Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Amputes.
Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Transtibial and Transfemoral Amputes.
With the onset of prosthesis use following lower extremity amputations,body shows biomechanical changes according to the amputation level and consequently develops adaptation mechanisms both on the healthy and ampute side. Adaptations in the lumbo-pelvic and lower lumbar regions cause asymmetries in the muscle tissue by causing changes in the morphological structure of the muscle, especially in the muscles of the waist, hip and knee and recruitment.
The aim of this study is to investigate the effect of stairing up and down activity on the mechanical properties of lumbal paravertebral muscles in TFA and TTA and its relation with lower lumbar region pain.
調査の概要
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
-
Istanbul、七面鳥、34000
- Yasar Tatar
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- to be TTA and TFA
- No complaints of chronic low back pain before amputation
- Using prosthesis for at least 6 months
- Being able to climb up and down stairs
- No history of falls that will cause injury or pain in the past 6 months
- Having good prosthesis comfort
- BMI<28.5
- Who can have cognitive functions to understand Arabic language
Exclusion Criteria:
- To be amputated due to congenital and tumor
- Who can not have cognitive functions to understand Arabic language
- Having orthopedic or neurological disorders that may cause chronic pain or functional impairment in the lumbar region
- Ankylosing spondolitis and rheumatoid arthritis patients
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Group 1
Transtibial amputation The patients will be asked to go up and down 9-step stair with the highest speed they can make. |
The patients will be asked to go up and down 9-step stair with the highest speed they can make.
|
|
Group 2
Transfemoral amputation The patients will be asked to go up and down 9-step stair with the highest speed they can make. |
The patients will be asked to go up and down 9-step stair with the highest speed they can make.
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Evaluation of the mechanical properties of the muscle-1
時間枠:Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
Viscoelastic stiffness [N/m] will be measured in MyotonPro 3 (MYO, Tallin, Estonia
|
Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
|
Evaluation of the mechanical properties of the muscle-2
時間枠:Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
Oscillation frequency (Hz) will be measured in MyotonPro 3 (MYO, Tallin, Estonia
|
Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
|
Evaluation of the mechanical properties of the muscle-3
時間枠:Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
Mechanical stiffness (N/m) will be measured in MyotonPro 3 (MYO, Tallin, Estonia
|
Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
|
Evaluation of the back pain
時間枠:Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
Pain will be evaluated by using Visual analog scale ranging 0 (no pain)- 10 (worst pain)
|
Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
|
Evaluation of the pressure-pain threshold
時間枠:Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
The pressure-pain threshold (lbs) will be measured in algometer commander (JTECH MEDICAL, MM036_K, 2016)
|
Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
|
協力者と研究者
スポンサー
出版物と役立つリンク
一般刊行物
- Kelly-Martin R, Doughty L, Garkavi M, Wasserman JB. Reliability of modified adheremeter and digital pressure algometer in measuring normal abdominal tissue and C-section scars. J Bodyw Mov Ther. 2018 Oct;22(4):972-979. doi: 10.1016/j.jbmt.2018.02.017. Epub 2018 Feb 17.
- Devan H, Hendrick P, Ribeiro DC, Hale LA, Carman A. Asymmetrical movements of the lumbopelvic region: is this a potential mechanism for low back pain in people with lower limb amputation? Med Hypotheses. 2014 Jan;82(1):77-85. doi: 10.1016/j.mehy.2013.11.012. Epub 2013 Nov 16.
- Hendershot BD, Bazrgari B, Nussbaum MA. Persons with unilateral lower-limb amputation have altered and asymmetric trunk mechanical and neuromuscular behaviors estimated using multidirectional trunk perturbations. J Biomech. 2013 Jul 26;46(11):1907-12. doi: 10.1016/j.jbiomech.2013.04.018. Epub 2013 May 29.
- Highsmith MJ, Kahle JT, Kaluf B, Miro RM, Mengelkoch LJ, Klenow TD. PSYCHOMETRIC EVALUATION OF THE HILL ASSESSMENT INDEX (HAI) AND STAIR ASSESSMENT INDEX (SAI) IN HIGH-FUNCTIONING TRANSFEMORAL AMPUTEES. Technol Innov. 2016 Sep;18(2-3):193-201. doi: 10.21300/18.2-3.2016.193.
- Hu X, Lei D, Li L, Leng Y, Yu Q, Wei X, Lo WLA. Quantifying paraspinal muscle tone and stiffness in young adults with chronic low back pain: a reliability study. Sci Rep. 2018 Sep 25;8(1):14343. doi: 10.1038/s41598-018-32418-x.
- Michaud SB, Gard SA, Childress DS. A preliminary investigation of pelvic obliquity patterns during gait in persons with transtibial and transfemoral amputation. J Rehabil Res Dev. 2000 Jan-Feb;37(1):1-10.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 09.2019.969
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。