- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06105398
the Effect of Core Stability on Hand Functions
October 23, 2023 updated by: Gülçe İrem Yalçınkaya
Investigation Of The Effect Of Core Stability On Hand Functions In Patients Undergoing Rotator Cuff Surgery
Determining the factors affecting hand function after upper limb injuries is very important for maintaining independence in daily living activities.
The aim of this study is to determine the relationship between core stability and hand function in patients undergoing rotator cuff surgery and to compare the results with healthy patients of a similar age.
The aim of this study is to determine the relationship between core stability and hand function in patients undergoing artroscopic cuff surgery.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
The shoulder joint is a joint that is open to injuries due to its wide December of movement.
For this reason, it is the most important cause of upper extremity pain.The most common cause of shoulder pain is rotator cuff injuries.Rotator cuff injuries are a painful problem of the shoulder that causes movement restriction, pain and impaired functional activities.
Excessive use of the shoulder occurs as a result of impaired shoulder stability, November, muscle weakness, trauma.
Although the prevalence of rotator cuff ruptures increases with age, they usually start at the age of 40 and the incidence increases by 54% at the age of 60 and by 60- 80% at the age of 80.
It has a prevalence ranging from 20-50% in the general population.
Arthroscopic repair has found widespread use due to the reasons that the protection of the adhesion site of the deltoid November, the diagnosis and treatment of concomitant intra-articular pathologies are easier, adhesions are less common, pain is less and rehabilitation after repair is easier.Core stability is considered very important in terms of biomechanical efficiency because it optimizes force production in all kinds of physical activities, from running to throwing, and minimizes the loads placed on the joints.
However, there is little clarity about exactly what the anatomical and physiological characteristics of the structures that make up core stability are.
However, core stability is defined as the ability to control the position and movement of the trunk on the pelvis to allow optimal production, transfer and control of force and movement to the terminal segment during activities.
Core November muscle activity is best understood as the pre-programmed integration of regional, single-jointed and multi-jointed muscles to provide stability and November muscle activity is best understood as the pre-programmed integration of regional, single-jointed and multi-jointed muscles to produce movement.
This results in the creation of proximal stability for distal mobility, a proximal-to-distal model of force generation, and interactive moments that move and protect the distal joints .
Strong core stabilization minimizes the load on the vertebral column, increases the durability of the peripheral joints and also provides energy transfer to the distal segments.
The relationship between core stability and limb Deceleration performance has been studied in athletes in general.
However, most of the studies have focused on core stability and lower limb relationship.Evaluation of hand function and performance is important in terms of determining the person's skill level in daily life activities and demonstrating the effectiveness of rehabilitation.Hand function can be defined as the capacity of the hand for daily activities in connection with anatomical integrity, mobility, strength, sensation, coordination, age, gender, mental status, illness or trauma, and the condition of other proximal limb joints (shoulder, elbow, wrist).
In order to determine which approaches are more effective in correcting the loss of function that occurs after various injuries and diseases, it is first necessary to have a good understanding of the factors that affect this performance.
Study Type
Observational
Enrollment (Actual)
94
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Denizli, Turkey
- Pamukkale University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Sampling Method
Probability Sample
Study Population
Study group: 47 patients between the ages of 40-75 Control group : 47 healthy adults between the ages of 40-75
Description
Inclusion Criteria:
- - Patients who have had rotator cuff repair done (at least one year ago)
- Non-rerupturants
- Those who have not suffered any other upper limb injuries after surgery
- Those who do not have any chronic diseases that can negatively affect ligament healing
- Those who do not have any spinal and lumbar region pathology
- Those who do not have lower back and back pain
- Those who do not have any neuromuscular diseases
- Those who can be cooperated
Exclusion Criteria For Volunteers:
- Patients who have not had rotator cuff repair
- Those who are recurrent
- Those who have suffered any other upper limb injury after surgery
- Those with any chronic diseases that can negatively affect ligament healing
- Those with any spinal and lumbar region pathology
- Those with lower back and back pain
- Those who have undergone spinal surgery
- Those with any neuromuscular disease
- Those who cannot establish coperation
Exclusion Criteria:
- Patients who did not complete the evaluations and wanted to leave voluntarily were excluded from the study
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Study group
Patients between the ages of 40-75 who had rotator cuff repair at least one year ago at the Orthopedics and Traumatology Clinic of Pamukkale University
|
clinical evaluation tests
|
Control group
healthy adults between the ages of 40-75
|
clinical evaluation tests
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
hand dominance test
Time Frame: 1 year
|
Edinburgh Hand Preference Survey
|
1 year
|
muscle strength test
Time Frame: 1 year
|
Jamar Hand Dynamometer
|
1 year
|
Evaluation of reaction time test
Time Frame: 1 year
|
Nelson hand reaction test
|
1 year
|
upper extremity function test
Time Frame: 1 year
|
Q-DASH Survey
|
1 year
|
hand function test
Time Frame: 1 year
|
Jebsen Taylor Hand Function Test
|
1 year
|
upper extremity balance test
Time Frame: 1 year
|
Upper Extremity Y Balance Test
|
1 year
|
core stabilization test
Time Frame: 1 year
|
Core Stabilization Assessment (trunk flexor, trunk extensor endurance, side plank, double straight leg lowering)
|
1 year
|
Pain scale
Time Frame: 1 year
|
Visual Analog Scale (VAS)
|
1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 25, 2023
Primary Completion (Actual)
October 23, 2023
Study Completion (Estimated)
December 25, 2024
Study Registration Dates
First Submitted
August 7, 2023
First Submitted That Met QC Criteria
October 23, 2023
First Posted (Actual)
October 27, 2023
Study Record Updates
Last Update Posted (Actual)
October 27, 2023
Last Update Submitted That Met QC Criteria
October 23, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pamukkale Universty
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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