Neurodegenerative Spine Diseases. Subacute combined degeneration of spinal cord in diseases classified elsewhere
Conditions
Interventions
Intervention 1: Control group: Participants only receive standard care including education on ergonomic principles and spinal care, light stretching and strengthening exercise program appropriate to p
Sponsors
Kerman University of Medical Sciences
Eligibility
Sex/Gender
All
Age
50 Years to 79 Years
Inclusion criteria
Inclusion criteria: Degenerative spinal disease diagnosed clinically and according to radiologic findings Patients with limited mobility to perform activities according to the WIQ index (Score <45) Aged 50-79 years old Ability to understand and implement intervention instructions BMI equal to or greater than 30 kg/m2 Willingness to participate and signing an informed consent form
Exclusion criteria
Exclusion criteria: Established neuromuscular disease Established psychiatric disorders Diagnosed balance disorders and vertigo History of spinal surgery in the past 6 months Severe or uncontrolled cardiovascular disease, including uncontrolled blood pressure (systolic blood pressure > 180 mmHg or diastolic > 110 mmHg) or uncontrolled diabetes (HbA1c > 8%). Pregnancy or breastfeeding. Use of anticoagulants. Presence of metal implants in the body (except dental implants). Presence of red flags of back pain in patients. Presence of advanced degenerative knee disease Failure to continue training within eight weeks and willingness to withdraw from the study (Dropping) Active rheumatic diseases (such as rheumatoid arthritis, lupus, ankylosing spondylitis) that are not under control
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Walking Impairment Questionnaire (WIQ) Score. Timepoint: Baseline and 8 weeks. Method of measurement: Standardized Walking Impairment Questionnaire (WIQ) questionnaire.;Low Back Pain Intensity. Timepoint: baseline and 8 weeks. Method of measurement: Numerical Rating Scale (NRS).;Health-Related Quality of Life. Timepoint: baseline and 8 weeks. Method of measurement: Short Form-36 questionnaire (SF-36).;6-Minute Walk Test Distance. Timepoint: baseline and 8 weeks. Method of measurement: Measured as total distance walked in meters over 6 minutes on flat 30-meter course.;Two-Stage Treadmill Test Duration. Timepoint: baseline and 8 weeks. Method of measurement: Measured as walking time in seconds during second stage at 3 km/h with 10% incline.;Anthropometric Measures. Timepoint: baseline and 8 weeks. Method of measurement: BMI, waist Circumference, and hip Circumference will be measured by standardized meter and scale.;Body Composition. Timepoint: baseline and 8 weeks. Method of measurement: segmental direct multi-frequency bioelectrical impedance analysis. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactReza Karimabadi
Kerman University of Medical Sciences
Outcome results
None listed