Synergistic Effect of Functional Strength Training and Cognitive Intervention on Motor and Cognitive Functions in Children With Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diplegic Cerebral Palsy
- Sponsor
- Cairo University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- change in attention / concentration measures
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Cerebral palsy is primarily a disorder of movement and posture however; it often involves disorder of different aspects of cognitive function.
Detailed Description
This study evaluated the effect of FST and cognitive intervention and their combined effect on motor and cognitive functions in children with spastic diplegia. A convenient sample of spastic diplegic CP children, with their age ranging from 8 to 12 years were assigned randomly into four treatment groups
Investigators
Alaa Fahmy Hassan Al Nemr
principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •chronological age ranged from 8 to 12 years,
- •spasticity grade in affected lower limbs ranged between 1 + and 2 according to MAS
- •can follow instructions given to them,
- •their intelligence level ranged from 65 to 80 according to Stanford Binet intelligence scale, - -- their motor function ranged between Level II \& III according to Gross Motor Functional Classification System Expanded and Revised (GMFCS E\&R).
Exclusion Criteria
- •children who had visual or auditory problems
- •children who took any medicine affecting alertness
- •fixed deformities in the joints of upper \& lower limbs
- •any orthopedic surgery in lower limbs within 6 months before study
- •epileptic children.
Outcomes
Primary Outcomes
change in attention / concentration measures
Time Frame: The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up
* Computer based RehaCom software used to assess attention / concentration cognitive domain of function. It is clinically proven and evidence-based software. * minimum reaction time ( in seconds) of attention / concentration program was assessed
change in GMFM-88 measures
Time Frame: The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up
criterion-referenced scale that measure gross motor function in children with CP.
change in figural memory measures
Time Frame: The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up
* Computer based RehaCom software used to assess figural memory cognitive domain of function.It is clinically proven and evidence-based software. * minimum reaction time ( in seconds) of figural memory program was assessed
change in reaction behavior measures
Time Frame: The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up
Computer based RehaCom software used to assess reaction behavior cognitive domain of function. It is clinically proven and evidence-based software. - minimum reaction time ( in seconds) of reaction behavior program was assessed
change in logical reasoning measures
Time Frame: The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up
Computer based RehaCom software used to assess logical reasoning cognitive domain of function. It is clinically proven and evidence-based software. - minimum reaction time ( in seconds) of logical reasoning program was assessed
Secondary Outcomes
- change in Timed up and go test (TUG)measure(The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up)
- change in Five times sit to stand test (FTSST) measure(The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up)