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
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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Giza Governorate
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Giza, Giza Governorate, Egypten, 12613
- Faculty of physical therapy cairo university
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
Tar emot friska volontärer
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: 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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Experimentell: 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 . |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Weight Distribution Symmetry (Wii Balance Board)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Mohamed A Fathy, BSc, Cairo University
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- P.T.REC\012\006398)
Plan för individuella deltagardata (IPD)
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