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Comparative Effects of Frenkel's and Core Stability Exercises in Children With Cerebral Palsy

Not Applicable
Conditions
Cerebral Palsy (CP)
Registration Number
NCT06696989
Lead Sponsor
Riphah International University
Brief Summary

The aim of this study is to determine and compare the effects of Frenkel's and core stability exercises on the motor function, postural stability and core muscle strength in children with cerebral palsy.

Detailed Description

Cerebral palsy (CP) is a brain injury that manifests as a mobility and posture impairment in infancy or early childhood. Frenkel exercises are series of movements with increasing difficulty that can be performed by ataxic patients in order to regain coordinated, smooth and rhythmic movement. The Core stability Exercises are for the spine, pelvis, and kinetic chain to all balance properly under stress, core stability is necessary. The aim of this study is to determine and compare the effects of Frenkel's and core stability exercises on the motor function, postural stability and core muscle strength in children with cerebral palsy. This will be a Randomized Clinical Trial in which 50 participants with cerebral palsy will be included as per sample size calculation through non probability convenience sampling technique. The study will be single blinded. Participants that achieve the required standards of inclusion and exclusion criteria will be randomly allocated using online randomization tool into two Groups. Group A will receive Frenkel's exercises and Group B will receive core stability exercises, both groups will receive the treatment for 40 minutes with the routine physical therapy for 20 minutes and short-term rest intervals in between for 3 alternative days per week for 12 weeks. Participants initial screening will be done through Gross Motor Function Classification System (GMFCS). The balance will be assessed through the Pediatric Balance Test (PBS), coordination will be assessed through Finger and Nose Test, Heel Shin Test, Catching and Throwing Tasks.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
50
Inclusion Criteria
  • The participants fulfilling the given criteria will be included.
  • Age: 6 To 12 Years
  • Gender: Both male and female
  • Children with ataxic cerebral palsy
  • Children having level II and III on Gross Motor Functional Classification System (GMFCS)
  • Children able to understand the test instruction, able to sit and stand.
  • Children with and without using Botulinum Toxin Injections
  • The Pediatric Balance Scale (PBS) of 54.6
Read More
Exclusion Criteria
  • Severe Cognitive Dysfunction
  • Visual problems
  • Vestibular Dysfunction
  • Uncontrolled epilepsy
  • Severe Orthopedic Condition affecting Lower limbs Mobility
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Finger to nose test12th week

The Finger-to-Nose Test measures smooth, coordinated upper-extremity movement by having the examinee touch the tip of his or her nose with his or her index finger. Evaluation of coordination with the Finger-Nose Test is an essential part of the neurological examination

Heel shin test12th week

The heel-shin test is a part of the neurological examination of coordination: the patient runs the sole of one foot up and down the shin of the opposite leg.

Catching and throwing tasks12th week

Ball catching is a skill included in most tests for assessing the motor impairment of children with a mild motor deficit. To objectively measure ball catching short and long ball catching tests were developed to assess children between seven and nine years of age

PBS (Pediatric Ballance Scale)12th week

A modified version of the Berg Balance Scale, the Pediatric Balance Scale is used to evaluate school-age children's functional balance abilities. The 14 items on the scale have a maximum score of 56 points and are rated from 0 (lowest function) to 4 (highest function).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

RehabCure

🇵🇰

Lahore, Punjab, Pakistan

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