Spinal Cord Injuries
Conditions
Keywords
spinal cord injuries, reformer pilates, home exercise
Brief summary
Paraplegic patients to be included in the study were divided into 2 groups by randomization and it was planned to apply reformer pilates or home exercise programs for 8 weeks. It was aimed to compare upper extremity muscle strengths, Spinal Cord Independence Measure version III (SCIM-III) and the Short Form(36) Health Survey (SF-36) data before and after treatment.
Detailed description
Spinal cord injuries (SCI) are injuries that occur as a result of compression, incision or contusion of the spinal cord, which extends from foramen magnum to cauda equina.These patients experience various complications and organ system damage in the chronic period.Their self-dependence is affected by the level of injury. One of the most important factors affecting the self-dependence of people with SCI is the strength of the upper extremity.Strong upper extremities are needed for independent transfer from bed. SCI patients member of Turkish Spinal Cord Injury Association, according to the criteria for inclusion in the study patient list was created. In accordance with the sample size with the random numbers prepared with a computer program from this list, 18 people were planned to be included in the study. The patients were planned to be randomly divided into the study and control groups.Reformer pilates was planned, suitable for the disabled, with an instructor for the patients in the study group for 8 weeks; A home exercise program with telephone monitoring was planned for the patients in the control group for 8 weeks.It was planned to record the demographic data of the patients (age, gender, occupation, additional disease).It was planned to fill the SF-36 form to measure the quality of life of the patients, SCIM-III forms to evaluate functionally and measure the upper extremity muscle strength with a hand dynamometer. At the end of 8 weeks, the patients were called for an examination, and SF-36, SCIM-III forms were filled and muscle strength was measured, and the comparison was aimed within the group and between the groups.In our study, our aim is to demonstrate the applicability of the reformer pilates program in SCI patients. In addition, to show the effects of home exercise program and reformer pilates programs on upper extremity muscle strength in SCI patients with multiple comparison tests.
Interventions
DEVICEReformer Pilates
Reformer pilates was planned, suitable for the disabled, with an instructor for the patients in the study group for 8 weeks.
OTHERHome Exercise
A home exercise program with telephone monitoring was planned for the patients in the control group for 8 weeks.
Sponsors
Istanbul Physical Medicine Rehabilitation Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Volunteering for study * Lesion level: T2 and below diagnosed with SCI * Lesion duration over 2 years * Ambulation in wheelchair * To ensure randomization, SCI patients must be a member of Turkish Spinal Cord Injury Association and which should not be included in any study group.
Exclusion criteria
* Severe psychiatric disorder * General condition disorder (heart failure, lung failure) * Intolerably shoulder pain during exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the upper extremity muscle strength | 8 weeks | measure the upper extremity muscle strength with a hand dynamometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the Short Form(36) Health Survey (SF-36) | 8 weeks | The SF-36 is a measure of health status.It consists of eight scaled scores, which are the weighted sums of the questions in their section. The lower the score the more disability. |
| Spinal Cord Independence Measure version III (SCIM-III) | 8 weeks | SCIM-III is a measurement tool for determining the level of function in spinal cord injury |
Countries
Turkey (Türkiye)
Outcome results
None listed