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Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries

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ClinicalTrials.gov Identifier: NCT01659112
Recruitment Status : Completed
First Posted : August 7, 2012
Last Update Posted : October 17, 2012
Sponsor:
Information provided by (Responsible Party):
Cigdem Ayhan, Hacettepe University

Brief Summary:
The purpose of the study is to determine the effects of the addition of core stabilization exercises to a traditional upper extremity rehabilitation program in upper extremity injuries.

Condition or disease Intervention/treatment Phase
Upper Extremity Injuries Other: Core Stabilization Other: Traditional upper extremity rehabilitation Not Applicable

Detailed Description:
Abnormal movement patterns are one of the most challenging problems during rehabilitation of the patients with upper extremity injuries. They usually decrease the functional status of the upper extremity and prevent isolated muscle activations. Dysfunction of the kinetic chain system plays an important role in the development of these movement patterns. Thus, multi-segmental rehabilitation strategies has recently gained considerable importance in upper extremity rehabilitation. Core stabilization is one of the most popular rehabilitation approaches preferred to enhance functional stability of the kinetic chain system and dynamic postural alignment during activities. The purpose of this study is to determine the effects of core stabilization approach on functional status of the upper extremity and the amount of abnormal movement patterns. In addition, the factors affecting the abnormal movement patterns will be determined.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 27 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Does Core Stabilization Enhance Neuromuscular Control and Functional Status of the Upper Extremity?
Study Start Date : March 2008
Actual Primary Completion Date : September 2008
Actual Study Completion Date : March 2010

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Stabilization Group
A core stabilization plus traditional upper extremity rehabilitation approach was performed.
Other: Core Stabilization
A 6-week (3 days a week) exercise intervention including progressive core exercises was performed.

Other: Traditional upper extremity rehabilitation
A 6-week (3 days a week) exercise intervention of the injured joint based on the recovery process was performed.

Active Comparator: Control Group
A traditional upper extremity rehabilitation-only approach was performed.
Other: Traditional upper extremity rehabilitation
A 6-week (3 days a week) exercise intervention of the injured joint based on the recovery process was performed.




Primary Outcome Measures :
  1. Upper extremity functional status [ Time Frame: 30 minutes ]
    Pain Range of motion Endurance Fatigue severity DASH


Secondary Outcome Measures :
  1. Measurement of abnormal movement patterns [ Time Frame: 1 hour ]
    Video analysis during two daily living activities (hand to mouth and opening doorknob) was recorded for both injured and uninjured extremity before and after the intervention.


Other Outcome Measures:
  1. Trunk muscle strength [ Time Frame: 5 minutes ]


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Ages Eligible for Study:   25 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Traumatic distal segment injuries (elbow and wrist)
  • Patients in their subacute stage.

Exclusion Criteria:

  • Multiple joint problems
  • Bilateral extremity problems
  • Reflex sympathetic dystrophy
  • Trunk and lower extremity problems
  • Non-union fractures
  • Malignant ans systemic diseases

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01659112


Locations
Turkey
Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
Ankara, Turkey, 06100
Sponsors and Collaborators
Hacettepe University
Investigators
Study Director: Edibe Ünal, PhD, Prof Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Cigdem Ayhan, Lecturer, Hacettepe University
ClinicalTrials.gov Identifier: NCT01659112     History of Changes
Other Study ID Numbers: 010T03102001
First Posted: August 7, 2012    Key Record Dates
Last Update Posted: October 17, 2012
Last Verified: August 2012

Keywords provided by Cigdem Ayhan, Hacettepe University:
core stabilization, upper extremity, kinetic chain, movement

Additional relevant MeSH terms:
Arm Injuries
Wounds and Injuries