Investigation of the Effects of Balance Discs With Different Surfaces Used in Balance Education in Children With Cerebral Palsy on Proprioceptive Sense and Balance.

Not Applicable

Recruiting

• Conditions: Cerebral Palsy
• Interventions: Other: Pediatric neurodevelopmental therapy; Other: Spiky balance disc; Other: smooth balance disc

• Registration Number: NCT05676983
• Lead Sponsor: Mustafa Kemal University

Brief Summary

This is a non-invasive prospective study investigating the effects of balance discs with different surfaces used in balance education in children with cerebral palsy on proprioceptive sense and balance.

Detailed Description

Many methods are used for balance training. One of them is balance discs. Balance discs consist of smooth and rough surfaces. Balance training is given to children with cerebral palsy on these two surfaces. Thanks to its balance disc structure, it plays an active role in the development of balance, but there is a need for evidence about whether rough or smooth surfaces and training have superiority over each other. Knowing the difference between the two surfaces will help the staff about which surface to use in the treatment and will be beneficial for the children.

The aim of this study is to determine whether there is a difference between a rough and smooth surface in terms of improving proprioceptive sense and balance.

Study Timeline

• Study Start: 2022-12-05
• Status Verified: 2023-01
• Study First Submitted: 2023-01-03
• Study First Submitted QC: 2023-01-05
• Primary Completion: 2023-01-09
• Study First Posted: 2023-01-09
• Last Update Submitted: 2023-01-10
• Last Update Posted: 2023-01-11
• Study Completion: 2023-01-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

• Diagnosed with cerebral palsy
• Diagnosed with motor developmental delay
• 0-12 years old
• Levels 1 and 2 according to GMFCS
• Having bilateral and unilaterally affected spastic type CP
• Cooperate with assessments

Exclusion Criteria

• Botulinum toxin administration in the last 6 months
• Having had any surgical operation in the last 6 months
• Having dyskinetic, ataxic and hypotonic type CP
• Unable to cooperate with assessments

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Spiky balance disc study group	Pediatric neurodevelopmental therapy	Bobath therapy will be studied with the children in this group and balance training will be given on the rough (spiky) surface of the extra balance disc.
Spiky balance disc study group	smooth balance disc	Bobath therapy will be studied with the children in this group and balance training will be given on the rough (spiky) surface of the extra balance disc.
Smooth balance disc study group	Pediatric neurodevelopmental therapy	Bobath therapy will be studied with the children in this group and balance training will be given on the smooth (flat) surface of the extra balance disc.
Smooth balance disc study group	Spiky balance disc	Bobath therapy will be studied with the children in this group and balance training will be given on the smooth (flat) surface of the extra balance disc.

Primary Outcome Measures

Name	Time	Method
Change in Proprioceptive sensory test:	baseline and week 10	Active and passive repositioning test will be used to evaluate ankle proprioceptive sensation.; Passive repositioning: The person to be tested is asked to learn that position by positioning the joint at a certain angle. Then, while the joint is moved passively, the person is asked to stop the movement when it reaches the previously learned position. The numerical difference between the angle found by the person and the angle taught before is evaluated.; Active repositioning: The person is asked to find the position taught to the person by moving their extremity, and the numerical difference is determined.Change will be evaluated.
Change in Pediatric Berg balance test:	baseline and week 10	The Pediatric Berg Balance Test is a modified version of the Berg Balance Test used to assess functional balance skills in school-aged children.Patients are evaluated out of 56 points, with the highest score being 56. Change will be evaluated
Change in Functional reach test	baseline and week 10	The Functional Reach Test is a clinical outcome measurement and assessment tool to detect dynamic balance in a single simple task. While standing, it measures the distance between the length of an extended arm at maximum forward reach while maintaining a stable base of support.Change will be evaluated.
Change in One-leg standing test	baseline and week 10	The one-leg stance test is a test in which the time to stand on balance is measured on the right and left extremities of the patient, and evaluates the static balance. Change will be evaluated.

Trial Locations

Locations (1)

Hatay Mustafa Kemal Üniversitesi; 🇹🇷 Antakya, Hatay, Turkey