Investigation of the Relationship Between Trunk Position Sense and Muscle Activation, Balance and Quality of Life in Individuals With Transtibial Amputation
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Trunk Position Sense measurement
研究概览
简要总结
This study was planned to examine the relationship between trunk position sense and muscle activation, balance and quality of life in individuals with transtibial amputation. Individuals with unilateral transtibial amputation who have been using prostheses for at least 1 year and volunteered to participate in the study, as well as healthy individuals with similar demographic characteristics will be included in the study. The number of cases considered to be included in the study will be obtained from the statistical analysis of the results of the pilot study to be conducted with 5 individuals, since there is no study on the subject. The power of the study will be determined as 0.80. After determining the number of individuals to be included in the study group, a control group will be formed with the same number of healthy individuals. The study will be terminated when the determined total number of participants is reached. Body position sense, trunk muscle activation, static and dynamic balance performances and quality of life of all individuals will be evaluated. Body position sense of individuals with "Dualer IQ Pro Digital Inclinometer" device, trunk muscle activation with "Delsys Trigno IM wireless surface electromyography (sEMG) system", balance with "Bertec balance platform", balance and functional mobility with "Berg Balance Scale (BDI) ", "Timed Up and Go Test (SKYT)" and "Modified Star Excursion Test (SEBT)" and quality of life will be evaluated with "Trinity Amputation and Prosthesis Experience Scale (TAPES)". As a result of our study, investigators think that it will contribute to the current scientific knowledge about the somatosensory and biomechanical mechanisms underlying the abnormalities that occur in the trunk after transtibial amputation, to determine whether the trunk position sense of individuals with transtibial amputation is affected or not, and to determine the relationship between trunk position sense and muscle activation, balance and quality of life.
详细描述
Amputation is a major trauma that significantly disrupts the biomechanics of the musculoskeletal system, results in serious physical and psychological losses, and affects the quality of life, social and professional life of the individual.
Following lower extremity amputation, somatosensory input, muscle activity, and joint mobility decrease in the amputated part of the extremity.
The ability to maintain postural stability is one of the most important aspects of our daily lives.
While standing, the postural control system adjusts the center of pressure and gathers inputs from the visual, vestibular, and somatosensory systems (i.e. proprioceptive and cutaneous senses) to maintain the center of gravity on the base of support.
The ability to maintain balance is severely impaired following lower extremity amputation.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For Transtibial Amputation Group;
- •Having a traumatic unilateral transtibial amputation,
- •Using prosthesis for at least 1 year,
- •K2 and K3 functional classification according to K level,
- •Between the ages of 18-45,
- •Having received standard physiotherapy methods (prosthesis training),
- •It was determined as individuals who volunteered to participate in the study. For the Healthy Group;
- •Between the ages of 18-45,
- •Having similar demographic characteristics with the individuals in the transtibial amputee group,
- •No neurological and/or orthopedic problems,
- •Individuals who agreed to participate in the study voluntarily.
排除标准
- •For both groups;
- •Having hip, knee or ankle joint limitation,
- •Having muscle shortness that prevents walking and other activities,
- •Having a history of falling in the last 1 year,
- •Body mass index (BMI) >30 kg/m²,
- •Individuals using a walking aid. For the Amputation Group;
- •Having phantom pain,
- •Individuals with any disease or systemic health problem that may affect their gait other than amputation.
结局指标
主要结局
Trunk Position Sense measurement
时间窗: 30 minutes
Thanks to dual-sensor measurement with Dualer IQ Pro Digital Inclinometer, spine evaluations can be made by collecting easy and reliable data. The device is recommended by the American Medical Association (AMA). It is a calibrated device with a 1 degree margin of error, used in the measurement of joint range of motion and position sense in the clinic. It determines the potential difference between the two end heads and converts this potential difference to the corresponding joint angle to measure the range of motion of the spine and limbs without a computer.
次要结局
- Trunk Muscle Activation measurement(30 minutes)
研究者
Semra Topuz
PT, MSC, Clinical Professor
Hacettepe University