Healing effects of Yoga on walking performance and capacity, balance, leg strength, and flexibility in walking children with cerebral palsy

Not yet recruiting

Conditions: Cerebral palsy, unspecified, (2) ICD-10 Condition: G830||Diplegia of upper limbs, (3) ICD-10 Condition: G819||Hemiplegia, unspecified, (4) ICD-10 Condition: G831||Monoplegia of lower limb, (5) ICD-10 Condition: G832||Monoplegia of upper limb, (6) ICD-10 Condition: G833||Monoplegia, unspecified, (7) ICD-10 Condition: G801||Spastic diplegic cerebral palsy, (8) ICD-10 Condition: G811||Spastic hemiplegia, (9) ICD-10 Condition: G802||Spastic hemiplegic cerebral palsy,

Brief Summary: This study will compare the effects of Yoga techniques and conventional physiotherapy on gait variables, walking capacity, balance, lower extremity strength, and flexibility in ambulatory children with cerebral palsy. The study will be conducted for 12 weeks 2-3 day/week supervised program for 60 minutes. The intervention will be Yoga techniques and conventional physiotherapy for the experimental group and conventional physiotherapy for the control group. The primary outcome measure for Gait will be Movement analysis profile Kinematics and kinetics of gait in terms of joint angles, moments, forces, the center of pressure trajectory, and maximum amplitude of muscle. The secondary outcome measures will be 1. 6-Minute Walk Test for walking capacity 2. Pediatric Balance Scale for balance 3. Power track handheld dynamometer for lower extremity strength 4. Goniometer measurements for lower extremity flexibility. Pre and Post-intervention results will be analyzed.

Recruitment & Eligibility

Inclusion Criteria

1.Fifteen ambulatory children diagnosed with cerebral palsy according to ICD-10 G.80 Spastic diplegic cerebral palsy G.80.1 Spastic hemiplegic cerebral palsy G.80.2 Cerebral palsy unspecified G.80.9 Spastic hemiplegia G.81.1 Hemiplegia unspecified G.81.9 Diplegia of upper limbs Diplegia upper Paralysis of both upper limbs G83.0 Monoplegia of lower limb Paralysis of lower limb G83.1 Monoplegia of upper limb Paralysis of upper limb G83.2 Monoplegia unspecified G83.3 2.
Age group 6 to 18 years of age.
Children with GMFCS Level I and II 4.
Patients able to follow verbal commands.
Control group: Fifteen ambulatory children with cerebral palsy ICD-10 G.80 in the age group 6 years to 18 years not involved in any physical recreational or sports activity.

Exclusion Criteria

1.Acute musculoskeletal injury soft tissue in the past 3 months.
Any fracture or other traumatic injury in the past 6 months 3.
Any bony or soft tissue surgery in the past 12 months.
Botulinum injection in the past 6 months 5.
Children with visual and auditory disabilities.
Children with spastic quadriplegic cerebral palsy spastic tetraplegic cerebral palsy G80.0 Dyskinetic cerebral palsy Athetoid cerebral palsy Dystonic cerebral palsy G80.
3 Ataxic cerebral palsy G80.
4 Other cerebral palsy Mixed cerebral palsy syndrome G80.8 Flaccid hemiplegia G81.0 Flaccid paraplegia G82.0 Flaccid tetraplegia G82.3 Spastic tetraplegia G82.4 Tetraplegia unspecified Quadriplegia NOS G82.5 Cauda equina syndrome Neurogenic bladder due to cauda equina syndrome G83.4 Excl cord bladder NOS G95.8 Other specified paralytic syndromes Todd paralysis postepileptic G83.8 Paralytic syndrome unspecified G83.9 7.
Patients with a history of lower limb fractures less than 1-year-old 8.
Mental and Behavioral disorders F00-F99.

Primary Outcome Measures

Name	Time	Method
Gait using Movement analysis profile Kinematics and kinetics of gait in terms of joint angles moments forces the center of pressure trajectory and maximum amplitude of muscle activity will be the primary outcome measures.	Baseline 12 weeks

Secondary Outcome Measures

Name	Time	Method
1. Walking capacity using the 6-Minute Walk Test	2. Balance using the Pediatric Balance Scale

Locations (1): MGM School of Physiotherapy
🇮🇳
Raigarh, MAHARASHTRA, India
MGM School of Physiotherapy
🇮🇳Raigarh, MAHARASHTRA, India
Labddhi Ramnik Shah
Principal investigator
02227437866
Shahlabddhi@mgmsopnm.edu.in