Spinal Cord Injuries Clinical Trial
Official title:
Comparison of the Effects of Reformer Pilates and Home Exercise Programs on Upper Extremity Muscle Strength in Paraplegic Patients: Prospective Randomized Controlled Study
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.
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.
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