- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07590557
Plyometrics for Strength and Function After Pediatric Burns
Rebuilding Capacity With Plyometrics: A Novel and Potent Stimulus for Strength and Power, and Functional Performance in Pediatric Post-Burn Population
연구 개요
상태
상세 설명
This two-arm, parallel-group, single-blind randomized controlled trial included 62 pediatric burn survivors aged 10-18 years with severe burns involving ≥30% total body surface area and lower-limb involvement. Participants were recruited 6-12 months after hospital discharge and randomly allocated in a 1:1 ratio to either plyometric training or standard exercise.
Both groups received supervised exercise twice weekly for 12 weeks. The experimental group completed progressive plyometric exercises designed to enhance lower-extremity explosive power and dynamic functional mobility. The control group received standard post-discharge rehabilitation focused on flexibility, aerobic conditioning, mobility, and basic strengthening. Outcomes were assessed at baseline and immediately after the 12-week intervention by blinded assessors.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Al Kharj, 사우디 아라비아
- Prince Sattam Bin Abdulaziz University
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참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Children and adolescents aged 10-18 years at the time of enrolment.
- History of severe burn injury involving ≥30% total body surface area (TBSA), with lower-extremity involvement.
- Between 6 and 12 months post-hospital discharge.
- Ability to understand study instructions and safely perform the prescribed exercise program.
Exclusion Criteria:
- Pre-existing neurological or musculoskeletal disorders that may affect lower-limb function or study outcomes.
- Severe lower-limb joint contracture limiting functional movement.
- Cognitive impairment preventing understanding of instructions or reliable participation.
- Participation in another structured exercise, rehabilitation, or physical therapy program outside the study protocol during the trial period.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Plyometric Training Group
Participants received a 12-week supervised plyometric training program, twice weekly, with each session lasting 45 minutes.
Sessions included dynamic warm-up, progressive plyometric exercises targeting vertical and horizontal force production, and cool-down.
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Participants in the plyometric training group will receive a 12-week supervised program, with each session lasting 45 minutes and designed to improve lower-extremity explosive power and dynamic functional mobility.
Sessions will include a 5-minute dynamic warm-up, 35 minutes of progressive plyometric exercises targeting vertical and horizontal force production, and a 5-minute cool-down.
Training will be individually supervised with safety measures including shock-absorbing flooring, cushioned footwear, technique monitoring, and standardized rest intervals.
다른 이름들:
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활성 비교기: Standard Exercise Group
Participants received a 12-week supervised standard exercise program, twice weekly, with each session lasting 45 minutes.
Sessions focused on flexibility, aerobic conditioning, mobility, and basic lower-limb strengthening.
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Participants in the control group will receive a 12-week supervised program, with each session lasting 45 minutes post-discharge burn rehabilitation program focusing on mobility, flexibility, aerobic conditioning, and basic lower-limb strengthening.
Sessions will include warm-up, stretching, moderate-intensity aerobic exercise at 50-70% of age-predicted maximum heart rate, strengthening exercises, and cool-down, with progression based on participant tolerance.
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Lower-Limb Muscle Strength
기간: pre-intervention (Week 0)
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Quadriceps and hamstring strength will be assessed using an isokinetic dynamometer.
After standardized positioning, stabilization, warm-up, and familiarization, participants will perform five maximal reciprocal knee extension/flexion repetitions.
The highest peak torque value (Nm) for hamstrings and quadriceps will be recorded.
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pre-intervention (Week 0)
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Lower-Limb Muscle Strength
기간: immediately post-intervention (Week 12)
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Quadriceps and hamstring strength will be assessed using an isokinetic dynamometer.
After standardized positioning, stabilization, warm-up, and familiarization, participants will perform five maximal reciprocal knee extension/flexion repetitions.
The highest peak torque value (Nm) for hamstrings and quadriceps will be recorded.
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immediately post-intervention (Week 12)
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Vertical Jump Height
기간: pre-intervention (Week 0)
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Vertical Jump Test: Lower-limb explosive power will be assessed using a vertical jump performed on a force plate.
Participants will jump maximally with hands on hips to minimize arm contribution, completing three trials with 60 seconds of rest between trials.
The highest jump height will be recorded in centimeters.
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pre-intervention (Week 0)
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Vertical Jump Height
기간: immediately post-intervention (Week 12)
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Vertical Jump Test: Lower-limb explosive power will be assessed using a vertical jump performed on a force plate.
Participants will jump maximally with hands on hips to minimize arm contribution, completing three trials with 60 seconds of rest between trials.
The highest jump height will be recorded in centimeters.
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immediately post-intervention (Week 12)
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Broad Jump Distance
기간: pre-intervention (Week 0)
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Horizontal lower-limb power and dynamic leg strength will be assessed using the broad jump test.
Participants will perform three maximal two-footed forward jumps from a marked starting line, with 60 seconds of rest between trials.
The longest distance, measured from the starting line to the rearmost landing point, will be recorded in centimeters.
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pre-intervention (Week 0)
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Broad Jump Distance
기간: immediately post-intervention (Week 12)
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Horizontal lower-limb power and dynamic leg strength will be assessed using the broad jump test.
Participants will perform three maximal two-footed forward jumps from a marked starting line, with 60 seconds of rest between trials.
The longest distance, measured from the starting line to the rearmost landing point, will be recorded in centimeters.
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immediately post-intervention (Week 12)
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Reactive Strength Index
기간: pre-intervention (Week 0)
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Reactive strength will be assessed using a drop jump from a 30-cm box onto a force plate.
Three trials will be performed with 60 seconds of rest, and the highest reactive strength index value, calculated as jump height divided by ground contact time, will be recorded.
