The Effect of Electromyography Triggered Electrical Stimulation on Trunk Balance and Muscle Thickness of Multifidus and Erector Spinae Muscles in Patients With Complete Spinal Cord Injury - A Randomised Controlled Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ankara City Hospital Bilkent
- Enrollment
- 15
- Locations
- 2
- Primary Endpoint
- Trunk control test
Study Overview
Brief Summary
The aim of this study was to investigate the effect of electromyography (EMG) triggered electrical stimulation (ES) applied to multifidus and erector spinae muscles on trunk balance in patients with complete thoracic spinal cord injury (SCI).
The fundamental questions that investigators want to answer are as follows:
- [question 1]: "Does multifidus and erector spinae EMG ES improve trunk balance in patients with complete SCI?"
- [question 2]: "Does multifidus and erector spinae EMG ES improve muscle thickness in patients with complete SCI?"
Detailed Description
Spinal cord injury results in loss of sensory and motor function below the level of injury, causing difficulty with unaided sitting and activities of daily living, especially at the thoracic level in SCI patients. The paraspinal muscles that provide trunk balance are weakened in these patients. Methods such as neuromuscular electrical stimulation and EMG ES are used to improve trunk balance and restore muscle function. This study aims to investigate the effect of EMG ES applied to the multifidus and erector spinae muscles on trunk balance in patients with complete thoracic SCI.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •have traumatic SCI and this injury occurred at least 3 months ago,
- •be between the ages of 18 and 65,
- •have a neurological injury level between thoracic 4 and thoracic 12
- •be fully paraplegic according to the American Spinal Cord Injury Association (ASIA) impairment scale
- •be able to sit unsupported in a wheelchair
Exclusion Criteria
- •patients with a diagnosis of heart failure
- •malignancy
- •intracardiac defibrillators
- •open wounds
- •patients using trunk corsets
Outcomes
Primary Outcomes
Trunk control test
Time Frame: Baseline- Week 4
The trunk control test is a useful tool in determining the prognosis of independence in activities of daily living and measuring trunk balance in individuals with spinal cord injury. It was applied to all participants before and after treatment. The test consisted of 3 parts; static control, dynamic control and dynamic control with upper extremity activities.
Modified functional reach test
Time Frame: Baseline- Week 4
The modified functional reach test is a reliable tool to assess sitting reaching in individuals with SCI and to provide immediate feedback to study personnel. It was applied to both groups before and after treatment.
Secondary Outcomes
- Erector spinae muscle thickness(Baseline- Week 4)
Investigators
Handan Elif Nur BAYRAKTAR
Principal Investigator
Ankara City Hospital Bilkent