Upper Extremity Plyometric Versus Resistance Exercises to Enhance Trunk Balance in Children With Spina Bifida: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- Trunk Control Measurement Scale (TCMS)
研究概览
简要总结
Objective: To compare the efficacy of upper extremity plyometric and resistance exercises in improving trunk balance in children with Spina Bifida (SB).
Methods: This randomized controlled trial (RCT) enrolled 28 children (aged 6-12 years) with lumbar-level SB, randomized to plyometric (n=14) or resistance (n=14) exercise groups for an 8-week intervention (3 days/week) alongside standard rehabilitation. Primary outcomes included Trunk Control Measurement Scale (TCMS) for static/dynamic sitting and reaching, and Pediatric Balance Scale (PBS) for overall balance. Secondary outcomes included ambulation levels via Hoffer classification.
详细描述
Objective
To compare the effectiveness of upper extremity plyometric versus resistance exercises in enhancing trunk balance among children with lumbar-level Spina Bifida (SB).
Methods:
This randomized controlled trial included 28 children (aged 6-12 years) diagnosed with lumbar-level SB. Participants were randomly assigned to either a plyometric exercise group (n = 14) or a resistance exercise group (n = 14). Both groups received an 8-week intervention (three sessions per week) in addition to their standard rehabilitation programs.
Primary outcomes were assessed using the Trunk Control Measurement Scale (TCMS)-evaluating static sitting, dynamic sitting, and reaching control-and the Pediatric Balance Scale (PBS) to assess overall balance capabilities. Secondary outcomes included ambulation status, measured using the Hoffer classification.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 6 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The study included children diagnosed with lumbar-level Spina Bifida,
- •Aged 6 to 15 years,
- •IQ of 50 or higher based on the SPARCLE cognitive assessment
排除标准
- •History of shunt infection or revision,
- •Tethered cord syndrome or syringomyelia,
- •Insufficient sitting balance,
- •Upper extremity spasticity or contractures,
- •Severe visual or hearing impairments
结局指标
主要结局
Trunk Control Measurement Scale (TCMS)
时间窗: Day 1, right before starting treatment and right after finishing the treatment (4 weeks). using questionary scores
It measures both static and dynamic trunk control, including selective motor control and dynamic reaching abilities. The total TCMS score ranges from 0 to 58 points. Higher scores on the TCMS indicate better trunk control and function.
Pediatric Balance Scale (PBS)
时间窗: Day 1, right before starting treatment and right after finishing the treatment (4 weeks). using questionarry scores
It is a reliable and valid clinical tool designed to assess functional balance in children aged 5 to 15 years with mild to moderate balance impairments. It is a modified version of the Berg Balance Scale tailored specifically for pediatric use, focusing on balance performance during daily functional tasks. The PBS consists of 14 items, each scored on a 5-point scale from 0 to 4: The total PBS score ranges from 0 to 56 points (14 items x 4 points each). Higher scores indicate better functional balance and motor performance.
次要结局
未报告次要终点
研究者
Ozgur Surenkok
Assit.Professor
Okan University