Treadmill Training Effects on Cardiorespiratory Endurance and Constipation in Children With Cerebral Palsy

Not Applicable

Recruiting

• Conditions: Cardiopulmonary
• Interventions: Other: Treadmill training; Other: Traditional physical herapy

• Registration Number: NCT06480448
• Lead Sponsor: Riphah International University

Brief Summary

This study examines the impact of treadmill training on cardiorespiratory endurance and constipation in children with cerebral palsy (CP). Treadmill training is evaluated for its potential to improve cardiovascular fitness and alleviate constipation through its rhythmic movements. The findings shed light on the broader health benefits of treadmill interventions beyond motor function improvement in children with CP

Detailed Description

This research investigates the effects of treadmill training on two distinct yet interconnected aspects of health in children with cerebral palsy (CP): cardiorespiratory endurance and constipation.

The research employs a longitudinal design, with participants undergoing a structured treadmill training program tailored to their individual needs and abilities. Outcome measures include objective assessments of cardiorespiratory fitness (e.g., exercise stress tests, spirometry) and subjective evaluations of constipation symptoms (e.g., bowel diaries, symptom questionnaires). Additionally, the study examines potential correlations between improvements in cardiorespiratory endurance and changes in constipation severity, exploring the interplay between physical fitness and gastrointestinal function in children with CP.

By investigating the effects of treadmill training on both cardiorespiratory endurance and constipation, this research aims to provide a comprehensive understanding of the broader health benefits associated with exercise interventions in children with cerebral palsy. The findings may inform the development of integrated rehabilitation programs that address multiple aspects of health and well-being in this population, ultimately improving overall quality of life and functional outcomes.

Study Timeline

• Study Start: 2024-04-28
• Study First Submitted: 2024-04-29
• Status Verified: 2024-06
• Study First Submitted QC: 2024-06-24
• Last Update Submitted: 2024-06-24
• Study First Posted: 2024-06-28
• Last Update Posted: 2024-06-28
• Primary Completion: 2024-12-30
• Study Completion: 2024-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Age 4 to 12 years.
• Children having 1, or 2 on GMFCM.
• Children with spastic diplegic cerebral palsy.
• Children with well cognitive behavior.
• Children having 1 to 2 level on constipation assessment scale.
• Defecation frequency less than 3 time a week.

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Exclusion Criteria

• Misdiagnosed or not conform to Cerebral palsy.
• Children should be medically stable uncontrolled seizures.
• The children with mental retardation or other neurological disorders.
• Children with taking medication like muscle relaxant or laxative

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treadmill training	Treadmill training	This group will getting treadmill training will be started along with conventional therapy group. Training protocol will be standardized and follow FITT protocol for 12 weeks.
Traditional physical therapy	Traditional physical herapy	This group will only getting conventional therapy which include core stability training, strength training, gait training through Parallel bar etc.

Primary Outcome Measures

Name	Time	Method
6-mintues walk test	Baseline - 12th Week	The 6-Minute Walk Test (6MWT) is a standardized assessment used to measure a person's functional exercise capacity and endurance. During the test, individuals are instructed to walk as far as they can within a six-minute period along a flat, straight course. The test is typically conducted in a corridor or along a marked pathway, and the distance covered is recorded at the end of the test.; Before the test begins, participants receive instructions on the procedure and are given the opportunity to ask questions. Baseline measurements such as heart rate, blood pressure, and oxygen saturation may be taken. Participants are encouraged to walk at a self-selected pace, and they are allowed to rest if needed during the test. However, the timer continues to run during rest periods.
Constipation Assessment Scale (CAS)	Baseline - 12th Week	One commonly used tool for assessing constipation in children is the "Rome IV Criteria," which is part of the Rome IV diagnostic criteria for functional gastrointestinal disorders. These criteria provide a standardized framework for diagnosing constipation based on specific symptoms and duration requirements
VO2 Max	Baseline - 12th Week	VO2 max, or maximal oxygen consumption, refers to the maximum amount of oxygen that an individual can utilize during intense or maximal exercise. This measurement is generally considered the best indicator of cardiovascular fitness and aerobic endurance.
Heart Rate	Baseline - 12th Week	The number of pulses over a minute is the standard heart rate measurement. This can also be calculated by doubling the number of pulses felt over 30 seconds.
Respiratory Rate	Baseline - 12th Week

Trial Locations

Locations (1)

Rehman Medical Institute; 🇵🇰 Peshawar, Punjab, Pakistan