Effect of Sensorimotor Training Exercise After Lower Extremity Burns, Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Balance assessment
研究概览
简要总结
Burn injury affects dermal tissue which contains sensory neurones that contribute to the conscious and automatic feedback systems which in turn, control balance and coordination. Impediments arising from lower limb burn injuries are similar to those observed in other populations suffering lower limb disease or pathology and further, these complications cause balance dysfunction. Balance and mobility are complex bodily functions integral to discharge disposition, social function and quality of life. Therefore, to guide recovery accurately and facilitate rehabilitation after LLBI, multi-factorial assessment is required.
详细描述
Burns to the lower limbs can cause pain, scar tissue contracture, impaired sensation, muscle weakness and postural imbalance are all potential complications of lower limb burn injury (LLBI) which negatively influence a person's ability to function normally
Sensorimotor training is a special form of proprioceptive and balance exercise that was designed for management of patients with chronic musculoskeletal pain syndromes. It is based on the concept that instead of emphasizing the isolated strength of a group of muscles around a joint, we should realize the importance of the central nervous system in regulating movement in order to reach proper firing patterns for maintaining joint stability.
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 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of thermal burn injuries at the lower extremities.
- •Total body surface area burned approximately from 40 to 50%.
- •Patients age: 20 to 50 years.
排除标准
- •Cognitive or mentality dysfunctions.
- •Psychiatric conditions.
- •Fractures.
- •Pregnancy.
- •Severe vascular complications.
研究组 & 干预措施
sensorimotor training program group
participants will receive Sensorimotor training exercise plus conventional physical therapy program of exercise.
干预措施: sensorimotor training exercise (Other)
sensorimotor training program group
participants will receive Sensorimotor training exercise plus conventional physical therapy program of exercise.
干预措施: conventional physical therapy program of exercise. (Other)
Control group
participants will receive conventional physical therapy program of exercise.
干预措施: conventional physical therapy program of exercise. (Other)
结局指标
主要结局
Balance assessment
时间窗: 2 months
The Berg balance scale includes 14 items with scores from 0 to 4. A score of 0 represents the inability to do the task, while a score of 4 represents the ability to do the task completely, according to the assigned criteria, with 56 indicates the total score.
Stability assessment
时间窗: 2 months
Biodex balance scale (Biodex medical systems Inc, Shirley, New York, USA), will be used for balance assessment. Anteroposterior stability index, mediolateral stability index, and overall stability index will be used to assess fluctuations around the zero point representing standard deviations rather than around a group mean.
次要结局
- Mobility assessment(2 months)
- Muscle Torque assessment(2 months)
- Quality of life (36-Item Short Form Health Survey (SF-36).(2 months)
研究者
Nesma Morgan Allam
Assistant Professor of physical therapy for surgery, Faculty of physical therapy
Cairo University
