Effect of Specially Designed Balance Board on Standing Balance in Children With Diplegic Cererbral Palsy
- Conditions
- Balance BoardStanding BalanceDiplegic Cerebral Palsy
- Registration Number
- NCT06964386
- Lead Sponsor
- Cairo University
- Brief Summary
This was done to:
1. To determine the effect of a specially designed balance board on balance ability.
2. To determine the effect of the traditional balance training program on balance ability.
3. To compare between the effect of a specially designed balance board and the traditional balance training program on balance ability.
- Detailed Description
Children with cerebral palsy (CP) often experience abnormal posture, loss of motor control, and poor trunk control, leading to limitations in daily activities. Improving balance abilities is crucial for maintaining equilibrium in sensory environments. Vestibular stimulation can help develop feed-forward mechanisms and new functional skills. This study aims to improve balance abilities in children with diplegic CP, explore the impact of balance boards on vestibular and hand function, and assist mothers in their child's improvement.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Their ages ranged from 4 to 8 years old.
- The degree of spasticity ranged from grade 1 or 1+ according to Modified Ashworth Scale
- They were at level I or II on gross motor function classification scale.
- They were able to follow verbal command or instructions.
Children were excluded if they had one of the following :
- Fixed deformities of lower limbs.
- Visual or auditory problems.
- History of surgical interference in lower limbs less than six months.
- Botulinum toxin injections to the lower limb during the previous 4 months.
- Mental retardation.
- Fixed deformity
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method assessment of degree of spasticity at baseline and after 3 months Assessment of tone involves the clinician passively moving the patient's joints slowly and quickly and rating the degree of resistance felt to rapid stretch, typically as increased or decreased relative to a presumed normal (Hugos and Cameron, 2019). Only spastic diplegic children with grade 1 and 1+ will be included in the study
- Secondary Outcome Measures
Name Time Method Assessment of change of gross motor function level at baseline and after 3 months This study will involve children with diplegic cerebral palsy at level II, who can walk, climb stairs, and perform gross motor skills like running and jumping. They will be allowed to engage in functional activities without interruption from caregivers or therapists. The study will record their activities using gross motor function classification system, taking about 10 minutes. Children with level II may struggle with long distances, balancing, and uneven terrain, and may require assistance with physical assistance or wheeled mobility.
assessment of change of balance at baseline and after 3 months it is an electronic balance board with HUMAC software on a laptop. Calibration was performed according to manufacturer guidelines. Participants stood with hands by their sides, without assisted devices. A sight target was taped to the wall. Participants stood quietly for one minute before testing.
assessment of change of pediatric balance at baseline and after 3 months The pediatric balance scale is a tool designed for children and adolescents aged five to 15 years to assess their static and dynamic balance. It consists of 14 items with scores ranging from 0 to 4, with a maximum score of 56. The scale has test-retest and interrater reliability of 0.998 and 0.997 in school-aged children with mild to moderate motor impairment. It requires minimal specialized equipment, such as an adjustable seat, chair, stopwatch, footrest, eraser, tape measure, and child-sized foot molds.
Trial Locations
- Locations (1)
out-patient clinic, faculty of physical therapy, Cairo university
🇪🇬Cairo, Egypt