Effect of Vestibular Rehabilitation on Postural Sway and Energy Expenditure in Children With Spastic Diplegia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 30
- Locations
- 1
Study Overview
Brief Summary
this study will be conducted To determine the effect of vestibular rehabilitation training on postural sway and energy expenditure in children with spastic cerebral palsy and To determine any relation between postural sway and energy expenditure in children with spastic cerebral palsy.
Detailed Description
Cerebral palsy leads to postural asymmetries and balance impairments, primarily due to central vestibular dysfunction. Children aged 7-12 with gross motor function classification system levels I-III exhibit poor visual and vestibular interactions, impacting their ability to resolve sensory conflicts and manage reflexes. Excessive lateral trunk lean in cerebral palsy, prevalent in 72% of affected children, increases locomotion costs. Energy expenditure during walking rises with declining motor function, particularly in spastic cerebral palsy where vestibular dysfunction affects nearly 48% of cases. The relationship between balance control efforts and metabolic energy expenditure is complex, especially during dynamic activities like walking. This study will assess the impact of vestibular rehabilitation on postural sway and energy expenditure in children with spastic cerebral palsy, aiming to elucidate their interrelationship.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 8 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The age of the selected children will be ranged from 8 to 12 years old.
- •Degree of spasticity is ranging from 1+to 2 according to modified Ashworth scale
- •The level of motor function of the children will be levels I-II according to Gross Motor Function Classification System
- •They are able to follow instructions and understand commands.
Exclusion Criteria
- •Bone and tendon lengthening surgeries within last 6 months.
- •Lung and heart diseases and disorders.
- •Vision or hearing problems
- •Children with fixed deformities.
- •Children with epilepsy.
- •Recent intramuscular Botulinum toxin injection or orthopedic surgery within last 6 months.
Investigators
Nesma Abdelrahman
principal investigator
Cairo University