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

2026年6月3日 更新者：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.

研究概览

地位

完全的

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (实际的)

46

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 埃及
    • Giza Governorate
      • Giza、Giza Governorate、埃及、12613
        • Faculty of Physical Therapy Cairo University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

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

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
有源比较器：Control Group
Participants received selected conventional physical therapy program.
其他：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
实验性的：Study Group
Participants received the same selected conventional physical therapy program in addition to Core Stability Training.
其他：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

其他：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 .

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Weight Distribution Symmetry (Wii Balance Board)
大体时间：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)
大体时间：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)
大体时间：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
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Cairo University

调查人员

  • 首席研究员：Mohamed A Fathy, BSc、Cairo University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2025年11月30日

初级完成 (实际的)

2026年3月14日

研究完成 (实际的)

2026年3月29日

研究注册日期

首次提交

2026年6月3日

首先提交符合 QC 标准的

2026年6月3日

首次发布 (实际的)

2026年6月8日

研究记录更新

最后更新发布 (实际的)

2026年6月8日

上次提交的符合 QC 标准的更新

2026年6月3日

最后验证

2026年6月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • P.T.REC\012\006398)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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