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Spinal cord injury patients often present with musculoskeletal comorbidities, including osteoarthritis. Early detection of cartilage damage is important for preventing osteoarthritis progression. This study aims to compare the talar cartilage thicknesses of spinal cord injury patients with healthy subjects. The secondary aim is to investigate a correlation between the talar cartilage thickness and disease-related parameters. The patient group is to be assessed for talar cartilage thickness (via ultrasound), functional status, spasticity, and ambulation levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient group | Spinal cord injury patients | ||
| Control group | Age, sex, and BMI matched healthy controls |
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| Measure | Description | Time Frame |
|---|---|---|
| Talar cartilage thickness | The talar cartilage of both lower extremities are to be assessed with ultrasound | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Independence Measure (FIM) score | Functional Independence Measure scores will be held for the patient group in order to assess functional independence. This 18-item scale ranges between 18-126, higher scores indicating better outcomes. | Baseline |
| Modified Ashworth Scale (MAS) |
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Inclusion Criteria:
Exclusion Criteria:
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Thirty-eight SCI patients who apply to Physical Medicine and Rehabilitation outpatient and inpatient clinic between November 2025-January 2026 will be included in the study.
Thirty-eight age, gender, and BMI-matched healthy participants who are literate, give oral and written consent without any additional disease will be formed as the control group.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziosmanpasa Training and Research Hospital | Recruiting | Istanbul | Turkey (Türkiye) |
The datasets of the study (patient and volunteer demographics, clinical data, and statistical data) will be shared after completion of the study with third parties upon reasonable request.
Beginning 3 months and ending 3 years after the publication of results
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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The spasticity level of patients are to be recorded for both ankle flexor and extensors via Modified Ashworth Scale. This scale ranges from 0 to 4; 0 indicating no spasticity, and 4 indicating severe increase in muscle tone with rigid joint. |
| Baseline |
| Walking Index for Spinal Cord Injury II (WISCI II) | Ambulatory status of the patients will be recorded with this measuring scale, ranging between 0 (non ambulatory) to 20 (able to walk 10 meters with no devices/orthosis/assistance). | Baseline |
| D014947 | Wounds and Injuries |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |