Effect of Core Stability Training on Trunk Control and Sitting Balance in Patients With Paraplegia
Effect of Core Stability Training on Trunk Control and Sitting Balance in Patients With Paraplegia: A Randomized Controlled Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This randomized controlled trial was conducted to evaluate the effectiveness of core stability training in improving trunk control and sitting balance in patients with paraplegia due to traumatic incomplete spinal cord injury. Forty-six participants diagnosed with incomplete SCI at neurological levels T6-T12 were randomly assigned into two groups. The study group received core stability training in addition to selected conventional physical therapy, while the control group received the same selected physical therapy program only.
Outcome measures included trunk control assessed by the Trunk Impairment Scale (TIS), sitting balance assessed by the Seated Functional Reach Test (SFRT) and T-shirt Test, and weight-bearing symmetry assessed using the Wii Balance Board (WBB). The study aimed to determine whether adding core stability training could significantly improve trunk control, sitting balance, and weight distribution symmetry in this population.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Giza Governorate
-
Giza, Giza Governorate, Egypten, 12613
- Faculty of Physical Therapy Cairo University
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Patients with traumatic incomplete SCI.
- Neurological level between T6 and T12 according to ASIA classification.
- Age from 25 to 35 years.
- Ability to maintain unsupported sitting.
- Medically stable condition.
- Adequate cognitive ability to follow instructions.
- Duration of injury more than six months.
- Moderate trunk impairment (TIS score 8-14).
- BMI less than 30 kg/m
Exclusion Criteria:
- other neurological disorders affecting balance.
- Uncontrolled cardiovascular conditions.
- Active lumbar or pelvic pressure sores.
- Orthopedic disorders affecting trunk control or sitting balance.
- Severe spasticity interfering with sitting balance
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Aktiv komparator: Control Group
Participants received selected conventional physical therapy program.
|
Patients received selected conventional physical therapy program in form of:
Treatment was conducted for about 60 minutes, three sessions per week for eight weeks |
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Eksperimentel: Study Group
Participants received the same selected conventional physical therapy program in addition to Core Stability Training.
|
Patients received selected conventional physical therapy program in form of:
Treatment was conducted for about 60 minutes, three sessions per week for eight weeks The core stability program consisted of progressive trunk stabilization exercises targeting deep trunk muscles. Training included:
The sessions were divided into 40-45 minutes of selected conventional physical therapy modalities and exercises, followed immediately by 15-20 minutes of progressive Core Stability Training (CST) targeting the deep stabilizing muscles of the trunk . |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Weight Distribution Symmetry (Wii Balance Board)
Tidsramme: Baseline and after 8 weeks
|
Assessment of sitting weight-bearing symmetry using the Wii Balance Board by measuring the percentage of body weight distributed between the right and left sides.
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Baseline and after 8 weeks
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|
Trunk Impairment Scale (TIS)
Tidsramme: Baseline and after 8 weeks
|
Assessment of trunk control through evaluation of static sitting balance, dynamic sitting balance, and trunk coordination.
Higher scores indicate better trunk performance.
|
Baseline and after 8 weeks
|
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Seated Functional Reach Test (SFRT)
Tidsramme: Baseline and after 8 weeks
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Assessment of dynamic sitting balance by measuring maximum forward reaching distance while maintaining sitting stability.
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Baseline and after 8 weeks
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T-shirt Test
Tidsramme: Baseline and after 8 weeks
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Functional assessment of dynamic sitting balance and trunk coordination through timed dressing performance while seated.
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Baseline and after 8 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Mohamed A Fathy, BSc, Cairo University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- P.T.REC\012\006398)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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