Aerobic Training On Spasticity And Gross Motor Function In Children With Diplegic Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Aerobic Training; Other: Conventional Physiotherapy

• Registration Number: NCT05321797
• Lead Sponsor: Riphah International University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-11-30
• Study First Submitted: 2022-04-02
• Study First Submitted QC: 2022-04-02
• Study First Posted: 2022-04-11
• Primary Completion: 2022-06-30
• Study Completion: 2022-07-31
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-27
• Last Update Posted: 2023-06-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• 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

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Exclusion Criteria

• 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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Aerobic Training Group	Aerobic Training	Cycling exercise group along with Conventional therapy
Aerobic Training Group	Conventional Physiotherapy	Cycling exercise group along with Conventional therapy
Conventional Physiotherapy	Conventional Physiotherapy	Strectching with ROM and gait training

Primary Outcome Measures

Name	Time	Method
Gross Motor Function Measure (GMFM-66)	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)	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

Trial Locations

Locations (1)

Physiogic Physiotherapy Clinic; 🇵🇰 Lahore, Punjab, Pakistan