Comparative Study of Functional Reaching Activities versus Proprioceptive Neuromuscular Facilitation Techniques on Sitting Balance in Individuals with Paraplegia
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Sitting Balance Measure scale (SBM)
研究概览
简要总结
The eligibility of the participants will be taken on the basis of the inclusion criteria of this research study. The informed consent will be taken from 30 subjects that will be selected according to the inclusion criteria.
Pre-Test Procedure:- All the patients who will be involved in the study will be given consent form for their willingness to participate in the study.
The demographic data of the patient will be taken on day 1 before starting the treatment intervention.
The Sitting Balance Measure scale (SBM) score will be taken on day 1 before staring the treatment intervention.
Treatment Protocol:-
Group A : Functional Reaching Activities will be performed on 15 subjects. The exercises included tasks that involved moving the upper body over and outside the base of support.
Each exercise had three variations: one each for people with limited, average and very good ability to sit unsupported.
Participant Selection: Patients are included according to inclusion and exclusion criteria of this study
Initial Assessment:
Evaluate baseline sitting balance using standardised assessments(SBS)
Identify specific limitations and challenges in sitting balance.
Intervention Components:
Functional Reaching Activities:
Tailor activities to individual abilities.
Incorporate reaching in multiple directions (anterior and lateral). - Utilize reaching tasks that mimic daily functional movements.
Session Structure: Frequency; and Duration
Warm-up:
Gentle stretching and range of motion exercises for upper body.
Deep breathing exercises to promote relaxation.
Main Activities:
Seated reaching exercises with varying arm trajectories.
Integration of reaching tasks into functional activities (e.g., reaching for objects, transferring items).
Progression:
Gradual increase in the complexity of reaching tasks.
Incorporate dynamic elements, such as reaching while seated on an unstable surface
Group B: Proprioceptive Neuromuscular Facilitation (PNF technique) will be performed on 15 subjects.
Rhythmic initiation: Rhythmic motion of the limb or body through the desired range, starting with passive motion and progressing to active resisted movement.
Combination of isotonic: Rhythmic motion of the limb or body through the desired range, starting with passive motion and progressing to active resisted movement.
Stabilising reversal: Alternating isotonic contractions opposed by enough resistance to prevent motion. The command is a dynamic command (pushes against my hands, or don’t let me push you) and the therapist allows only a very small movement.
Rhythmic stabilisation: Alternating isometric contractions against resistance, no motion intended.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Spinal cord injury (Paraplegia) American Spinal Cord Injury grade C and D Incomplete thoracic level(T6 to T12) Incomplete lumbar level Post-operative spinal surgery Wheelchair dependent more than 50 percent patient Subjects that will be medically and clinically stable after surgery will be taken.
- •Subjects willing to participate in the study.
- •Subjects able to provide verbal and written consent.
排除标准
- •Subjects who have met one of the following criteria will be excluded from the study: Spinal cord injury (cervical) Quadriplegia Quadriparesis Tumour in spinal cord Traumatic brain injury Vestibular disorders Pressure ulcers (buttocks) Participants with recurrent stroke Post-operative renal failure.
结局指标
主要结局
Sitting Balance Measure scale (SBM)
时间窗: 5 weeks
次要结局
- Quality of life(2nd week)
研究者
Tripti Apurva
Mahatma Gandhi University of Medical Sciences and Technology, Jaipur