The Role of Physiotherapy and Rehabilitation in a Patient Diagnosed With Melorheostosis: A Case Report
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- Pain Assessment
研究概览
简要总结
The aim of this study is to evaluate the effects of a structured physiotherapy and rehabilitation-based exercise program on clinical and functional parameters in a patient diagnosed with melorheostosis.
This study specifically aims to assess the effects of a structured physiotherapy and rehabilitation-based intervention program, including patient education and therapeutic exercise, on lower extremity functional parameters, muscle strength, balance, and quality of life in a patient with melorheostosis.
The main hypotheses:
H0: A structured physiotherapy and rehabilitation-based exercise program has no effect on improvement in clinical and functional evaluation parameters in a patient with melorheostosis.
H1: A structured physiotherapy and rehabilitation-based exercise program leads to improvement in clinical and functional evaluation parameters in a patient with melorheostosis.
详细描述
Melorheostosis is a rare, chronic, and progressive sclerosing bone disorder characterized by cortical bone thickening, pain, joint stiffness, restricted mobility, and functional impairment. Due to its low prevalence, the available literature is limited, and conservative management strategies, particularly physiotherapy interventions, remain insufficiently defined.
A patient diagnosed with melorheostosis who meets the inclusion criteria and is followed by an orthopedic specialist will be included in this prospective single-case study to investigate the effectiveness of a structured physiotherapy and rehabilitation-based exercise program.
The patient, who is under regular physician supervision and willing to participate in the rehabilitation program, will be included in the study. The intervention approach will be based on a non-invasive, exercise-oriented physiotherapy program.
The rehabilitation program will consist of patient education, diaphragmatic breathing training, and a structured exercise program including strength, flexibility, and balance components. The patient will participate in a total of 24 physiotherapy sessions, three days per week, for eight weeks.
Before starting the treatment program, the patient's sociodemographic characteristics, medical history, and disease-related clinical features will be recorded using a structured evaluation form. A baseline clinical evaluation will be performed prior to the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with melorheostosis by a physician.
- •Voluntarily agreeing to participate in the study and providing written informed consent.
- •Being under physician follow-up for the disease.
- •Being 18 years of age or older.
- •Having the cognitive level, communication skills, and physical capacity to perform the planned exercise program.
排除标准
- •Presence of additional systemic, rheumatologic, or metabolic diseases that could affect bone metabolism, other than melorheostosis.
- •Presence of cardiovascular, pulmonary, or neurological disease at a level that may restrict exercising.
- •History of surgical intervention or severe trauma within the last six months.
- •Presence of psychiatric or cognitive disorders that could interfere with evaluation and exercise applications.
- •Failure to continue the 8-week exercise program.
研究组 & 干预措施
Structured Physiotherapy and Rehabilitation Program Group (SPTR-G)
The target population of the study consists of a 24-year-old female case diagnosed with melorheostosis by a relevant physician, who voluntarily meets the inclusion criteria. The study is designed as a single-case report and aims to evaluate the clinical and functional characteristics of the case. The participant is actively working as a physiotherapist in her professional life. Patient will receive patient education in addition to a structured exercise program. The exercise program will include progressive strengthening, flexibility, and balance-based exercises. Patient education will be delivered by targeting topics that encompass all components of the ICF framework. In addition, diaphragmatic breathing will be taught to patients prior to the exercise program.
干预措施: Assigned Interventions (Other)
结局指标
主要结局
Pain Assessment
时间窗: Baseline (Week 0), Post-intervention (Week 8), and Follow-up (Month 6)
The Visual Analog Scale (VAS) was used to evaluate pain intensity. The location and severity of the pain will be questioned. The individual's resting, activity, and nighttime pain levels were evaluated on a 10 cm horizontal line with the extremes of "0: no pain" and "10: unbearable pain". Higher values indicate severe pain. In this study, it is planned to be used to evaluate the pain intensity of the case.
次要结局
- SF-12 Quality of Life Scale(Baseline (Week 0), Week 8, and Month 6.)
- Passive Knee Extension (PKE) Test(Baseline (Week 0), Week 8, and Month 6.)
- Ankle Active Range of Motion(Baseline (Week 0), Week 8, and Month 6.)
- Quadriceps Flexibility / Ely's Test(Baseline (Week 0), Week 8, and Month 6.)
- Gastrocnemius-Soleus Muscle Flexibility Tests(Baseline (Week 0), Week 8, and Month 6.)
- Weight-Bearing Lunge Test - WBLT(Baseline (Week 0), Week 8, and Month 6.)
- Quadriceps Muscle Strength Measurement(Baseline (Week 0), Week 8, and Month 6.)
- Hamstring Muscle Strength Measurement(Baseline (Week 0), Week 8, and Month 6.)
- Hip External Rotator Muscle Strength Measurement(Baseline (Week 0), Week 8, and Month 6.)
- Y-Balance Test(Baseline (Week 0), Week 8, and Month 6.)
- Feiss Line Test(Baseline (Week 0), Week 8, and Month 6.)
- Navicular Drop Test(Baseline (Week 0), Week 8, and Month 6.)