Investigation of the Relationship Between Trunk Balance and Trunk Position Sense, Wheelchair Skills and Functional Independence in Individuals with Thoracic Spinal Cord Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Modified Functional Reach Test
研究概览
简要总结
This study investigates the relationship between trunk balance, position sense, wheelchair skills, and functional independence in individuals with thoracic spinal cord injury. It aims to understand how these factors interact and influence daily activities and overall quality of life.
详细描述
Sitting balance and wheelchair transfer activities are crucial for non-ambulatory spinal cord injury (SCI) patients to be able to perform activities of daily living. In addition, a comprehensive assessment of trunk balance is recommended in the literature to predict the risk of falls in these patients and to determine their functional independence. However, no study was found in the literature that included only patients with thoracic level involvement in terms of parameters such as trunk balance, fall risk, postural control abilities, functional activity and independence, which are closely related to the level of injury in patients with SCI. There is a need for a comprehensive evaluation of the patient in terms of trunk control and trunk balance, especially after a SCI defined in the thoracic segment of the medulla spinalis. In this study, male and female individuals between the ages of 18-65 years with SCI with thoracic level involvement who continue their routine treatment at the Neurological Rehabilitation Unit of Afyonkarahisar University of Health Sciences Health Application Center Department of Physical Therapy and Rehabilitation will be included. The aim of the study is to examine the relationship between trunk balance, trunk position sense, wheelchair skills and functional independence status of the participants. The findings to be obtained after the study will be analyzed in patients with SCI at the thoracic level.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being diagnosed with traumatic or nontraumatic spinal cord injury,
- •Having a thoracic injury level (T1-T12),
- •At least 6 months have passed since the SKY injury,
- •To have 90 degrees of shoulder flexion and abduction in both upper extremities,
- •Be over 18 years of age,
- •To be able to sit in a wheelchair without support and use a manual wheelchair independently,
- •Volunteering to participate in the study.
排除标准
- •Having a systemic disease,
- •Report a diagnosis of cardiovascular disease,
- •Report musculoskeletal pain or pathology involving the upper extremity,
- •Patients with intracardiac defibrillators,
- •Presence of open wound.
结局指标
主要结局
Modified Functional Reach Test
时间窗: Baseline
The Modified Functional Reach Test (MFRT) is an assessment tool designed to measure an individual\'s stability and balance by evaluating their ability to reach forward while maintaining a standing position. It involves asking the participant to extend their arm forward as far as possible without moving their feet, with the distance recorded in centimeters. This test helps identify fall risk and assess functional balance, particularly in older adults and individuals with balance impairments.
T-shirt Test
时间窗: Baseline
The T-shirt Test is a functional assessment used to evaluate the upper body mobility and coordination of individuals, particularly those with spinal cord injuries or other disabilities. During the test, participants are asked to put on and take off a T-shirt while seated in a wheelchair, which assesses their ability to perform daily activities. It measures aspects such as trunk control, upper limb function, and overall independence, providing insights into the participant\'s ability to manage clothing tasks in real-life situations.
The Trunk Control Test
时间窗: Baseline
The Trunk Control Test (TCT) is an assessment tool used to evaluate trunk stability and control in individuals with spinal cord injury (SCI). It involves tasks that assess the ability to maintain balance while seated and perform movements such as reaching, twisting, and turning. The test typically includes three components: static sitting balance, dynamic reaching, and trunk rotation.
次要结局
- Trunk position sense(Baseline)
- The Wheelchair Skills Test(Baseline)
- The Spinal Cord Independence Measure(Baseline)
研究者
Yunus Emre Kundakçı
Associate Professor
Afyonkarahisar Health Sciences University