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Movement DisordersNCT06268366

Effects of Exercise-Based Interventions on Symmio Self-Movement Screen

A study testing Exercise in people with Movement Disorders, run by University of Evansville.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Musculoskeletal screening for physical risk factors requires equipment and a trained healthcare or fitness professional to perform and interpret the scoring so that appropriate exercise interventions can be prescribed. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Movement Disorders
What is being tested?
Exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
No sites listed yet
Study dates
1 Jun 2024to 1 Mar 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Willing participants between the ages of 18 to 65 years of either sex
  • At least 1 less than optimal movement pattern scored on the Symmio Self-Movement Screen.

Who cannot join

  • Optimal scores on all Symmio movement patterns
  • Current lower extremity injury
  • Lower extremity or upper extremity amputation
  • Lack of medical clearance from physician/primary care to participate in exercise
  • Undergoing current medical treatment for musculoskeletal injury
  • Concussion within the past 3 months
  • Inability to read and comprehend English.

Trial locations and contacts

No sites are listed yet.

Kyle Matsel, DPT, PhD contact

812 488-5105

km218@evansville.edu

About this study

Official title: Effects of Exercise-Based Interventions on Symmio Self-Movement Screen Scores in Untrained Adults_ A Randomized Controlled Trial

Musculoskeletal screening for physical risk factors requires equipment and a trained healthcare or fitness professional to perform and interpret the scoring so that appropriate exercise interventions can be prescribed. However, barriers such as healthcare costs and accessibility, low perceived need to seek medical care, and previous unfavorable evaluation of seeking medical care are associated with healthcare avoidant behaviors. This research aims to explore the effectiveness of the Symmio Self-Screen application to generate specific exercise interventions to address an individual's associated physical risk factors. The ability of the Symmio application to prescribe a targeted exercise program which can reduce asymmetries, improve movement quality, and enhance overall function is unknown. Therefore, the purpose of this study is to determine the effectiveness of the Symmio application in designing individualized exercise interventions which target the unique movement limitations and asymmetries in adults.

Read the detailed description

Musculoskeletal disorders (MSDs) are currently the largest category of workplace injuries, accounting for 30% of all workers compensation costs, and are on the rise. Globally, MSDs are also on the rise in the general adult population with 1 in 3 adults with some report of an MSD. In the United States, MSDs are even more prevalent with 1 in 2 adults presenting with a musculoskeletal disorder. The financial implications of MSDs are extensive. In the United States, annual healthcare costs associated with MSDs have surpassed $380 billion. Among the most prevalent musculoskeletal disorders were low back pain and neck pain, accounting for a 6.7% spending increase annually from 1996 to 2016.

Increased physical activity is a proven way to decrease the prevalence of MSK risk factors and improve overall health. However, trends suggest MSK disorders and physical inactivity are becoming more prevalent. Generalized exercises programs may not be specific enough to effectively manage physical risk factors. Furthermore, starting a general exercise program to address the adverse effects of inactivity is now considered a risk factor for the development of an MSD. This is likely due to inappropriate functional foundations which cannot withstand the rigors of moderate to high level physical activity. Identification and mitigation of physical risk factors could establish a better movement foundation and provide individuals the durability to achieve their long-term fitness goals.

Several musculoskeletal movement screens exist which can identify physical risk factors and are associated with injury prediction. The Functional Movement Screen (FMS™) and Y-Balance Test - Lower Quarter (YBT-LQ™) are reliable, movement-based tests which can identify modifiable risk factors related to mobility and motor control deficits. However, both the FMS™ and YBT-LQ™ require equipment and are administered by a trained healthcare or fitness professional. Furthermore, the professional is required to interpret the scoring and to prescribe appropriate exercise interventions to improve specific movement limitations or asymmetries. However, barriers such as healthcare costs and accessibility, low perceived need to seek medical care, and previous unfavorable evaluation of seeking medical care are associated with healthcare avoidant behaviors.

