Sensory Motor Training on Foot Weight Distribution in Patients With Foot Burn

The Effect of Sensory Motor Training on Foot Weight Distribution and Postural Stability in Patients With Foot Burn

The purpose of the current study is to investigate the effect sensory motor training on foot weight distribution and postural stability in patients with foot burn.

Study Overview

• Status: Active, not recruiting
• Conditions: Burn; Postural Stability
• Intervention / Treatment: Other: Sensory motor training; Other: Traditional physical therapy

Detailed Description

Pain, contractures, scars, altered sensations, muscle weakness, and postural balance impairment are potential complications of foot burn that negatively influence a person's ability to function normally and correlate with gait abnormalities like reduced step height and length, along with slower gait speed. These gait disturbances pose significant challenges for burn patients, affecting their mobility and overall quality of life. So, this study aims to understanding how sensory motor training can improve balance, gait, and overall functional mobility is essential for guiding the development of evidence-based rehabilitation protocols tailored to the unique needs of this population.

• Study Type: Interventional
• Enrollment (Actual): 70
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza
    • Cairo, Giza, Egypt, 12611
      • Faculty of Physical Therapy, Cairo University, Egypt.

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients will suffer from foot "planter surface" second degree thermal burn (Partial thickness).
• Patients who have undergone skin grafting and those who have not undergone skin grafting are both eligible for inclusion in the study.
• Patients will begin the training program after complete wound healing.
• Patients will be given their informed consent.

Exclusion Criteria:

• Patients who had an open wound at or near treatment site.
• Patients who had chemical or electrical burn.
• Patients with specific conditions such as musculoskeletal impairments impacting independent walking (e.g., strokes, severe arthritis).
• Uncontrolled cardiovascular or pulmonary diseases.
• Patients with neurological, psychiatric illness, severe behavior or cognitive disorders.
• Metabolic or vascular disease with a neurological component such as diabetes.
• Patients with hearing problems, individuals with otitis media, and patients experiencing nystagmus and visual problems.
• Malignant conditions.
• Uncooperative patients.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Sensory-motor training group; This group will include 35 patients with foot burns. Patients will receive sensorimotor training exercise in addition to a traditional physical therapy program in the form of stretching exercises, strengthening exercises and scar management. Exercises will be applied for 3 times a week for 8 consecutive weeks.	Other: Sensory motor training; Each session will be composed of 10 minutes of warm-up, followed by 50-60 minutes of sensory motor exercises, followed by 5-10 minutes of cool down.; Other: Traditional physical therapy; traditional physical therapy program in form of stretching exercises, strengthening exercises, scar management, and gait training
Active Comparator: Traditional physical therapy group; This group will include 35 patients with foot burns. Patients will receive the traditional physical therapy program only in the form of stretching exercises, strengthening exercises and scar management. Exercises will be applied for 3 times a week for 8 consecutive weeks.	Other: Traditional physical therapy; traditional physical therapy program in form of stretching exercises, strengthening exercises, scar management, and gait training

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Pedoscan system	It will be used to assess the foot weight distribution. Under the guidance of the evaluator, the subjects will stand with bare feet upon a part marked on the platform with eyes closed.	"At baseline and after 8 weeks of intervention"
The biodex balance system	It will be used to assess the postural stability during assessment; participants will stand comfortably on the platform barefoot, with arms at their sides, for 30 seconds.	"At baseline and after 8 weeks of intervention"

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Brief Burn Specific Health Scale-Brief	Its Arabic version will be used to assess the quality of life. The Burn Specific Health Scale-Brief consists of 40 items covering nine domains related to health-related quality of life (HRQL): simple abilities, heat sensitivity, hand function, treatment regimens, work, body image, affect, interpersonal relationships, and sexuality. Responses to each item are scored on a five-point scale ranging from 0 (extremely) to 4 (not at all). Mean scores per domain are assessed, and high scores indicate a good perceived health status	"At baseline and after 8 weeks of intervention"

Collaborators and Investigators

• Sponsor: Shaimaa Mohamed Ahmed Elsayeh

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2024
• Primary Completion (Estimated): November 1, 2024
• Study Completion (Estimated): December 1, 2024

Study Registration Dates

• First Submitted: September 28, 2024
• First Submitted That Met QC Criteria: October 7, 2024
• First Posted (Estimated): October 9, 2024

Study Record Updates

• Last Update Posted (Estimated): October 9, 2024
• Last Update Submitted That Met QC Criteria: October 7, 2024
• Last Verified: October 1, 2024

More Information

Terms related to this study

• Keywords: Postural stability; Sensory motor training; Foot weight distribution; Foot burn
• Additional Relevant MeSH Terms: Wounds and Injuries; Burns
• Other Study ID Numbers: P.T.REC/012/005257

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