Ignite Creation Date:
2025-12-25 @ 5:12 AM
Ignite Modification Date:
2025-12-26 @ 4:17 AM
Study NCT ID:
NCT07070427
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2025-09-02
First Post:
2025-05-09
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Cognitive-Based Balance Exercises on the Shooting Performance of Archers
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'interventionBrowseModule': {'meshes': [{'id': 'D015444', 'term': 'Exercise'}], 'ancestors': [{'id': 'D009043', 'term': 'Motor Activity'}, {'id': 'D009068', 'term': 'Movement'}, {'id': 'D009142', 'term': 'Musculoskeletal Physiological Phenomena'}, {'id': 'D055687', 'term': 'Musculoskeletal and Neural Physiological Phenomena'}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['PARTICIPANT']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 30}}, 'statusModule': {'overallStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2023-02-15', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-08', 'completionDateStruct': {'date': '2025-09-23', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-08-25', 'studyFirstSubmitDate': '2025-05-09', 'studyFirstSubmitQcDate': '2025-07-08', 'lastUpdatePostDateStruct': {'date': '2025-09-02', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2025-07-17', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-09-10', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Static and Dynamic Balance Exercise Training', 'timeFrame': '5-6 minutes', 'description': 'Duration and Type of Static and Dynamic Balance Exercises Using BOSU Balance Ball (minutes) Static and dynamic balance exercises were performed using the BOSU balance ball to enhance proprioception. Exercises included maintaining balance for 30 seconds with eyes open or closed in various positions: static standing with one foot crossed over the other, single-leg standing, gliding stance, double-foot tiptoe rise, and multi-directional reaching while balancing on one foot (right and left) on the BOSU ball. This training protocol was applied to both the control and experimental groups.'}, {'measure': 'Evaluation of Dynamic Balance:', 'timeFrame': '5 minutes', 'description': 'Y-Balance Test Reach Distance (centimeter) Description: Dynamic balance was assessed by measuring the maximum reach distance (in centimeters) during the Y-Balance Test at baseline and after 12 weeks of training.'}, {'measure': 'Evaluation of Static Balance', 'timeFrame': '5 minutes', 'description': 'Standing Stork Test Duration (seconds) Description: Static balance was evaluated by measuring the duration (in seconds) participants were able to maintain a one-legged stance during the Standing Stork Test at baseline and post-intervention.'}, {'measure': 'Dual Task Training', 'timeFrame': '10 minutes', 'description': 'Performance on Cognitive Tasks During Balance Exercises (e.g., counting backwards, reverse recitation) Participants in the study group performed cognitive tasks simultaneously with balance exercises. Tasks included counting backwards by 7 while standing statically, reciting months in reverse while standing on one leg, stating the preceding number when given a number between 1 and 100 during tandem stance, listing days of the week in reverse while standing on tiptoe, and naming 5 words starting with a given letter while reaching in multiple directions on one leg.'}, {'measure': 'Evaluation of Shooting Performance', 'timeFrame': '5 minutes', 'description': 'Total Archery Performance Score (points scored in 5 sets of 3 arrows at 18 meters) Archery performance was measured by the total points scored when participants shot 5 sets of 3 arrows at a target 18 meters away. Assessments were conducted at baseline and after 12 weeks of balance training.ce training.'}, {'measure': 'Evaulation of Joint Position Sense', 'timeFrame': '3 minutes', 'description': 'Mean Angular Error in Shoulder Joint Position Reproduction Test (degrees) Shoulder joint position sense was assessed using a passive position-reproduction test with a digital clinometer. Participants were passively positioned at predetermined angles and asked to actively replicate the position with eyes closed. Angular deviations (in degrees) from the target position were recorded. Measurements were taken for shoulder flexion, abduction (standing), and external/internal rotation at 90° abduction (supine). The mean error was calculated based on three repetitions for each movement. Tests were performed by two independent assessors on the same day to ensure reliability.'}, {'measure': 'Evaluation of Bilateral Deficit', 'timeFrame': '2 minutes', 'description': 'Percentage Bilateral Deficit in Maximal Isometric Grip Strength (%)\n\nBilateral deficit of upper extremity muscle strength was assessed using a digital hand dynamometer. Participants performed three maximal isometric grip trials with each hand separately and three simultaneous bilateral maximal isometric grip trials. The bilateral deficit (%) was calculated using the formula:\n\nBilateral Deficit (%) = ((Right Hand + Left Hand) - Bilateral Force) / (Right Hand + Left Hand) × 100.