Trunk Oriented Exercises Versus Whole-body Vibration for Duchenne Muscular Dystrophy
- Conditions
- Muscular Dystrophy, Duchenne Type
- Interventions
- Other: trunk oriented exerciseOther: whole body vibration
- Registration Number
- NCT05688072
- Lead Sponsor
- Cairo University
- Brief Summary
The abdominal muscles play an important role in stabilizing the trunk and providing postural stability. Children with Duchene muscular dystrophy have weak muscles, which may impair postural adjustments. These postural adjustments are required for gait and dynamic balance during the daily living activities.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description study group (A) trunk oriented exercise - Study group (B) whole body vibration -
- Primary Outcome Measures
Name Time Method abdominal muscle thickness change from base line at 4 weeks. The thickness of four abdominal muscles will be measured with ultrasonography (device type GE Logiq P6) with a frequency of 7.5 MHz. The probe will be placed 2 or 3 cm from the midline, using the umbilicus as a landmark, then will be moved in a semi-circular motion until the deepest image on the screen, the TA, will be visible. To confirm this position and measure the thickness, a skin marker pen will be used. The probe will be then moved in an oblique manner to detect the thickness of the EO, IO, RA, and TA. A large amount of contact gel will be used, and the probe pressure will be adjusted to obtain optimal values of muscle thickness. After image capture, a vertical line will drawn between the superficial and deep aponeurosis to determine muscle thickness.
- Secondary Outcome Measures
Name Time Method balance assessment change from base line at 4 weeks. the Biodex Balance System (BBS) (Biodex medical system, Shirley, New York) will be used for balance assessment.
Before the evaluation procedures all children will be given an explanatory session to be aware about the different test steps, also the support rails and biofeedback display screen will be adjusted for each child to ensure comfort and safety during the test procedure, then each child will be trained 1 min for adaptation to the machine. During the test, children will be instructed to stand on the platform in the most comfortable posture, and maintain their visual level by focusing straight ahead on the monitor. The platform will be unlocked and children will be allowed to adjust their foot placement until a comfortable standing position will be achieved while they simultaneously maintained a moving pointer at the center point on the monitor and children will be encouraged to maintain the moving pointer at the center point throughout the test.
Trial Locations
- Locations (1)
marwa S saleh
🇪🇬Giza, Egypt