Sensorimotor Training Exercise After Lower Extremity Burns

NCT ID: NCT05749003

Last Updated: 2024-09-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-01
• Study Completion Date: 2024-01-30

Brief Summary

Burn injury affects dermal tissue which contains sensory neurones that contribute to the conscious and automatic feedback systems which in turn, control balance and coordination. Impediments arising from lower limb burn injuries are similar to those observed in other populations suffering lower limb disease or pathology and further, these complications cause balance dysfunction. Balance and mobility are complex bodily functions integral to discharge disposition, social function and quality of life. Therefore, to guide recovery accurately and facilitate rehabilitation after LLBI, multi-factorial assessment is required.

Detailed Description

Burns to the lower limbs can cause pain, scar tissue contracture, impaired sensation, muscle weakness and postural imbalance are all potential complications of lower limb burn injury (LLBI) which negatively influence a person's ability to function normally

Sensorimotor training is a special form of proprioceptive and balance exercise that was designed for management of patients with chronic musculoskeletal pain syndromes. It is based on the concept that instead of emphasizing the isolated strength of a group of muscles around a joint, we should realize the importance of the central nervous system in regulating movement in order to reach proper firing patterns for maintaining joint stability.

Conditions

Lower Extremity Burns

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

sensorimotor training program group

participants will receive Sensorimotor training exercise plus conventional physical therapy program of exercise.

Group Type: EXPERIMENTAL

sensorimotor training exercise

Intervention Type: OTHER

Patients will be trained through three stages: static, dynamic and functional. Each exercise will be repeated 3-5 times during a session and with enough periods of rest between each set of exercises. The exercise graduated from easy to more difficult and the patient was not progressed to a more difficult stage until performing the easier one.

conventional physical therapy program of exercise.

Intervention Type: OTHER

stretching exercise for 30 minutes, then strengthening exercise and usual burn care for the lower extremity. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Control group

participants will receive conventional physical therapy program of exercise.

Group Type: OTHER

conventional physical therapy program of exercise.

Intervention Type: OTHER

stretching exercise for 30 minutes, then strengthening exercise and usual burn care for the lower extremity. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Interventions

sensorimotor training exercise

Patients will be trained through three stages: static, dynamic and functional. Each exercise will be repeated 3-5 times during a session and with enough periods of rest between each set of exercises. The exercise graduated from easy to more difficult and the patient was not progressed to a more difficult stage until performing the easier one.

Intervention Type: OTHER

conventional physical therapy program of exercise.

stretching exercise for 30 minutes, then strengthening exercise and usual burn care for the lower extremity. Exercises will be applied for 3 times a week for 8 consecutive weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosis of thermal burn injuries at the lower extremities.
• Total body surface area burned approximately from 40 to 50%.
• Patients age: 20 to 50 years.

Exclusion Criteria

• Cognitive or mentality dysfunctions.
• Psychiatric conditions.
• Fractures.
• Pregnancy.
• Cancer.
• Severe vascular complications.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nesma Morgan Allam

Assistant Professor of physical therapy for surgery, Faculty of physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hadaya M Eladl, PhD

Role: STUDY_CHAIR

Assisstant professor of physical therapy for surgery, Faculty of physical therapy

Locations

Nesma Morgan Allam

Tanta, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/004323

Identifier Type: -

Identifier Source: org_study_id