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

3. juni 2026 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert 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.

Studietype

Intervensjonell

Registrering (Faktiske)

46

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Control Group
Participants received selected conventional physical therapy program.
Annen: 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
Eksperimentell: Study Group
Participants received the same selected conventional physical therapy program in addition to Core Stability Training.
Annen: 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

Annen: 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 .

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Cairo University

Etterforskere

  • Hovedetterforsker: Mohamed A Fathy, BSc, Cairo University

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

30. november 2025

Primær fullføring (Faktiske)

14. mars 2026

Studiet fullført (Faktiske)

29. mars 2026

Datoer for studieregistrering

Først innsendt

3. juni 2026

Først innsendt som oppfylte QC-kriteriene

3. juni 2026

Først lagt ut (Faktiske)

8. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

8. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • P.T.REC\012\006398)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

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Studerer et amerikansk FDA-regulert medikamentprodukt

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Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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Kliniske studier på Ryggmargsskader (SCI)

Kliniske studier på selected conventional physical therapy program

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