The Symmio Self-Screen (Symmio) is a downloadable application developed to be a user-friendly and cost-effective tool for the early identification of physical risk factors that may lead to MSK injuries. The Symmio Self-Screen application provides step by step directions to screen for basic movement pattern limitations and asymmetries. Recently, the Symmio application was found to be highly reliable and valid when used as a self-screening tool to assess MSK risk factors. The simplistic scoring criteria and video guided instructions offered through the application allows for untrained adults to self-score their own movement patterns similarly to a trained healthcare provider. Additionally, the accuracy of Symmio to identify painful movement, movement dysfunction on the FMS™, and dynamic balance deficits on the YBT-LQ™ was 0.74, 0.73, 0.69, respectively. Information gained from this screening approach could allow the general population to self-screen and monitor for the development of physical risk factors and intervene with targeted exercises interventions prior to the onset of symptoms or injury.

To date, the effectiveness of the Symmio Self-Screen application to generate specific exercise interventions to address an individual's associated physical risk factors has not been explored. The ability of the Symmio application to prescribe a targeted exercise program which can reduce asymmetries, improve movement quality, and enhance overall function is unknown. Therefore, the purpose of this study is to determine the effectiveness of the Symmio application in designing individualized exercise interventions which target the unique movement limitations and asymmetries in adults. It is hypothesized that individuals who receive specific exercise interventions recommended by the Symmio application will have less asymmetries, improve performance on the Symmio Self-Movement Screen, and better function compared to a control group which will not receive individualized exercises.

Being tested
Exercise
Keywords
Symmio Self-Movement Screen, Intervention, Wellness
Medical subject headings
Movement Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ExerciseOther

    Three exercises consisting of stretching and strengthening specific to the movement pattern dysfunction scored by Symmio will be prescribed to the participants. The exercises are standardized and assigned within the Symmio application with video instruction and guidance.

Study groups in NCT06268366
Study groupRoleWhat they receive
ControlNo interventionParticipants in the control group will not receive any exercise interventions. Participants in the control group will receive their individualized corrective exercises program following completion of the research study following the 10 week follow up.
Exercise GroupExperimentalParticipants in the intervention will be assigned three corrective exercises based on their greatest movement pattern deficit as advised by the Symmio application. Participants in the intervention group will follow the exercise and educational guidance provided by the Symmio application including adjustment of exercises and reviewing educational materials.
Receives: Other: Exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Symmio Self-Movement Screen

    Each participant will have access to the Symmio application via cell phone or tablet and will complete the self-screen as directed by the video and verbal guidance provided in the application. Participants will self-score themselves on the Symmio movements and record their results into both the application and on the data collection form.

    Measured: Baseline, 3 weeks, 6 weeks, and 10 weeks

Secondary outcomes (1)
  1. Global Rating of Change

    Each participant's global rate of change (GROC) will be evaluated at each follow-up time point. GROC ratings that positively change categories toward improvement will be considered positive outcomes

    Measured: 3 weeks, 6 weeks, and 10 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Feb 2024
  2. Study start1 Jun 2024 (estimated)
  3. Primary completion1 Aug 2024 (estimated)
  4. Study completion1 Mar 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06268366
Sponsor's protocol ID
UEvansville
Status last verified
May 2024
First submitted
12 Feb 2024
Last updated
7 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alemany JA, Bushman TT, Grier T, Anderson MK, Canham-Chervak M, North WJ, Jones BH. Functional Movement Screen: Pain versus composite score and injury risk. J Sci Med Sport. 2017 Nov;20 Suppl 4:S40-S44. doi: 10.1016/j.jsams.2017.08.001. Epub 2017 Aug 23.

    PubMed 28919122
  • Bonazza NA, Smuin D, Onks CA, Silvis ML, Dhawan A. Reliability, Validity, and Injury Predictive Value of the Functional Movement Screen: A Systematic Review and Meta-analysis. Am J Sports Med. 2017 Mar;45(3):725-732. doi: 10.1177/0363546516641937. Epub 2016 Jul 21.

    PubMed 27159297
  • Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 Apr;2(2):1143-211. doi: 10.1002/cphy.c110025.

    PubMed 23798298
  • Booth FW, Roberts CK, Thyfault JP, Ruegsegger GN, Toedebusch RG. Role of Inactivity in Chronic Diseases: Evolutionary Insight and Pathophysiological Mechanisms. Physiol Rev. 2017 Oct 1;97(4):1351-1402. doi: 10.1152/physrev.00019.2016.

