Effect of Core Stability and Sensorimotor Training Exercises on Postural Stability Post Lower Limb Burn

Cairo University (CU)

Status: Not yet enrolling

Conditions: Burns

Treatments: Other: Core Stability Exercises; Other: Traditional physical therapy program; Other: Sensorimotor Training Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06718829

P.T.REC/012/005151

Details and patient eligibility

About

The purpose of the study is to determine the effect of core stability and sensorimotor training exercises on postural stability post lower limb burn.

Full description

The need for this study develops from the lack of information in the published studies about the effectiveness of core stability exercises and sensorimotor training on the rehabilitation of burned patients.

Severe burn injuries, particularly those encompassing over 20% of the total body surface area (TBSA), trigger elevated catabolism and hypermetabolic responses in adult and pediatric burn patients. This wide spectrum of pronounced effects stemming from the hypermetabolic response and catabolism includes substantial muscle mass depletion, reduced muscle strength and endurance, hindered wound healing, impaired sensory perception, constrained ambulatory capacity, postural instability, and diminished functional mobility.

Core stability exercises improve neuromuscular system performance that causes the optimal lumbar-pelvic -hip chain mobility and good acceleration and deceleration, appropriate muscular balance, proximal stability and good function.

Sensorimotor training exercise emphasizes postural control and progressive challenges to the sensorimotor system to restore normal motor programs in patients. The proprio sensory system helps the motor system to maintain equilibrium on a reflex, automatic basis. In response to a sudden load, "the muscles will respond rapidly to stabilize the body, i.e., they will try to maintain balance and posture.

The present study is designed to investigate the effect of core stability and sensorimotor training exercises on postural stability in burned patients.

Enrollment: 90 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients are both males and females.
• Their age will range from (20-50) years.
• Patients will suffer from lower limb second degree burn (Partial thickness of thermal injury).
• Total body surface area (TBSA) for the burns will be ranged from 20% to 35% .
• Patients will begin the training program after complete wound healing.
• Patients will be given their informed consent.

Exclusion criteria

• Patients who had an open wound at or near treatment site.
• Patients who had chemical or electrical burn.
• Musculoskeletal disorders that will impair performance during training and tests.
• Uncontrolled cardiovascular or pulmonary diseases .
• Neurological and renal disorders.
• Metabolic or vascular disease with a neurological component such as diabetes.
• Malignant conditions.
• Psychiatric illness, severe behavior or cognitive disorders.
• Uncooperative patients.
• Pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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90 participants in 3 patient groups

Core Stability Exercises + Traditional physical therapy program

Experimental group

Description:

This group will be composed of 30 patients with lower limb burns. Patients will receive core stability exercises in addition to a traditional physical therapy program in the form of stretching exercises, strengthening exercises and scar management. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Treatment:

Other: Traditional physical therapy program

Other: Core Stability Exercises

Sensorimotor Training Exercises + Traditional physical therapy program

Experimental group

Description:

This group will be composed of 30 patients with lower limb burns. Patients will receive sensorimotor training exercise in addition to traditional physical therapy program in the form of stretching exercises, strengthening exercises and scar management. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Treatment:

Other: Sensorimotor Training Exercises

Other: Traditional physical therapy program

Core Stability Exercises + Sensorimotor Training Exercises + Traditional physical therapy program

Experimental group

Description:

This group will be composed of 30 patients with lower limb burns. Patients will receive core stability exercises and sensorimotor training exercise in addition to traditional physical therapy program in the form of stretching exercises, strengthening exercises and scar management. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Treatment:

Other: Sensorimotor Training Exercises

Other: Traditional physical therapy program

Other: Core Stability Exercises