-aged compared to younger women and this is often the result of physical, psychological and socio-economic changes. These health consequences reduce lower body muscle mass and flexibility, leading to generalized impairments in functional movement and balance. Dynamic Neuromuscular Stabilization (DNS) training using the inertial load of water is known for its positive impact on functional strength improvement and muscle stabilization. Objective This study aimed to determine the effect of DNS training using inertial water loads on functional movement and postural sway in middle-aged women. Method A sample of 24 middle-aged women participated in the study and were randomly divided into two groups: the experimental group, n = 12 (age: 58.33 ± 1.48 yrs, height: 162.16 ± 1.27 cm, weight: 61.77 ± 2.21 kg) and control group, n = 12 (age: 59.58 ± 1.13 yrs, height: 160.1 ± 1.13 cm, weight: 57.51 ± 1.12 kg). Center of Pressure (COP), moving distance, Root Mean Square (RMS), movement area and Functional Movement Screen (FMS) were conducted and analyzed pre- and post-examination. Participants engaged in the DNS training regimen, which utilized the inertial load of water, for 60 min each session, conducted twice weekly for 12 weeks. Results There were significant differences in the COP distance (p < 0.001), RMS (p < 0.05), COP area and FMS test (p < 0.001) in the pre-post comparison of each group. And significant differences were found in COP distance (p < 0.05), RMS (p < 0.05), COP area (p < 0.05) and FMS test (p < 0.05) between groups. The DNS training improved the dynamic stability of single-leg standing, torso stability and functional movement in middle-aged women. Conclusion DNS training programs using the inertial load of water have been shown to be effective in movement improvement and posture retention ability, which is beneficial for functional movement, equilibrium strategy, and dynamic stability of middle-aged women. Furthermore, the DNS training method designed in this study can be useful for trainees who require posture correction in a safe and effective way regardless of their age and gender.https://doi.org/10.1186/s12905-024-02972-wDynamic neuromuscular stabilizationMiddle-aged womenFunctional movementPostural sway
spellingShingle Shuho Kang
Ilbong Park
Min-Seong Ha
Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
BMC Women's Health
Dynamic neuromuscular stabilization
Middle-aged women
Functional movement
Postural sway
title Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
title_full Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
title_fullStr Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
title_full_unstemmed Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
title_short Effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle-aged women: a randomized controlled trial
title_sort effect of dynamic neuromuscular stabilization training using the inertial load of water on functional movement and postural sway in middle aged women a randomized controlled trial
topic Dynamic neuromuscular stabilization
Middle-aged women
Functional movement
Postural sway
url https://doi.org/10.1186/s12905-024-02972-w
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