The Effects of Clinical Pilates Training on Balance and Walking in Lower Limb Prosthesis Users
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Gait analyses
研究概览
简要总结
Studies have shown that Pilates exercises are one of the exercises that can improve breathing capacity, coordination, balance, flexibility, and muscular endurance. Pilates exercises improve walking and balance, reduce back pain and prevent further pain or injury. These are all common problems for people who have undergone lower extremity amputation. The aim of our study is to improve the pelvis-trunk coordination, gait symmetry, and balance on individuals who have undergone amputation and also to increase body awareness.
详细描述
The patients will be randomly assigned to two groups. Clinical Pilates (CP) and Classic Physiotherapy (CF). Two groups will be Transfemoral and Transtibial amputees, one CP, and the other CF. Groups will be treated for a period of 12 weeks. The assessment will be made before the treatment and after 12 weeks. Patients will practise exercises 3 times a week, one time in clinics with a physiotherapist and 2 times as home exercise.
In the clinical Pilates group, exercises that improve back extensor, trunk flexor, and pelvis stabilization will be applied along with breathing exercises. The classic group consists of straight leg raising, back extensors strengthening, abdominal strengthening exercises.
Gait spatiotemporal parameters, balance, fall risk and mobility, functional capacity, core muscle endurance, and strength, the pain will be evaluated. Quality of life, body image, and also prosthesis satisfaction will be evaluated.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be a Volunteer,
- •Being at least 6 months after amputation,
- •Having no problems related to prostheses,
- •Using a hydraulic, pneumatic, or microprocessor knee joint type,
- •According to the functional classification of amputees, individuals at the K3-K4 level,
- •Individuals with unilateral transtibial, unilateral transfemoral amputation
排除标准
- •Users using assistive devices,
- •Those with bilateral amputation,
- •Those having contractures,
- •Those with acute low back pain,
- •Spine and lower extremity involvement due to systemic inflammation (rheumatoid arthritis, spondyloarthropathy, etc.),
- •Systemic neurological disease (Multiple sclerosis, Alzheimer's, etc.),
- •Patients with other diseases that prevent mobilization (vertigo, cerebellar ataxia, etc.).
结局指标
主要结局
Gait analyses
时间窗: 10 Minutes
Basic gait parameters include walking speed, step length and cadence will be evaluated.
次要结局
- Berg Balance Scale(20 minutes)
- SF-36 (Short Form 36)(5-10 minutes)
- The tandem walk test (TWT)(1 minute)
- Core muscle endurance test(1-3 minutes)
- Six Minute Walk Test(6 minutes)
研究者
Albina Alikaj
Principal Investigator
Medipol University