Comparison of Pilates &Home Exercise Programs on Muscle Strength in Paraplegic Patients

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Status: Completed

Conditions: Spinal Cord Injuries

Treatments: Device: Reformer Pilates; Other: Home Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT04360447

IstPRMTRH

Details and patient eligibility

About

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.

Full 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.

Enrollment: 18 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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18 participants in 2 patient groups

Reformer pilates group

Experimental group

Description:

Reformer pilates was planned, suitable for the disabled, with an instructor for the patients in the study group for 8 weeks.

Treatment:

Device: Reformer Pilates

Home exercise group

Active Comparator group

Description:

A home exercise program with telephone monitoring was planned for the patients in the control group for 8 weeks.

Treatment:

Other: Home Exercise