Effects of Proprioceptive Neuromuscular Facilitation on Selective Motor Control of Lower Extremity and Balance in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Pediatric Berg Balance Scale
研究概览
简要总结
Cerebral palsy is attributed to non-progressive disturbances that occurred in the developing infant brain or fetal characterized by abnormalities of muscle tone, movement and motor skills. PNF technique is thought to have an impact on voluntary motor control and balance through stimulation of proprioceptors, so the aim of this study is to determine the effects of proprioceptive neuromuscular facilitation technique on selective motor control and balance on children with cerebral palsy.
详细描述
A case study was conducted in 2021 to determine the effects of PNF training for improving lower limb coordination in 7 years old cerebral palsy child. After the intervention, significant improvement is seen in gait parameters, balance, and gross motor functional classification score.
A case report was conducted in 2020, to determine the effectiveness of PNF technique in improving lower extremity function in spastic diplegic cerebral palsied adolescent. Patient was treated with tone inhibitory and movement facilitatory techniques. There was significant change in balance and lower extremity function before and after the treatment.
There are multiple impairments in spastic cerebral palsy children; the inability to perform purposeful voluntary movements is a critical factor in determining functional ability of children. Since selective voluntary motor control is an important factor that must be achieved in cerebral palsy children, PNF may be considered as a technique to gain selective voluntary control and balance proving an important intervention for cerebral palsy children.
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
- Double (Participant, Investigator)
盲法说明
Randomized
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
- •Children diagnosed as spastic diplegic cerebral palsy
- •Age between 5-12 years and both genders.
- •Gross motor function level II and III according to gross motor functional classification scale (GMFCS).
- •Spasticity range between 1 and 1+ grade according to modified ashworth scale
- •Children who are able to follow simple verbal instructions
排除标准
- •Children with uncontrolled epilepsy
- •Children who show no cooperation
- •Children receiving botulinum toxin injections or surgery no earlier than 6 months before project starts.
- •Subjects with presence of shortening or deformities of lower limb
研究组 & 干预措施
proprioceptive neuromuscular facilitation techniques
Experimental group will receive proprioceptive neuromuscular facilitation stretching which include hold-relax and contract-relax for 6 sec hold, 10 repetitions and 2 min rest in between, for 5 day/week for 4 weeks along with conventional physical therapy.
干预措施: Proprioceptive neuromuscular facilitation techniques. (Other)
traditional physical therapy
this group will receive conventional therapy (ROMs, stretching, strengthening).
干预措施: Proprioceptive neuromuscular facilitation techniques. (Other)
traditional physical therapy
this group will receive conventional therapy (ROMs, stretching, strengthening).
干预措施: Traditional physical therapy (Other)
结局指标
主要结局
Pediatric Berg Balance Scale
时间窗: last one week
The Pediatric Balance Scale (PBS), a modification of Berg's Balance Scale, was developed as a balance measure for school-age children with mild to moderate motor impairments. It has 14 items with score 0-4. The intra-class correlation coefficient (ICC) is 0.998 (18).
次要结局
- Selective control assessment of lower extremity (SCALE)(last one week)