Multicomponent Exercise and Postural Hygiene

Condition(s) studied

Investigational drug(s) / intervention(s)

Multicomponent physical exercise with integrated postural hygiene: Structured multicomponent physical exercise program including strength, balance, mobility, and postural control exercises, with integrated postural hygiene strategies during exercise execution and activities of daily living. Sessions will be conducted in the usual practice context, following a previously established common protocol and with implementation control by program instructors. This intervention will be assigned to the two arms with integrated postural hygiene.

Multicomponent physical exercise without postural control: Structured multicomponent physical exercise program including strength, balance, and mobility exercises, delivered without the specific postural control component. Sessions will be conducted in the usual practice context, following a previously established common protocol and with implementation control by program instructors. This intervention will be assigned to the active comparator arm without postural control.

Study summary

This non-randomized clinical study aims to evaluate whether a multicomponent physical exercise program with integrated postural hygiene can improve functional capacity, postural risk, musculoskeletal symptoms, health-related quality of life, and body composition in adult and older women. Eighty participants are allocated to three groups: an experimental group performing exercise with integrated postural hygiene, a reference group with previous postural hygiene training performing the same intervention, and a control group performing the same exercise program without the postural hygiene component. Participants are assessed before, during, and after the intervention, as well as at follow-up. The broader research project also includes a separate cross-sectional observational component designed to describe postural habits, musculoskeletal symptoms, and functional health-related variables in women enrolled in a community-based Maintenance Gymnastics program.

Eligibility

Primary outcome measure(s)

• Change in Functional Mobility Assessed Using the Timed Up and Go — Baseline, mid-intervention (4.5 months), post-intervention (9 months), and 6 months after completion of the intervention (15 months from baseline)
  The Timed Up and Go (TUG) test assesses functional mobility by measuring the time required for a participant to stand up from a chair, walk 3 meters, turn around, walk back, and sit down. Lower values indicate better functional mobility and balance. Unit of Measure: seconds
• Change in Physical Performance Assessed Using the Short Physical Performance Battery — Baseline, mid-intervention (4.5 months), post-intervention (9 months), and 6 months after completion of the intervention (15 months from baseline)
  The Short Physical Performance Battery (SPPB) assesses physical performance using three standardized components: standing balance, usual gait speed, and the chair stand test. The balance assessment includes side-by-side, semi-tandem, and tandem standing positions. Gait speed is evaluated over a short walking distance, and lower-extremity functional strength is assessed using the repeated chair stand test. Each component is scored from 0 to 4 points, and the total score ranges from 0 to 12 points, with higher scores indicating better physical performance. Unit of Measure: Points
• Change in Postural Risk Assessed Using the Rapid Entire Body Assessment — Baseline, mid-intervention (4.5 months), post-intervention (9 months), and 6 months after completion of the intervention (15 months from baseline)
  The Rapid Entire Body Assessment (REBA) is an observational ergonomic assessment tool used to evaluate postural risk during functional tasks and movements. The assessment considers body posture, force/load handling, coupling, and activity level by examining the position of the neck, trunk, legs, upper arms, lower arms, and wrists. Total scores range from 1 to 15 points, with higher scores indicating greater postural and musculoskeletal risk and lower scores indicating lower postural risk. Unit of Measure: Points

Trial sites (1)

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