Effects of Perturbation Therapy and Trunk Control Training

Not Applicable

Completed

Brief Summary: A postural perturbation refers to unexpected change in conditions that upsets the body's harmony and displaces its posture. These perturbations can be sensory in nature, such as vestibular perturbations resulting from electrical stimulation, visual perturbations caused by a moving room or graphical images, or somatosensory perturbations caused by muscle vibrations. The body's reactions to these sensory perturbations may be based on the perception of instability rather than actual imbalance. Trunk control plays a vital role in various aspects of daily life, including balance, walking, and overall functional abilities. Children with cerebral palsy (CP), who experience limitations in their ability to move, often expend more energy compared to their healthy peers.

Detailed Description: This study will be randomized clinical trial used to compare the effects of Perturbation and trunk control training in children with Cerebral Palsy. Subjects meeting the predetermined inclusion and exclusion criteria will be divided into two groups using lottery method. Pre-assessment will be done using Berg balance scale, functional Independent measures and TUG test as objective measurements. Subjects in one group will be treated using Perturbation therapy and the other one will be treated with Trunk control training. Both groups had three treatment sessions per week, for 4 weeks, and the total time for every session was about 30-45 minutes. A postural perturbation refers to unexpected change in conditions that upsets the body's harmony and displaces its posture. These perturbations can be sensory in nature, such as vestibular perturbations resulting from electrical stimulation, visual perturbations caused by a moving room or graphical images, or somatosensory perturbations caused by muscle vibrations. The body's reactions to these sensory perturbations may be based on the perception of instability rather than actual imbalance. On the other hand, "mechanical perturbations" physically displace the body segments, potentially leading to a shift in the overall center of mass or actual imbalance. Even small displacements of a single body segment, like the head, can elicit minor muscle responses throughout the body

Recruitment & Eligibility

Inclusion Criteria

Kids that suffer from cerebral palsy.
Ages span from 5 to 10 years.
Both males and females were represented.
During the preceding half-year, there was no orthopedic surgery or spasticity-reduction intervention.
No significant lower limb muscular contraction

Exclusion Criteria

Individuals suffering from sensory, proprioceptive, cognitive, and perceptual impairments, as well as those with contractures.
Any neurological disease that impairs balance, including orthopedic disorders
Individual experiencing seizures and has undergone any prior surgical treatments.
Uncorrected visual issues

Arm && Interventions

Group	Intervention	Description
Perturbation Therapy	Perturbation Therapy	Perturbation Therapy will be given to this group.
Trunk Control Therapy	Trunk Control Therapy	Trunk control activities will be given to this group.

Primary Outcome Measures

Name	Time	Method
Pediatric Berg balance scale (PBBS)	6weeks	BBS is 14 Item rating 5-point ordinal Scale, used to evaluate the balance in elderly population and other neurological conditions. It is easy to administer and doesn't require specialized training and takes 15- 20 mins. The maximum scoring in BBS is 56.
Functional Independent Measures (FIM	6weeks	The Functional Independence Measure (FIM) provides a seven level ordinal scale for measuring functional performance on 18 activities considered essential for daily living. In routine practice, the scores on the individual activities are usually summed giving a total FIM score that ranges from 18 to 126.
Timed Up and Go Test (TUGT)	6weeks	It is prognostic test to assess mobility and to identify the individuals with a risk of fall. TUG is time performance of getting up from chair, walking 3 m, turning around and walking back to sit down again. Timed Up and Go test is recommended by American Geriatrics Society, British Geriatric Society for screening risk of falls. An older who takes more than 12 seconds to complete the TUG is at the highest risk for falling

Secondary Outcome Measures

Name	Time	Method