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
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Status
Condições
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Giza Governorate
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Giza, Giza Governorate, Egito, 12613
- Faculty of physical therapy Cairo University
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Comparador Ativo: Control Group
Participants received selected conventional physical therapy program.
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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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Experimental: Study Group
Participants received the same selected conventional physical therapy program in addition to Core Stability Training.
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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 . |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Weight Distribution Symmetry (Wii Balance Board)
Prazo: Baseline and after 8 weeks
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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)
Prazo: Baseline and after 8 weeks
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Assessment of trunk control through evaluation of static sitting balance, dynamic sitting balance, and trunk coordination.
Higher scores indicate better trunk performance.
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Baseline and after 8 weeks
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Seated Functional Reach Test (SFRT)
Prazo: 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
Prazo: 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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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Mohamed A Fathy, BSc, Cairo University
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- P.T.REC\012\006398)
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