    PubMed 28814614
  • Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013 Jan 1;46(1):11-7. doi: 10.3233/WOR-121545.

    PubMed 23324700
  • Dieleman JL, Cao J, Chapin A, Chen C, Li Z, Liu A, Horst C, Kaldjian A, Matyasz T, Scott KW, Bui AL, Campbell M, Duber HC, Dunn AC, Flaxman AD, Fitzmaurice C, Naghavi M, Sadat N, Shieh P, Squires E, Yeung K, Murray CJL. US Health Care Spending by Payer and Health Condition, 1996-2016. JAMA. 2020 Mar 3;323(9):863-884. doi: 10.1001/jama.2020.0734.

    PubMed 32125402
  • Hart, P. D. (2017). Epidemiology of Exercise-Related Injuries Presenting to U.S. Emergency Departments: 10-year Trends. Journal of Physical Fitness, Medicine & Treatment in Sports, 1. https://doi.org/10.19080/JPFMTS.2017.01.555562

  • Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in american football players. J Sport Rehabil. 2014 May;23(2):88-94. doi: 10.1123/jsr.2012-0130. Epub 2013 Nov 14.

    PubMed 24225032
  • March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, Buchbinder R, Vos T, Woolf AD. Burden of disability due to musculoskeletal (MSK) disorders. Best Pract Res Clin Rheumatol. 2014 Jun;28(3):353-66. doi: 10.1016/j.berh.2014.08.002. Epub 2014 Nov 18.

    PubMed 25481420
  • Matsel K, Kirsch J, Netelbeek T, Rodriguez R, Velic E, Schwartzkopf-Phifer K. Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors. Int J Sports Phys Ther. 2023 Apr 1;18(2):439-449. doi: 10.26603/001c.73319. eCollection 2023.

    PubMed 37020451
  • Plisky P, Schwartkopf-Phifer K, Huebner B, Garner MB, Bullock G. Systematic Review and Meta-Analysis of the Y-Balance Test Lower Quarter: Reliability, Discriminant Validity, and Predictive Validity. Int J Sports Phys Ther. 2021 Oct 1;16(5):1190-1209. doi: 10.26603/001c.27634. eCollection 2021.

    PubMed 34631241
  • Powden CJ, Dodds TK, Gabriel EH. THE RELIABILITY OF THE STAR EXCURSION BALANCE TEST AND LOWER QUARTER Y-BALANCE TEST IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. Int J Sports Phys Ther. 2019 Sep;14(5):683-694.

    PubMed 31598406
  • Smith E, Hoy DG, Cross M, Vos T, Naghavi M, Buchbinder R, Woolf AD, March L. The global burden of other musculoskeletal disorders: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014 Aug;73(8):1462-9. doi: 10.1136/annrheumdis-2013-204680. Epub 2014 Mar 3.

    PubMed 24590181
  • Taber JM, Leyva B, Persoskie A. Why do people avoid medical care? A qualitative study using national data. J Gen Intern Med. 2015 Mar;30(3):290-7. doi: 10.1007/s11606-014-3089-1. Epub 2014 Nov 12.

    PubMed 25387439
  • Teyhen DS, Rhon DI, Butler RJ, Shaffer SW, Goffar SL, McMillian DJ, Boyles RE, Kiesel KB, Plisky PJ. Association of Physical Inactivity, Weight, Smoking, and Prior Injury on Physical Performance in a Military Setting. J Athl Train. 2016 Nov;51(11):866-875. doi: 10.4085/1062-6050-51.6.02. Epub 2016 Oct 3.

    PubMed 27690529

Questions about this trial

What is this clinical trial studying?

A study testing Exercise in people with Movement Disorders, run by University of Evansville.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 7 May 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Kyle Matsel, DPT, PhD (812 488-5105, km218@evansville.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Symmio Self-Movement Screen (time frame: Baseline, 3 weeks, 6 weeks, and 10 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06268366, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2024; AzTrials last refreshed its copy on 31 Oct 2026.

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