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Halliwick Concept on Motor Functions in Spastic CP

Not Applicable
Completed
Conditions
Spastic Cerebral Palsy
Spastic Hemiplegic Cerebral Palsy
Registration Number
NCT05094921
Lead Sponsor
October 6 University
Brief Summary

This randomized controlled trial will investigate the effect of hydrotherapy (halliwick concept) on motor functions in children with spastic cerebral palsy (CP). Minimum of 30 Spastic CP children will be recruited for this study. Children will be randomly assigned into control group who will receive conventional selected exercise treatment or study group who will receive the same conventional program in addition to underwater exercise program. Motor function will be evaluated at baseline and after 3 months of treatment. No potential harms are expected during this study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Children from both sexes diagnosed with spastic CP according to a pediatrician
  • The degree of spasticity will be determined as grade two or less according to modified Ashworth scale
  • Their age will range from five to nine years
  • Intelligence quotient score > 35 (no worse than moderate intellectual disability) as assessed via Wechsler test scales
  • No severe psychosocial or behavioral problems, such high aggression or risk of self-harm.
Exclusion Criteria
  • Initiation of oral antispastic medication
  • botulinum toxin injections or surgery performed less than 90 days before enrollment
  • severe visual or auditory impairment
  • uncontrollable epilepsy (defined as the occurrence of seizures despite the use of at least one antiepileptic drug)
  • open wounds
  • children with a psychiatric disorder
  • cognitive disorders evaluated by the pediatric evaluation of disability inventory
  • uncontrolled epilepsy
  • active infection
  • severe cardiopulmonary disorders.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change from Gross motor function measure at 3 months [ Time Frame: 3 months ]Baseline and after 3 months

The Gross Motor Function Measure (GMFM) is an observational clinical tool designed to evaluate change in gross motor function in children with cerebral palsy. There are two versions of the GMFM - the original 88-item measure (GMFM-88) and the more recent 66-item GMFM (GMFM-66) The scoring system of the GMFM is a four-point scale divided into five categories (lying and rolling; sitting; crawling and kneeling; standing; walking, running).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

October 6 University Hospital

🇪🇬

Al Ḩayy Ath Thāmin, Giza, Egypt

October 6 University Hospital
🇪🇬Al Ḩayy Ath Thāmin, Giza, Egypt

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