Effect of Core Stabalization Versus Rebound Therapy on Balance in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- balance
研究概览
简要总结
the study aims to compare the effect of core stabalization and rebound therapy on balance in children with hemiplegic cerebral palsy
详细描述
PURPOSE:
To compare the effect of core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy
BACKGROUND:
Cerebral palsy is primarily a disorder of movement and posture
HYPOTHESES:
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, Outcomes Assessor)
入排标准
- 年龄范围
- 5 Years 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children diagnosed with spastic hemiplegic CP.
- •Their chronological age ranged from 5 to 8 years,
- •able to follow verbal commands or instructions during testing procedures,
- •degree of spasticity in affected lower limbs ranged between1 to 1+ according to Modified Ashworth scale (MAS),
- •they are able to understand and follow instructions given to them,
排除标准
- •Children who had significant visual or auditory problems that may interfere with testing, - ---- patients who had contractures or fixed deformities related to the joints of the lower limbs, ---- injection with Botulinium toxin or any orthopaedic surgery in lower limbs 6m before study,
- •children who were suffering from cardiopulmonary problems or epilepsy.
研究组 & 干预措施
core stabalization
The core stability exercises will be used for core stabilization training of group (A) in addition to traditional physical therapy. The core stability program included 3 levels. Each exercise lasted 5 min, and the children shifted from one exercise to the next after the complete performance of the preceding exercise. The first (simple) level included supine abdominal draw-in (20 repetitions), abdominal draw-in with both knees to the chest (10-20 repetitions), and supine twist (10-20 repetitions). The second (medium) level included pelvic bridging (3e5 repetitions) and twist with a medicine ball (10e20 repetitions). Finally, the third (difficult) level included bridging with the head on a physio ball (the position was held for 3-5 s, followed by a slow relaxation phase, with 10-20 repetitions)
干预措施: core stabilization (Other)
rebound therapy
Rebound exercises will be applied for group B. this group will receive rebound exercise training in addition to traditional physical therapy . Rebound exercises were conducted on a mini-trampoline and BOSU ball. Passive bouncing will be conducted while the child was standing with his/her feet a shoulder-width apart. The therapist will held the child's legs while applying upward and downward movement. The bouncing started slowly. The child then will progress to include the rebound exercises, starting with active bounce, where in a hands free manner the therapist will ask the child to speed up or slow down the bounce rate according to the child's abilities
干预措施: core stabilization (Other)
结局指标
主要结局
balance
时间窗: 12 week
it measures the degree of tilting for each axis during dynamic conditions and calculates a medial lateral stability index (MLSI); an anterior-posteriorstability index (APSI); and an overall stability index(OSI),
次要结局
- 6 minute walk test(12 week)
- gross motor function measure-88(12 week)
- lafayette hand held dynamometer(12 week)
研究者
Alaa Fahmy Hassan Al Nemr
lecturer in pediatric department, faculty of physical therapy
Cairo University