Ultrasonographic Evaluation of Talar Cartilage Thickness in Patients With Spinal Cord Injury

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-60
SponsorGaziosmanpasa Research and Education Hospital

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged between 18 to 60 years,

Cervical, thoracal or lumber level of spinal cord injury

AIS (American Spinal Injury Association Impairment Scale) Level A, B, C, or D

Assisted ambulation of any kind

Disqualifiers

Patients with sacral level injury

AIS E

MAS 4 level of spasticity

History of any lower extremity operation

Trial population

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.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

76 Participants
are grouped into 2 trial groups
Group A: Patient group
Group B: Control group

Trial outcomes

Primary outcomes

1

Talar cartilage thickness

The talar cartilage of both lower extremities are to be assessed with ultrasound

Time frame
Baseline

Secondary outcomes

1

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.

Time frame
Baseline
2

Modified Ashworth Scale (MAS)

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.

Time frame
Baseline
3

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).

Time frame
Baseline

Other outcomes

Sponsors and contacts

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