Effects of Task Specific Circuit Training on Gross Motor Function, Balance, and Quality of Life in Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Gross motor function
研究概览
简要总结
This study investigates how Task-Specific Circuit Training (TSCT) affects gross motor function, balance, and quality of life in children with Cerebral Palsy. Two groups will be compared: one receiving TSCT and the other receiving conventional physiotherapy. Outcome measures, such as the GMFM, Pediatric Balance Scale, and CP-QoL questionnaire, will be recorded before and after a 8-week intervention (40-50 minutes, 3 sessions per week). Participants will be screened using GMFCS levels I-III. The study aims to determine whether TSCT provides greater improvements in functional mobility, postural control, and overall well-being compared to standard therapy.
详细描述
This study evaluates the effects of a task-specific circuit training program on functional performance in individuals with cerebral palsy. The intervention is based on motor learning principles and emphasizes repetitive, goal-directed, and functionally relevant activities to enhance neuromuscular control and postural stability.
The task-specific circuit training protocol consists of a series of functional workstations targeting gross motor activities commonly required in daily life, including transitional movements, ambulation-related tasks, and static and dynamic balance activities. Exercises are individualized and progressively modified by adjusting task complexity, repetitions, and external support based on participant performance and tolerance. All training sessions are supervised by trained physiotherapists to ensure standardized implementation and safety.
The intervention is delivered over a structured training period with multiple sessions per week. Each session follows a standardized format consisting of a warm-up phase, circuit-based task-specific exercises, and a cool-down phase. The training approach prioritizes active participation, task repetition, and functional relevance to promote motor performance and functional independence.
The study examines changes in functional outcomes following the intervention period to determine the clinical utility of task-specific circuit training as a rehabilitation strategy for individuals with cerebral palsy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Confirmed diagnosis of Spastic Hemiplegic Cerebral Palsy.
- •Age range 5-12 years.
- •GMFCS Levels I-III, indicating the ability to walk independently or with assistance.
- •Modified Ashworth Scale score 0 to ≤
- •Sufficient cognitive ability to participate in training and follow instructions.
排除标准
- •Modified Ashworth Scale (MAS) score greater than 2 in key muscle groups.
- •GMFCS Levels IV-V, indicating inability to walk.
- •History of frequent seizures.
- •Inability to follow verbal or visual instructions, or presence of severe cognitive impairment.
- •Recent orthopedic surgery or Botulinum Toxin (Botox) injections.
- •Severe musculoskeletal abnormalities such as spinal deformities, hip dislocation, or significant contractures limiting movement.
- •Any respiratory, metabolic, or cardiovascular condition that may limit safe participation.
结局指标
主要结局
Gross motor function
时间窗: 8 week
Gross motor function is measured by GMFM-88. These are the gold-standard tools for evaluating changes in gross motor abilities in CP children. It helps to evaluate changes in motor skills over time or after intervention. Assesses gross motor functions such as lying, rolling, sitting, crawling, standing, walking, running, and jumping. 80-100% Near-normal motor function / mild CP 40-80% Moderate motor impairment \< 40% Severe motor impairment
Balance
时间窗: 8 week
Balance is measured by the Pediatric Balance Scale (PBS). Contains 14 tasks such as standing, reaching, turning, and transferring. Scores range from 0 to 5. 50-56 Normal or near-normal balance 33-49 Moderate balance impairment 0-32 Poor balance / high fall risk
Cerebral Palsy Quality of Life
时间窗: 8 week
Quality of life is measured by CP QOL (Cerebral Palsy Quality of Life Questionnaire). It measures domains such as: Social well-being, Emotional well-being, Participation, Pain and disability, Access to services, Family health. Scores range 0-100 \> 70 High QOL 50-70 Moderate QOL \< 50 Low QOL
次要结局
未报告次要终点