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Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries

Primary Purpose

Upper Extremity Injuries

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Core Stabilization
Traditional upper extremity rehabilitation
Sponsored by
Hacettepe University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Upper Extremity Injuries focused on measuring core stabilization, upper extremity, kinetic chain, movement

Eligibility Criteria

25 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

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

Sites / Locations

  • Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Stabilization Group

Control Group

Arm Description

A core stabilization plus traditional upper extremity rehabilitation approach was performed.

A traditional upper extremity rehabilitation-only approach was performed.

Outcomes

Primary Outcome Measures

Upper extremity functional status
Pain Range of motion Endurance Fatigue severity DASH

Secondary Outcome Measures

Measurement of abnormal movement patterns
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.

Full Information

First Posted
August 3, 2012
Last Updated
October 15, 2012
Sponsor
Hacettepe University
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1. Study Identification

Unique Protocol Identification Number
NCT01659112
Brief Title
Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries
Official Title
Does Core Stabilization Enhance Neuromuscular Control and Functional Status of the Upper Extremity?
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
March 2008 (undefined)
Primary Completion Date
September 2008 (Actual)
Study Completion Date
March 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hacettepe University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

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.
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Upper Extremity Injuries
Keywords
core stabilization, upper extremity, kinetic chain, movement

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Stabilization Group
Arm Type
Experimental
Arm Description
A core stabilization plus traditional upper extremity rehabilitation approach was performed.
Arm Title
Control Group
Arm Type
Active Comparator
Arm Description
A traditional upper extremity rehabilitation-only approach was performed.
Intervention Type
Other
Intervention Name(s)
Core Stabilization
Intervention Description
A 6-week (3 days a week) exercise intervention including progressive core exercises was performed.
Intervention Type
Other
Intervention Name(s)
Traditional upper extremity rehabilitation
Intervention Description
A 6-week (3 days a week) exercise intervention of the injured joint based on the recovery process was performed.
Primary Outcome Measure Information:
Title
Upper extremity functional status
Description
Pain Range of motion Endurance Fatigue severity DASH
Time Frame
30 minutes
Secondary Outcome Measure Information:
Title
Measurement of abnormal movement patterns
Description
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.
Time Frame
1 hour
Other Pre-specified Outcome Measures:
Title
Trunk muscle strength
Time Frame
5 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edibe Ünal, PhD, Prof
Organizational Affiliation
Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
Official's Role
Study Director
Facility Information:
Facility Name
Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
City
Ankara
ZIP/Postal Code
06100
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
23823711
Citation
Ayhan C, Unal E, Yakut Y. Core stabilisation reduces compensatory movement patterns in patients with injury to the arm: a randomized controlled trial. Clin Rehabil. 2014 Jan;28(1):36-47. doi: 10.1177/0269215513492443. Epub 2013 Jul 3.
Results Reference
derived

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Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries

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