Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries

Study Overview
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Brief Summary
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The purpose of the study is to determine the effects of the addition of core stabilization exercises to a traditional upper extremity rehabilitation program in upper extremity injuries.

Detailed Description
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Abnormal movement patterns are one of the most challenging problems during rehabilitation of the patients with upper extremity injuries. They usually decrease the functional status of the upper extremity and prevent isolated muscle activations. Dysfunction of the kinetic chain system plays an important role in the development of these movement patterns. Thus, multi-segmental rehabilitation strategies has recently gained considerable importance in upper extremity rehabilitation. Core stabilization is one of the most popular rehabilitation approaches preferred to enhance functional stability of the kinetic chain system and dynamic postural alignment during activities. The purpose of this study is to determine the effects of core stabilization approach on functional status of the upper extremity and the amount of abnormal movement patterns. In addition, the factors affecting the abnormal movement patterns will be determined.

Official Title
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Does Core Stabilization Enhance Neuromuscular Control and Functional Status of the Upper Extremity?

Conditions
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Upper Extremity Injuries

Intervention / Treatment
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* Other: Core Stabilization
* Other: Traditional upper extremity rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Traumatic distal segment injuries (elbow and wrist) Patients in their subacute stage. Exclusion Criteria: Multiple joint problems Bilateral extremity problems Reflex sympathetic dystrophy Trunk and lower extremity problems Non-union fractures Malignant ans systemic diseases

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stabilization Group<br>A core stabilization plus traditional upper extremity rehabilitation approach was performed. | Other: Core Stabilization<br>* A 6-week (3 days a week) exercise intervention including progressive core exercises was performed.<br>Other: Traditional upper extremity rehabilitation<br>* A 6-week (3 days a week) exercise intervention of the injured joint based on the recovery process was performed.<br>|
| Active Comparator: Control Group<br>A traditional upper extremity rehabilitation-only approach was performed. | Other: Traditional upper extremity rehabilitation<br>* A 6-week (3 days a week) exercise intervention of the injured joint based on the recovery process was performed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Upper extremity functional status | Pain Range of motion Endurance Fatigue severity DASH | 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measurement of abnormal movement patterns | Video analysis during two daily living activities (hand to mouth and opening doorknob) was recorded for both injured and uninjured extremity before and after the intervention. | 1 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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core stabilization, upper extremity, kinetic chain, movement