Effect of Core Stability Training on Trunk Control and Sitting Balance in Patients With Paraplegia

NCT07633249 | Completed

• 1 other identifier: P.T.REC\012\006398)
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the effect of core stability training on trunk control and sitting balance in patients with paraplegia resulting from incomplete spinal cord injury.

Conditions

Spinal Cord Injuries (SCI)

Outcome Measures

Primary Outcomes (4)

• Weight Distribution Symmetry (Wii Balance Board)

  Assessment of sitting weight-bearing symmetry using the Wii Balance Board by measuring the percentage of body weight distributed between the right and left sides.

  Baseline and after 8 weeks

• Trunk Impairment Scale (TIS)

  Assessment of trunk control through evaluation of static sitting balance, dynamic sitting balance, and trunk coordination. Higher scores indicate better trunk performance.

  Baseline and after 8 weeks

• Seated Functional Reach Test (SFRT)

  Assessment of dynamic sitting balance by measuring maximum forward reaching distance while maintaining sitting stability.

  Baseline and after 8 weeks

• T-shirt Test

  Functional assessment of dynamic sitting balance and trunk coordination through timed dressing performance while seated.

  Baseline and after 8 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Participants received selected conventional physical therapy program.

Other: selected conventional physical therapy program

Study Group

EXPERIMENTAL

Participants received the same selected conventional physical therapy program in addition to Core Stability Training.

Other: selected conventional physical therapy program; Other: conventional physical therapy program in addition to Core Stability Training.

Interventions

selected conventional physical therapy program OTHER

Patients received selected conventional physical therapy program in form of: 1. Passive and active-assisted ROM exercises for lower limbs 2. Upper limb strengthening exercises 3. Conventional trunk training on stable sitting surfaces 4. Functional sitting balance exercises 5. Transfer and wheelchair mobility training Treatment was conducted for about 60 minutes, three sessions per week for eight weeks

Control Group; Study Group

conventional physical therapy program in addition to Core Stability Training. OTHER

The core stability program consisted of progressive trunk stabilization exercises targeting deep trunk muscles. Training included: 1. Static trunk stabilization exercises 2. Multidirectional reaching tasks 3. Anterior, posterior, and lateral weight-shifting activities 4. Advanced exercises on unstable surfaces 5. Upper limb activities combined with trunk stabilization The sessions were divided into 40-45 minutes of selected conventional physical therapy modalities and exercises, followed immediately by 15-20 minutes of progressive Core Stability Training (CST) targeting the deep stabilizing muscles of the trunk .

Study Group

Eligibility Criteria

• Age: 25 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with traumatic incomplete SCI.
• Neurological level between T6 and T12 according to ASIA classification.
• Age from 25 to 35 years.
• Ability to maintain unsupported sitting.
• Medically stable condition.
• Adequate cognitive ability to follow instructions.
• Duration of injury more than six months.
• Moderate trunk impairment (TIS score 8-14).
• BMI less than 30 kg/m

You may not qualify if:

• other neurological disorders affecting balance.
• Uncontrolled cardiovascular conditions.
• Active lumbar or pelvic pressure sores.
• Orthopedic disorders affecting trunk control or sitting balance.
• Severe spasticity interfering with sitting balance

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy Cairo University

Giza, Giza Governorate, 12613, Egypt

Location

MeSH Terms

Conditions

Spinal Cord Injuries

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries

Study Officials

• Mohamed A Fathy, BSc

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 3, 2026
• First Posted: June 8, 2026
• Study Start: November 30, 2025
• Primary Completion: March 14, 2026
• Study Completion: March 29, 2026
• Last Updated: June 8, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share

Locations

EG (1)