Dynamic Surface Exercise and Trunk Targeted Training in Children With Spastic Cerebral Palsy

Not Applicable

Recruiting

• Conditions: Spastic Cerebral Palsy
• Interventions: Other: trunk targeted training; Other: dynamic surface exercise

• Registration Number: NCT05810779
• Lead Sponsor: Riphah International University

Brief Summary

This study aims to describe the comparative effects of dynamic surface training and trunk targeted training in order to ensure which method is best in improving gross motor function , balance and trunk control in children with spastic cerebral palsy . this will be randomized control study which includes participants with age 5 to 10 years

Detailed Description

Cerebral palsy (CP) is a well-documented nonprogressive neurodevelopmental condition commencing in early childhood and persisting throughout life. The neuromuscular deficits observed in children with CP include abnormal muscle tone that affects posture, movement, alteration of balance and motor coordination, decrease in strength, and loss of selective motor control, leading to functional limitation. Neurodevelopmental principles state that the control of movement proceeds from the proximal to the distal part of the body. The trunk being the central key point of the body, proximal trunk control is a prerequisite for distal limb movement control, balance, and functional mobility. Using dynamic surface for exercise provides proprioceptive and vestibular feedback about the position of their body segments in space with adaptive motor control response to stimuli. Standard physiotherapy based on motor-learning principle is task-specific training, which involves practice of functional movements in activities of daily living.

This study aims to describe the comparative effects of dynamic surface training and trunk targeted training in order to ensure which method is best in improving gross motor function , balance and trunk control in children with spastic cerebral palsy . this will be randomized control study which includes participants with age 5 to 10 years. Data will be taken from shahida islam teaching hospital Lodhran after taking consent, techniques will be applied and data will be recorded. Assessment will be made by using pedriatics balance scale , gross motor function measure (GMFM 66) and trunk control measurement scale (TCMS) for determining balance and gross motor function and trunk stability . The collective data will be analyzed in Statistical Package for Social Sciences (SPSS) 27.0

Study Timeline

• Study Start: 2022-09-15
• Study First Submitted: 2023-01-04
• Status Verified: 2023-03
• Study First Submitted QC: 2023-03-31
• Last Update Submitted: 2023-03-31
• Primary Completion: 2023-04-05
• Study Completion: 2023-04-05
• Study First Posted: 2023-04-12
• Last Update Posted: 2023-04-12

Recruitment & Eligibility

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

Inclusion Criteria

Children who can follow the therapist instructions

• Children who have not had any procedure and surgery within the past six months
• Both genders male and female
• Age 5 to 10 years
• Spastic cerebral palsy

Exclusion Criteria

• Children with innate musculoskeletal diseases, developing Central nervous system diseases and history of orthopedic surgery

  • Children with genetic disorders and other severe diseases other than cerebral palsy
  • Children who had Botulinum Toxin A (BoNT-A) injection during the last 6 months or had seizures during the last one year were excluded from the study
  • Children with visual impairement
  • Children with hearing Impairemen

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
trunk targeted training with conventional therapy	trunk targeted training	the group will receive conventional physical therapy and additional trunk targeted training thrice a week for 2 months.
dynamic surface exercise with conventional therapy	dynamic surface exercise	the experimental group undergo conventional physical therapy and additional dynamic surface exercise training thrice a week for 2 months dynamic surface training will include gym balls , bolster or platform swing

Primary Outcome Measures

Name	Time	Method
pedriatic balance scale	2 months	Pediatric balance scale is an outcome measurement tool used to assess functional balance skills in children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points
gross motor function measure 88 GMFM-88	2 months	The Gross Motor Function Measure (GMFM) is an observational clinical tool designed to evaluate change in gross motor function in children with cerebral palsy. There are two versions of the GMFM - the original 88-item measure (GMFM-88) and the more recent 66-item GMFM (GMFM-66). The scoring system of the GMFM is a four-point scale that consists of 66 items divided into five dimensions of gross motor function:(a) lying and rolling, (b) sitting, (c) crawling and kneeling, (d) standing, and (e) walking, running and jumping
Trunk control measurement scale	2 months	Trunk Control Measurement Scale is the clinical tool to measure trunk control in children with cerebral palsy. Control of muscles is necessary to maintain stability around the trunk.

Trial Locations

Locations (1)

Shahida Islam Teaching Hospital; 🇵🇰 Lodhran, Punjab, Pakistan