Effects of Task Oriented Approach Versus Rhythmic Initiation And Stabilization Techniques of PNF on Trunk Control in Children With Hemiplegic Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemiplegic Cerebral Palsy
- Sponsor
- Riphah International University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Trunk Control Measuring Scale
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Cerebral palsy occurs in 2-2.5 per 1000 live births, seems to be the most common cause of lifelong physical disability, and has an impact on the child, caregivers, and society. The incidence of cerebral palsy continues to rise owing to the large numbers of premature and high-risk infants who survive. Task-oriented arm approaches promote intensive, meaningful, and goal-oriented training in subjects, and the voluntary functional activities of these subjects possibly reduce their motor disabilities.
Detailed Description
The study will be randomized clinical trial used to evaluate the effectiveness of TOA and PNF on trunk control in children with hemiplegic cerebral palsy. Subjects with hemiplegic cerebral palsy meeting the inclusion and exclusion criteria will be divided into two groups using non- probability sampling techniques. Assessment will be done using trunk control measuring scale and pediatric reach test . Group A will receive TOA and conventional therapy and Group B will receive PNF and conventional therapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The level of gross motor function between I and III in accordance with the Gross Motor Function Classification System (GMFCS)
- •The degree of spasticity in the affected lower extremity between grade 1 and 1+ in accordance with the Modified Ashworth scale
- •6-12 years of age
- •Ability to understand and follow verbal instructions
Exclusion Criteria
- •Surgical procedures within the past 6 months
- •Botox injection within 6 months
- •Unstable Seizures
- •Other comorbidity condition (Multiple Disabilities)
Outcomes
Primary Outcomes
Trunk Control Measuring Scale
Time Frame: 6 weeks
The TCMS scale assesses seated trunk control in three dimensions. The maximum score is 58 points where 20 points correspond to static balance, 28 to selective movement control, and 10 to the ability to perform dynamic reaching. The items are scored from 0 to 3, with 0 being the inability to perform the task and 3 being the complete performance of the item.
Pediatric Reach Test
Time Frame: 6 weeks
It is used to measure the standing balance in normally developed or children with cerebral palsy, that's why is done in standing position. The standing position will be described first and target will be set under the supervision first forward reach will be tested and after this lateral reach will be tested. Reliability of this test is within rater (0.54, 0.88 ICC) and among the rater is (0.50, 0.93ICC)