Effect of Specially Designed Balance Board on Standing Balance in Children With Diplegic Cererbral Palsy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- assessment of degree of spasticity
Study Overview
Brief Summary
This was done to:
- To determine the effect of a specially designed balance board on balance ability.
- To determine the effect of the traditional balance training program on balance ability.
- 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 4 Years to 8 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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.
Exclusion Criteria
- •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
Arms & Interventions
the traditional program
twenty Children in group A received designed physical therapy program in addition to traditional balance training
Intervention: The traditional physical therapy rehabilitation exercises (Other)
the traditional program
twenty Children in group A received designed physical therapy program in addition to traditional balance training
Intervention: balance training on traditional balance board (Other)
balance training exercises
twenty Children in group B received the same designed physical therapy program in addition to balance training exercises on special form of balance board
Intervention: The traditional physical therapy rehabilitation exercises (Other)
balance training exercises
twenty Children in group B received the same designed physical therapy program in addition to balance training exercises on special form of balance board
Intervention: program on special form of balance board (Other)
Outcomes
Primary Outcomes
assessment of degree of spasticity
Time Frame: 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 Outcomes
- assessment of change of balance(at baseline and after 3 months)
- Assessment of change of gross motor function level(at baseline and after 3 months)
- assessment of change of pediatric balance(at baseline and after 3 months)
Investigators
Zeinab Mohamed Hassan Ewida
principal investigator
Cairo University