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pre-intervention (Week 0)
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Reactive Strength Index
기간: immediately post-intervention (Week 12)
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Reactive strength will be assessed using a drop jump from a 30-cm box onto a force plate.
Three trials will be performed with 60 seconds of rest, and the highest reactive strength index value, calculated as jump height divided by ground contact time, will be recorded.
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immediately post-intervention (Week 12)
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Lower Extremity Functional Scale Score
기간: pre-intervention (Week 0)
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Lower-limb functional ability will be assessed using the 20-item Lower Extremity Functional Scale, which evaluates perceived difficulty in activities such as walking, running, stair climbing, and squatting.
Each item is scored from 0 to 4, with a total score ranging from 0 to 80. Higher scores indicate better functional capacity.
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pre-intervention (Week 0)
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Lower Extremity Functional Scale Score
기간: immediately post-intervention (Week 12)
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Lower-limb functional ability will be assessed using the 20-item Lower Extremity Functional Scale, which evaluates perceived difficulty in activities such as walking, running, stair climbing, and squatting.
Each item is scored from 0 to 4, with a total score ranging from 0 to 80. Higher scores indicate better functional capacity.
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immediately post-intervention (Week 12)
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Six-Minute Walk Test Distance
기간: pre-intervention (Week 0)
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Functional exercise capacity will be assessed using the Six-Minute Walk Test performed along a 30-meter indoor corridor according to standardized guidelines.
Participants will be instructed to walk as far as possible, without running, within six minutes, and the total distance covered will be recorded in meters.
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pre-intervention (Week 0)
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Six-Minute Walk Test Distance
기간: immediately post-intervention (Week 12)
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Functional exercise capacity will be assessed using the Six-Minute Walk Test performed along a 30-meter indoor corridor according to standardized guidelines.
Participants will be instructed to walk as far as possible, without running, within six minutes, and the total distance covered will be recorded in meters.
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immediately post-intervention (Week 12)
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Timed Up and Down Stairs Performance
기간: pre-intervention (Week 0)
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Lower-limb power, agility, and dynamic balance will be assessed using the Timed Up and Down Stairs test.
Participants will ascend and descend 10 standard stairs as quickly and safely as possible, with two trials performed and the fastest time recorded in seconds.
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pre-intervention (Week 0)
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Timed Up and Down Stairs Performance
기간: immediately post-intervention (Week 12)
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Lower-limb power, agility, and dynamic balance will be assessed using the Timed Up and Down Stairs test.
Participants will ascend and descend 10 standard stairs as quickly and safely as possible, with two trials performed and the fastest time recorded in seconds.
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immediately post-intervention (Week 12)
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4×10-Meter Shuttle Run Time
기간: pre-intervention (Week 0)
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Agility and speed will be assessed using the 4×10-meter shuttle run test.
Participants will run back and forth between two cones placed 10 meters apart, completing four 10-meter segments for a total distance of 40 meters.
Two trials will be performed, and the fastest completion time will be recorded in seconds.
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pre-intervention (Week 0)
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4×10-Meter Shuttle Run Time
기간: immediately post-intervention (Week 12)
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Agility and speed will be assessed using the 4×10-meter shuttle run test.
Participants will run back and forth between two cones placed 10 meters apart, completing four 10-meter segments for a total distance of 40 meters.
Two trials will be performed, and the fastest completion time will be recorded in seconds.
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immediately post-intervention (Week 12)
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Figure-of-8 Walk/Run Test Time
기간: pre-intervention (Week 0)
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Dynamic balance, agility, and coordination will be assessed using the Figure-of-8 Walk/Run Test.
Participants will complete two full loops around two cones placed 5 meters apart as quickly as possible.
Two trials will be performed, and the fastest completion time will be recorded in seconds.
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pre-intervention (Week 0)
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Figure-of-8 Walk/Run Test Time
기간: immediately post-intervention (Week 12)
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Dynamic balance, agility, and coordination will be assessed using the Figure-of-8 Walk/Run Test.
Participants will complete two full loops around two cones placed 5 meters apart as quickly as possible.
Two trials will be performed, and the fastest completion time will be recorded in seconds.
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immediately post-intervention (Week 12)
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공동 작업자 및 조사자
수사관
- 연구 책임자: Maged A Basha, PhD, Qassim University
간행물 및 유용한 링크
일반 간행물
- Rivas E, Herndon DN, Cambiaso-Daniel J, Rontoyanni VG, Porter C, Glover S, Suman OE. Quantification of an Exercise Rehabilitation Program for Severely Burned Children: The Standard of Care at Shriners Hospitals for Children(R)-Galveston. J Burn Care Res. 2018 Oct 23;39(6):889-896. doi: 10.1093/jbcr/iry001.
- Neriamparambil AJ, Sawhney R, Wong WL. Evidence-Based Management of Burns: A Narrative Review of Evolving Practices. Eur Burn J. 2025 Nov 10;6(4):59. doi: 10.3390/ebj6040059.
- Elnaggar RK, Osailan AM, Alsubaie SF, Moawd SA, Abd El-Nabie WA. Graded aerobic exercise (GAEx): An effective exercise regimen to improve cardio-respiratory fitness and physical and psychosocial functioning in children with burn sequelae of the chest. Burns. 2022 Mar;48(2):337-344. doi: 10.1016/j.burns.2021.05.004. Epub 2021 May 13.
- Knuth CM, Auger C, Jeschke MG. Burn-induced hypermetabolism and skeletal muscle dysfunction. Am J Physiol Cell Physiol. 2021 Jul 1;321(1):C58-C71. doi: 10.1152/ajpcell.00106.2021. Epub 2021 Apr 28.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- 2024-RHPT-017
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
IPD 공유 기간
IPD 공유 액세스 기준
IPD 공유 지원 정보 유형
- 연구_프로토콜
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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