Task-oriented Training Versus Group Circuit Training in Children With Quadriplegic Cerebral
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 36
- 主要终点
- Functional Performance
研究概览
简要总结
Cerebral palsy is a common neurodevelopmental disorder that affects movement, posture, and functional abilities in children. This randomized controlled trial focuses on comparing the effects of task-oriented circuit training and group circuit training on functional performance and functional capacity in children with quadriplegic cerebral palsy. Outcomes will be measured using the Gross Motor Function Measure (GMFM-88) and the Activities Scale for Kids-Capability version (ASK-C). The findings of this study may help identify effective rehabilitation strategies for improving functional outcomes in children with cerebral palsy.
详细描述
Cerebral palsy (CP) is a non-progressive neurological disorder characterized by impairments in movement, posture, and functional abilities, significantly limiting a child's participation in daily activities. Children with quadriplegic cerebral palsy experience greater functional limitations, particularly in gross motor performance and functional capacity, necessitating effective and structured rehabilitation interventions.
Task-oriented training and circuit training are commonly used therapeutic approaches in pediatric neurorehabilitation. Task-oriented training focuses on practicing meaningful, goal-directed functional tasks to enhance motor learning and functional performance whereas group circuit training emphasizes repetitive, structured exercises performed in a circuit format to improve strength, endurance, and motor skills. However, limited evidence exists comparing the effectiveness of these two approaches specifically in children with quadriplegic cerebral palsy.
This randomized controlled trial aims to compare the effects of task-oriented circuit training and group circuit training on functional performance and functional capacity in children with quadriplegic cerebral palsy. Eligible participants will be randomly allocated into two intervention groups. One group will receive task-oriented circuit training combined with conventional physical therapy, while the other group will receive group circuit training along with conventional physical therapy.
Functional performance will be assessed using the Gross Motor Function Measure-88 (GMFM-88), and functional capacity will be evaluated using the Activities Scale for Kids-Capability version (ASK-C). Assessments will be conducted at baseline (pre-intervention) and after completion of the intervention period (post-intervention).
The results of this study are expected to provide evidence regarding the comparative effectiveness of task-oriented circuit training and group circuit training, thereby assisting clinicians in selecting appropriate rehabilitation strategies to improve functional outcomes in children with quadriplegic 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
- 7 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children diagnosed with spastic quadriplegic cerebral palsy.
- •Age between 7 and 12 years.
- •Gross Motor Function Classification System (GMFCS) level II or III.
- •Both genders.
- •Lower limb spasticity graded between 1 and 1+ on the Modified Ashworth Scale.
- •Ability to understand and follow simple instructions.
- •No serious or recurrent medical complications.
排除标准
- •Presence of fixed orthopedic deformities affecting balance or movement.
- •Visual, auditory, vestibular, or perceptual deficits.
- •History of seizures or epilepsy.
- •Orthopedic surgery or botulinum toxin injections within the past 6 months.
- •Participation in other structured rehabilitation programs during the study period.
- •Presence of neuromuscular disorders other than cerebral palsy.
研究组 & 干预措施
Task-Oriented Circuit Training Group
Participants in this group will receive task-oriented circuit training combined with conventional physical therapy.
干预措施: Task-Oriented Circuit Training (Other)
Group Circuit Training Group
Participants in this group will receive a combination of group circuit training and conventional physical therapy.
干预措施: Group Circuit Training (Other)
结局指标
主要结局
Functional Performance
时间窗: From baseline to the end of treatment at 16 weeks
Functional performance will be assessed using the Gross Motor Function Measure-88 (GMFM-88), which evaluates gross motor abilities across five dimensions (lying/rolling, sitting, crawling/kneeling, standing, walking/running). Ordinal scale 0-3 (0=does not initiate, 3=completes), resulting in a percentage score (0-100%) for each dimension and total score.
Functional Capacity
时间窗: From baseline to the end of treatment at 16 weeks
Functional capacity will be measured using the Activities Scale for Kids-Capability version (ASK-C), a validated questionnaire assessing a child's ability to perform daily activities. This scale consists of 30 items, each rated on a 5-point ordinal scale. 0= with no problem 1. with a little problem 2. with a moderate problem 3. with a big problem 4. I could not The final score ranges from 0 to 100, with a higher score indicating better functional outcomes
次要结局
未报告次要终点