Effects Of Aerobic Training On Spasticity And Gross Motor Function In Children With Diplegic Cerebral Palsy
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Cerebral Palsy
- 发起方
- Riphah International University
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Gross Motor Function Measure (GMFM-66)
- 状态
- 已完成
- 最后更新
- 2年前
概览
简要总结
To determine the effects of aerobic training on spasticity and gross motor function in children with diplegic Cerebral palsy.Cerebral palsy (CP) is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement and motor skills, and is attributed to injury to the developing brain. . The spastic CP is found to be the commonest presentation followed by athetoid, ataxic and mixed types. Children with cerebral palsy (CP) have decreased capacity to participate in play and sports activities .Reduced capacity to perform typical childhood activities contributes to low habitual physical activity and declining gross motor function in adolescence. Exercise opportunities are restricted in the population of cerebral palsy with spasticity, and so muscle strength may be reduced by disuse. Aerobic Training via Lower-extremity cycling is a rehabilitation tool used by physical therapists to improve spasticity, gross motor function and cardio-respiratory fitness, appears well-suited as a therapeutic intervention for children with CP. The tools used will be GMFM-66 and Modified Ashworth Scale. Study will be conducted on Thirty two patients in two Groups. Group A will be Control Group that will be provided with conventional physiotherapy (Stretching exercises , Trunk control training, walk and breathing exercises) and Group B will be Experimental Group that will be provided with conventional physiotherapy with cycling for 30 minutes with three sessions per week over the period of 12 weeks. Data will be analyzed using spss 22.0.
研究者
入排标准
入选标准
- •6-12 years of age both genders will be included.
- •Ability to follow simple verbal instructions.
- •Ability to walk independently, with or without an assistive device, for short distances (gross motor function classification system \[gmfcs\] levels i-iii)
- •Spastic Diplegic Cerebral Palsy scoring on Ashworth Scale of 1, 1±, 2
排除标准
- •Orthopedic surgery, neurological surgery, or baclofen pump implantation within the preceding 12 months
- •Botulinum toxin injections within the preceding 3 months
- •Serial casting or new orthotic devices within the preceding 3 months
- •Initiation of oral medications that affect the neuromuscular system (eg, baclofen) within the preceding 3 months
- •Inability or unwillingness to maintain age appropriate behavior
- •Serious medical conditions such as cardiac disease, diabetes, or uncontrolled seizures
- •Significant hip, knee, or ankle joint contractures preventing passive movement of the lower limbs through the pedaling cycle
结局指标
主要结局
Gross Motor Function Measure (GMFM-66)
时间窗: 8th Week
The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. SCORING KEY 0 = does not initiate 1 = initiates 2 = partially completes 3 = completes 9 (or leave blank) = not tested (NT).
Modified Ashworth Scale (MAS)
时间窗: 8th week
The modified Ashworth scale(MAS) is a 6-point rating scale that is used to measure muscle tone.(20) The reliability of the modified Ashworth scale was very good reliability and validity