\n\nPositive values indicate bilateral deficit; negative values indicate bilateral facilitation.'}]}, 'oversightModule': {'isUsExport': False, 'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['shooting performance', 'static balance', 'dynamic balance', 'cognitive'], 'conditions': ['Archery', 'Cognitive Performance', 'Balance Training']}, 'referencesModule': {'seeAlsoLinks': [{'url': 'https://www.researchgate.net/publication/233046298_On-target_trajectories_and_the_final_pull_in_archery', 'label': 'On-target trajectories and the final pull in archery'}, {'url': 'https://www.researchgate.net/publication/321890007_Dynamic_stretching_is_effective_as_static_stretching_at_increasing_flexibility', 'label': 'Dynamic stretching is effective as static stretching at increasing flexibility'}, {'url': 'https://doi.org/10.15282/mohe.v1i0.5', 'label': 'Postural Sway Distinguishes Shooting Accuracy among Skilled Recurve Archers'}, {'url': 'https://www.researchgate.net/publication/348825411_Anthropometric_And_Physical_Fitness_Components_Comparison_between_High-_And_Low-Performance_Archers', 'label': 'Anthropometric And Physical Fitness Components Comparison between High- And Low-Performance Archers'}, {'url': 'https://www.researchgate.net/publication/7219971_Sensorimotor_System_Measurement_Techniques', 'label': 'Sensorimotor System Measurement Techniques'}, {'url': 'https://www.jstage.jst.go.jp/article/ijshs/15/0/15_201714/_article', 'label': 'Comparison of Modular Control of Trunk Muscle by Japanese Archery Competitive Level: A Pilot Study'}, {'url': "https://www.researchgate.net/publication/286020065_Proprioception_and_balance_training_can_improve_amateur_soccer_players'_technical_skills", 'label': "Proprioception and balance training can improve amateur soccer players' technical skills"}, {'url': 'https://pubmed.ncbi.nlm.nih.gov/28174475/', 'label': 'Correlation among proprioception, muscle strength, and balance'}, {'url': 'https://pubmed.ncbi.nlm.nih.gov/29097947/', 'label': 'https://pubmed.ncbi.nlm.nih.gov/29097947/'}, {'url': 'https://pubmed.ncbi.nlm.nih.gov/25244121/', 'label': 'Age-related shift in neural complexity related to task performance and physical activity'}, {'url': 'https://pubmed.ncbi.nlm.nih.gov/28699808/', 'label': 'The Effects of Physical Exercise and Cognitive Training on Memory and Neurotrophic Factors'}, {'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC8615958/', 'label': 'Balance Expertise Is Associated with Superior Spatial Perspective-Taking Skills'}, {'url': 'https://eurapa.biomedcentral.com/articles/10.1007/s11556-013-0122-z', 'label': 'Training effects on motor-cognitive dual-task performance in older adults'}, {'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC4495982/', 'label': 'Injury History, Sex, and Performance on the Functional Movement Screen and Y Balance Test'}, {'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC3827570/', 'label': 'The Relationship Between Maximum Unilateral Squat Strength and Balance in Young Adult Men and Women'}, {'url': 'https://www.worldarchery.sport/archeryplus?gad_source=1&gclid=CjwKCAjwp8--BhBREiwAj7og16_kBDjZy14zhJMuyLzGY3VGb8uxVLUOLgEUGiwitE7ap3V59iPqgRoC3AQQAvD_BwE', 'label': 'Target Archery \\| World Archery. https://worldarchery.org/TargetArchery#INDOOR. Accessed May 11, 2020.'}]}, 'descriptionModule': {'briefSummary': "The aim of this treatment study is to determine the effects of cognitive-based balance exercises on archers' shooting performance. The study focuses on archers and examines the effects of cognitive-based dynamic and static balance exercises on shooting accuracy.\n\nIn this context, the main questions that the study aims to answer are as follows:\n\n* Cognitive-based balance exercises applied to archers have no effect on shooting performance.\n* Cognitive-based balance exercises applied to archers have an effect on shooting performance.\n\nThe researchers will evaluate the effects of the interventions on shooting performance by comparing the performance differences between archers who apply cognitive-based balance exercises and archers who only do balance exercises.\n\nParticipants:\n\n* The control group will apply various balance exercises during the 12-week training period. The study group will apply cognitive-based balance exercises.\n* They will be subjected to performance tests that evaluate static balance, dynamic balance and shooting accuracy.", 'detailedDescription': 'This study investigates the effects of cognitive-based balance training on archery performance by targeting not only shooting accuracy, but also neuromuscular and sensorimotor parameters such as shoulder joint position sense and bilateral upper extremity force symmetry. While conventional balance exercises primarily focus on postural control and neuromuscular coordination, cognitive-based balance training integrates executive functions-such as attention, working memory, and decision-making-into postural tasks, aiming to enhance cognitive-motor coupling and sensorimotor integration.