Enhancing Balance and Mobility in Incomplete Spinal Cord Injury With an Overground Gait Trainer
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spinal Cord Injuries
- Sponsor
- Ankara City Hospital Bilkent
- Enrollment
- 5
- Locations
- 1
- Primary Endpoint
- Berg Balance Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this clinical trial is to compare the effects of balance therapy with an overground gait trainer in incomplete spinal cord injury (SCI). The main questions it aims to answer are:
- Is balance therapy with an overground gait trainer effective in improving functional ambulation in SCI?
- Is balance therapy with an overground gait trainer effective in enhancing Activities of Daily Living in SCI?
Participants treated with either:
• Overground gait trainer along with conventional exercise therapy
Detailed Description
Background: Spinal Cord Injury (SCI) and similar pathologies not only negatively affect a person's ability to walk but also have adverse effects on their participation in social, vocational, and recreational activities. The correction of walking impairments resulting from SCI is one of the most important goals of rehabilitation, as it is essential for a person's social and vocational integration. When considering balance function, the use of challenging balance and walking exercises at an adequate level is necessary to trigger motor learning. Ensuring the patient's safety is the primary priority when using advanced balance and walking exercises based on the patient's current condition. In this study, Andago V2.0 (Hocoma AG, Volketswil, Switzerland) has been preferred for ensuring safety by adapting to patient movements. The main objective of the study was to assess the impact of Andago on balance in patients with motor incomplete SCI. The secondary aim was to evaluate its influence on quality of life and independence. Methods: The study included five participants who were over 18 years of age and had experienced a spinal injury within the past year. These participants were classified as AIS D (American Spinal Injury Association Impairment Scale). Patients underwent eight-week treatment, with walking and balance exercises on Andago performed three days a week. In addition, conventional in-bed exercises, including stretching, strengthening, and mobility exercises, were administered for 40 minutes, two days a week. Modified Borg Scale (MBS), Ten-Meter Walking Test (10MWT), Timed Up and Go Test (TUG), Walking Index in Spinal Cord Injury II (WISCI II), Berg Balance Scale (BBS), Visual Analogue Scale (VAS) for fear of falling, Spinal Cord Independence Measure (SCIM III), World Health Organization Quality of Life Scale-Short Form (WHOQOL - BREF) were used for evaluation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Spinal Cord Injured below T4
- •Time from injury \< 1 year
- •D level on AIS (American Spinal Injury Association Impairment Scale)
- •Patients with spinal stabilization
Exclusion Criteria
- •Osteoporosis
- •An implanted electronic device
- •other neurological diseases
- •Cardio-pulmonary diseases
- •Orthopedic diseases
Outcomes
Primary Outcomes
Berg Balance Scale
Time Frame: 11 months
Berg Balance Scale for balance assessment
Secondary Outcomes
- Ten-Meter Walking Test(11 months)
- Walking Index in Spinal Cord Injury II(11 months)
- Visual Analogue Scale(11 months)
- Timed Up and Go Test(11 months)
- World Health Organization Quality of Life Scale-Short Form (WHOQOL - BREF)(11 months)
- Modified Borg Scale(11 months)
- Spinal Cord Independence Measure (SCIM III)(11 months)