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Effect of Core Stability Training on Trunk Control and Sitting Balance in Patients With Paraplegia

3. juni 2026 opdateret af: Mohamed Ahmed Fathy Mohamed, Cairo University

Effect of Core Stability Training on Trunk Control and Sitting Balance in Patients With Paraplegia: A Randomized Controlled Trial

This study aims to investigate the effect of core stability training on trunk control and sitting balance in patients with paraplegia resulting from incomplete spinal cord injury.

Studieoversigt

Status

Afsluttet

Betingelser

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

Interventionel

Tilmelding (Faktiske)

46

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Egypten
    • Giza Governorate
      • Giza, Giza Governorate, Egypten, 12613
        • Faculty of physical therapy Cairo University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

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

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Control Group
Participants received selected conventional physical therapy program.
Andet: selected conventional physical therapy program

Patients received selected conventional physical therapy program in form of:

  1. Passive and active-assisted ROM exercises for lower limbs
  2. Upper limb strengthening exercises
  3. Conventional trunk training on stable sitting surfaces
  4. Functional sitting balance exercises
  5. Transfer and wheelchair mobility training

Treatment was conducted for about 60 minutes, three sessions per week for eight weeks
Eksperimentel: Study Group
Participants received the same selected conventional physical therapy program in addition to Core Stability Training.
Andet: selected conventional physical therapy program

Patients received selected conventional physical therapy program in form of:

  1. Passive and active-assisted ROM exercises for lower limbs
  2. Upper limb strengthening exercises
  3. Conventional trunk training on stable sitting surfaces
  4. Functional sitting balance exercises
  5. Transfer and wheelchair mobility training

Treatment was conducted for about 60 minutes, three sessions per week for eight weeks

Andet: conventional physical therapy program in addition to Core Stability Training.

The core stability program consisted of progressive trunk stabilization exercises targeting deep trunk muscles. Training included:

  1. Static trunk stabilization exercises
  2. Multidirectional reaching tasks
  3. Anterior, posterior, and lateral weight-shifting activities
  4. Advanced exercises on unstable surfaces
  5. Upper limb activities combined with trunk stabilization

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

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.
Baseline and after 8 weeks
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
Seated Functional Reach Test (SFRT)
Tidsramme: Baseline and after 8 weeks
Assessment of dynamic sitting balance by measuring maximum forward reaching distance while maintaining sitting stability.
Baseline and after 8 weeks
T-shirt Test
Tidsramme: Baseline and after 8 weeks
Functional assessment of dynamic sitting balance and trunk coordination through timed dressing performance while seated.
Baseline and after 8 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Cairo University

Efterforskere

  • Ledende efterforsker: Mohamed A Fathy, BSc, Cairo University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

30. november 2025

Primær færdiggørelse (Faktiske)

14. marts 2026

Studieafslutning (Faktiske)

29. marts 2026

Datoer for studieregistrering

Først indsendt

3. juni 2026

Først indsendt, der opfyldte QC-kriterier

3. juni 2026

Først opslået (Faktiske)

8. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

8. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

3. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • P.T.REC\012\006398)

Plan for individuelle deltagerdata (IPD)

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Kliniske forsøg med Rygmarvsskader (SCI)

Kliniske forsøg med selected conventional physical therapy program

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