\n\nThe training program is designed to include both static and dynamic balance activities combined with cognitively demanding tasks, such as dual-tasking, response inhibition, and visuospatial challenges. Progression and supervision are employed to maintain intervention fidelity throughout the 12-week period. Archery performance will be assessed pre- and post-intervention using standardized shooting accuracy protocols.\n\nTo further investigate potential mechanisms underlying performance changes, two additional neuromuscular variables will be evaluated. Shoulder proprioception will be assessed using a digital clinometer through passive position-reproduction tests in multiple planes of motion (e.g., flexion, abduction, and internal/external rotation at specific angles). This will help determine whether improvements in sensorimotor function accompany changes in performance. Bilateral force symmetry will be assessed using a digital hand dynamometer by comparing maximal isometric grip strength in unilateral and bilateral conditions. The resulting bilateral deficit values will offer insight into interlimb coordination and neural efficiency.\n\nBy combining cognitive, postural, and upper extremity neuromuscular assessments, this study aims to provide a comprehensive understanding of how cognitively enriched balance interventions may influence both central and peripheral components of athletic performance in archery. The findings are expected to contribute to the growing literature on cognitive-motor integration in precision sports and inform future training paradigms in disciplines that demand both motor accuracy and cognitive control.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT'], 'maximumAge': '45 Years', 'minimumAge': '18 Years', 'healthyVolunteers': True, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Being a licensed archery athlete,\n* Having been practicing archery for at least 2 years,\n* Participating in a training program at least 2 days a week,\n* Using a compound bow,\n* Being between the ages of 18-45.\n\nExclusion Criteria:\n\n* Having any diagnosed lung, cardiovascular, neurological, systemic and orthopedic disease,\n* Receiving conservative or surgical treatment after trauma in the upper and lower extremities,\n* Having had a musculoskeletal injury within the last year,\n* Using corticosteroids or any other medication,\n* Having a psychological dysfunction.'}, 'identificationModule': {'nctId': 'NCT07070427', 'briefTitle': 'Cognitive-Based Balance Exercises on the Shooting Performance of Archers', 'organization': {'class': 'OTHER', 'fullName': 'Cyprus International University'}, 'officialTitle': 'The Effect of Cognitive-Based Balance Exercises on the Shooting Performance of Archers', 'orgStudyIdInfo': {'id': '1301MA-001'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Interventions', 'description': 'Participants performed balance exercises twice a week for 12 weeks using the BOSU balance ball. The exercises included static and dynamic balance tasks. Additionally, during dual-task training, cognitive tasks such as counting backwards, naming months and days of the week in reverse order, and identifying numerical differences were incorporated alongside balance exercises. Archery performance was assessed by shooting 5 sets of 3 arrows at a target from a distance of 18 meters, both before and after the intervention.', 'interventionNames': ['Other: Exercise']}, {'type': 'EXPERIMENTAL', 'label': 'Control', 'description': 'Participants performed the same balance exercises twice a week for 12 weeks using the BOSU balance ball, focusing on static and dynamic balance tasks without additional cognitive tasks. Archery performance was evaluated in the same manner as the experimental group, shooting 5 sets of 3 arrows at a target 18 meters away, before and after the training period.', 'interventionNames': ['Other: Exercise']}], 'interventions': [{'name': 'Exercise', 'type': 'OTHER', 'description': 'Cognitive-based balance exercises.', 'armGroupLabels': ['Control', 'Interventions']}]}, 'contactsLocationsModule': {'locations': [{'zip': '99040', 'city': 'Mersin', 'state': 'Lefkosa', 'country': 'Turkey (Türkiye)', 'facility': 'Cyprus International University', 'geoPoint': {'lat': 36.81196, 'lon': 34.63886}}], 'overallOfficials': [{'name': 'Sema ÖZDEN ACARÖZ, Msc', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Cyprus International University'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Cyprus International University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR'}}}}