Effect of Pilates Exercises on Muscle Strength and Balance After Healed Lower Limb Burns
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 2
- 主要终点
- Lafayette hand-held dynamometer:
研究概览
简要总结
The study will be carried out on 76 patients suffering from lower limb burns with TBSA ranging from 30% to 40%. The patients will be subdivided into two groups of equal number.
Group (A): (The study group) who will receive Pilates exercise in addition to traditional physical therapy programme in the form of stretching and strengthening exercises and deep friction massage for scar management.
Group (B): (The control group) who will receive traditional physical therapy programme only.
详细描述
- subjects: The patients will be subdivided into two groups of equal number.
Group A: (The study group):
This group will be composed of 38 patients with lower limb burns. Patients will receive Pilates exercise in addition to a traditional physical therapy programme in the form of stretching exercises, strengthening exercises and deep friction massage for scar management (3 sessions per week) for 8 weeks.
1.2 Group B: (The control group): This group will be composed of 38 patients with lower limb burns. Patients will receive a traditional physical therapy programme in the form of stretching exercises, strengthening exercises and deep friction massage for scar management (3 sessions per week) for 8 weeks. 2. Equipment:
Therapeutic equipment:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patients were chosen under the following criteria:
- •Patients of both genders participated in this study.
- •The patients' age ranged from 20-40 years old.
- •Patients with lower limb second degree burn (partial thickness of thermal injury).
- •Total burned surface area (TBSA) ranged from 30% to 40% measured by the rule of nine.
- •Patients began the training programme after complete wound healing.
排除标准
- •The current study excluded the following patients:
- •Patients with an open wound at or near the treatment site.
- •Patients with chemical or electrical burns.
- •Patients with inhalation injury.
- •Patients with any limitation in lower limb range of motion.
- •Patients with musculoskeletal disorders or deformities that would impair performance during training and tests.
- •Patients with visual or auditory disorders.
- •Patients with neurological disorders.
- •Patients with psychiatric illness, severe behavior or cognitive disorders.
- •Uncooperative patients.
结局指标
主要结局
Lafayette hand-held dynamometer:
时间窗: 8 weeks
The maximum isometric force of knee flexors and extensors will be measured before and after treatment period using Lafayette HHD. The MIF will be measured through an accommodating isometric "make" test, where participants applied maximal force against the examiner while a steady position was maintained. Participants will perform three, 5 seconds contractions for each muscle group with a 30 second rest after each trial and 5 minutes rest between muscle groups. The average force of the three testing trials will be computed for each muscle. The examiner encourages participants to do their best effort during measurement. Knee extensors and flexors are assessed while participants are in a sitting position, hips and knees 90° flexed. The dynamometer is positioned above the ankle joint, on the anterior aspect of the shank for assessing knee extensors, or on the posterior aspect of the shank for measuring knee flexors.
Berg balance scale:
时间窗: 8 weeks
it consists of 14 items representing functional movements common in everyday life. Some items require that the patient maintain positions of increasing difficulty, from sitting to standing on one leg. Other items evaluate the ability to perform specific tasks, such as reaching forward, turning around and picking up an object from the floor. Scoring is based on the ability to meet certain time or distance requirements and to perform the items independently. Each task is scored on a 5-point scale from 0 to 4, giving a maximum score of 56, which indicates balance ability within the normal range.
次要结局
- Arabic version of Lower extremity functional scale(8 weeks)
研究者
Yasmeen Hamada Lotfy Mohamed
Assistant Lecturer at Department of Surgery and Burn - Faculty of Physical Therapy - Cairo University
Cairo University