Burn, Neuropathy
Conditions
Brief summary
Balance problems are common among neuropathic patients following burns, primarily due to sensory and motor impairments.The goal of the study is to investigate the effect of a hydrotherapy program on balance in neuropathic patients following burns. It is a randomized controlled study will be conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following lower limb burn injuries, mainly at the sole of the foot, with 3rd-degree injuries and 30% burn extent. Balance will be assessed before and after treatment using the Biodex Balance System and the Berg Balance Scale (BBS). Patients will be randomly assigned into two equal groups: Group A (study group) will receive hydrotherapy sessions including stretching, resistance, and balance exercises in water. Group B (control group) will receive traditional land-based balance exercises only.
Interventions
Patients will receive hydrotherapy sessions including stretching, resistance, and balance exercises in water
Patients will receive traditional land-based balance exercises in the form of stretching, strengthening and balance exercises.
Sponsors
Study design
Eligibility
Inclusion criteria
* polyneuropathy following burn injuries of the lower limb mainly at the sole of the foot. * 3rd-degree injuries and 30% burn extent. * Patients' ages range from 35 to 45 years, * Ability to understand instructions and following commands.
Exclusion criteria
* balance disturbances due to neurological disorders other than polyneuropathy (e.g., Parkinson's disease, inner ear disorders, vestibular or cerebellar dysfunctions). * Uncontrolled hypertension. * Diabetes mellitus, * Cognitive impairments * Blindness. * Deafness. * Significant respiratory or cardiac conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance assessment (Biodex Balance System) | Balance will be assessed by bode balance system before the first session and after 12 sessions (3 months) | The Biodex Balance System is a multiaxial device that objectively measures and records an individual's ability to stabilize the involved joint under dynamic stress. It uses a circular platform that is free to move in the anterior-posterior and medial-lateral axes simultaneously. It can also be used for the purpose of balance training. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Balance assessment (Berg Balance Scale) | Berg balance scale will be recorded before the fisrt session and after 12 sessions (3 months) | The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. It does not include the assessment of gait. |
Countries
Egypt