Clinical trial NCT06612112: Trunk Balance and Functional Independence in Individuals With SCI
Official title: Investigation of the Relationship Between Trunk Balance and Trunk Position Sense, Wheelchair Skills and Functional Independence in Individuals With Thoracic Spinal Cord Injury
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Spinal Cord Injury (SCI)
Keywords: Balance
Functional Independence
Trunk Position Sense
Spinal Cord Injury
Wheelchair Ability
Lead sponsor: Afyonkarahisar Health Sciences University
Sponsor class: OTHER
First posted: 2024-09-25
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Individuals with spinal cord injury who are being treated in the Department of Physical Therapy and Rehabilitation at Afyonkarahisar University of Health Sciences Health Application Center and who have thoracic level involvement and can use a manual wheelchair independently.

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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.

Primary outcomes:
measure: Modified Functional Reach Test
timeFrame: Baseline
measure: T-shirt Test
timeFrame: Baseline
measure: The Trunk Control Test
timeFrame: Baseline
Secondary outcomes:
measure: Trunk position sense
timeFrame: Baseline
measure: The Wheelchair Skills Test
timeFrame: Baseline
measure: The Spinal Cord Independence Measure
timeFrame: Baseline
Other outcomes:
measure: Frequency of falls
timeFrame: Baseline
Locations:
city: Afyonkarahisar
country: Turkey
facility: Afyonkarahisar Health Sciences University
state: Merkez
Study officials:
References: