Effect Of core stability exercises with Pilates on hand functioning in hemiplegic cerebral palsy
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Jebsen Taylor Hand Function Test
研究概览
简要总结
Need of the study- - Core stability exercises play key role in limb function. Hemiplegic Cerebral Palsy children are unable to move the upper limb of the involved side due to an unstable spine. We can strain the core muscles which will make hand activities easier keeping the trunk stable.
Aims- The aim is to study the effect of core stability with Pilates in hemiplegic cerebral palsy children.
Objectives**:** The objective is to study the effect of core stability exercises with Pilates on hand function as measuring byJebsen Hand Functioning Test in hemiplegic cerebral palsy children.
The objective is to study the effect of core stability exercises with Pilates on hand function as measuring by Quality of Upper Extremity Skill Test.
Hypothesis-
Alternative hypothesis- core stability exercise with Pilates will help in improving hand function.
Null hypothesis- core stability exercise with Pilates will ‘not’ help in improving hand function.
Group Allocation:
a) Comparative group: selective exercises and core stability exercises
b) Intervention group: core stability exercise with Pilates and some exercise from comparative physiotherapy treatment.
Procedure: Every participant will have standard upper and lower extremity physiotherapy exercises that will help with postural mechanisms, proprioception feeling, and weight-bearing exercises as well as strengthening exercises for the back, hip, knee, ankle, and abdomen. Exercises involving standing and gait training at varying speeds with and without support will be performed. These workouts will take an hour, with two minutes of recovery in between each set. For 8 weeks, these workouts will be performed five times a week.
The comparative group I will receive selected exercise and core stability exercise:
LEVEL 1 (4 Weeks)
Five times a week for four weeks, stretching for five minutes, exercise for fifty-five minutes, and rest for two minutes in between each group.
On mat
| Kneeling while being supported by hands |
5 minutes
|Kneeling on one leg while holding on with hands
5 minutes
|Twist of the spine
10 repetitions in 2 minutes
On floor
| Holding on when standing |
5 minutes
|Standing on a stepper with one leg
5 minutes
0n ball
| Maintain sitting position |
5 minutes
On balance board
| Using hand support while standing on a balancing board |
5 minutes
HAND FUNCTION EXERCISE- 15 minutes
· Fruit lacing bead activity
· Fitting blocks together
· Hold a cup with one hand while putting object in with other hand
· Catching a ball
Level 2 (4 Weeks)
On mat
| moderate assistance kneeling |
5 minutes
|Kneeling on one leg with moderate assistance
5 minutes
|Supine bridge with support
10 repetitions in 4 minutes
On floor
| Standing with a moderate amount of assistance |
5 minutes
|step up and down.
5 minutes
On ball
| Twisting of the trunk while seated |
2 minutes
|Cobra pose
2 minutes
On balance board
| Weight shift in the anterior, posterior, and lateral directions |
4 minutes
HAND FUNCTION EXERCISE- 15 minutes
· Fruit lacing bead activity
· Fitting blocks together
· Geometrical shape for grasping
·Catching a ball
Pilates-based core stability exercises and few comparative group exercises will be given to the intervention group II. These workouts will take an hour, with two minutes of recovery in between each set. For 8 weeks, these workouts will be performed five times a week.
LEVEL 1 (4 weeks)
On mat
| Kneeling while being supported by hands |
5 minutes
|Kneeling on one leg while holding on with hands
5 minutes
|Quadruped position
3 minutes
|Curl up
3 minutes
On floor
| Holding on when standing |
5 minutes
|Standing on a stepper with one leg on and other leg on ground
5 minutes
|Stepping up and down
10 repetitions 4 minutes
On balance board
| Weight shifting from side to side and forward and backward |
5 minutes
On ball
| Weight shift from sitting in the anterior and posterior |
1 minutes
|shift in weight laterally from sitting
1 minutes
HAND FUNCTION EXERCISE- 10 minutes
· fruit lacing bead activity
· Fitting blocks together
· Hold a cup with one hand while putting object in with other hand
· Catching a ball
LEVEL 2 (4 weeks)
On Mat
| Curl up |
2 set 10 repetition 4 minutes
|Ladder climb
3 minutes
|One knee float
10 repetitions 2 minutes
|Move from a prone-lying position to a quadruped one.
5 minutes
On floor
| Walking like a wheelbarrow |
5 minutes
|Asking the patient to raise one leg while standing and hanging on
5 minutes
On Balance board
| Reaching both forward and obliquely |
6 minutes
|Flamingo exercise
4 minutes
On Ball
| lateral, anterior, and posterior weight shift |
5 minutes
|Rotating the trunk from side to side when lying supine
5 minutes
HAND FUNCTION EXERCISE- 15 minutes
· fruit lacing bead activity
· Fitting blocks together
· Geometrical shape for grasping
· Catching a ball
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 4.00 Year(s) 至 8.00 Year(s)（—）
- 性别
- All
入选标准
- •diagnosed by a paediatric neurologist with hemiplegic cerebral palsy
- •impairment of the upper limbs (Jebsen Taylor Hand Function Test score greater than 140 seconds)
- •moderate upper limb spasticity (Grades 1 and 1+ on the Modified Ashworth Scale) 4.Levels II and III of the Gross Motor Function Classification System
- •Patient have the ability to take command.
排除标准
- •Individuals who have fixed contractures in their extremities or spine
- •Any spasticity-related medicinal or surgical interventions
- •Refused to take part
- •Any illness other than cerebral palsy that affects hand function, including neurological, cardiac, psychiatric, and orthopaedic conditions.
结局指标
主要结局
Jebsen Taylor Hand Function Test
时间窗: Baseline, Post 4th week intervention, Post 8th week intervention
次要结局
- Quality of Upper Extremity Skills Test(Baseline, Post 4th week intervention, Post 8th week intervention)
研究者
Kirtika Bhandari
Department of Physiotherapy, Amity Institute of Health and Allied Sciences