Improving Trunk Control and Mobility in Children with Cerebral Palsy Using Game-Based and Traditional Therapy

Phase 3

Not yet recruiting

Conditions: Spastic diplegic cerebral palsy,

Registration Number: CTRI/2025/06/088889

Lead Sponsor: Sneha Kolhe

Brief Summary: Cerebral palsy is the most common physical disabilities in childhood. It is a non-progressive lesion of the developing central nervous system affecting the control of movements and posture in the children.Numerous studies have shown that children with CP ,regardless their GMFCS levels, demonstrate problems in their postural control in sitting and standing positions, which in turn affect their function and participation in daily life. The main deficits in postural control in sitting for children with CP are lack of ability to recruit direction-specific muscles in more severe children or inability to fine-tune the degree of muscle contraction according to specific situations in less disabled children when their sitting balance is challenged.Achieving independent sitting is a fundamental ability that acts as a precursor for reaching ,performing activities of daily living and attaining other functional skills ,that relies on considerable postural and trunk control. postural control focuses on the orientation of various body segments in space ,that serves as a reference frame for perception and action to external surroundings ; while trunk control is the ability specific to controlling orientation of only the upper body ( trunk/torso) in space.. Trunk control plays central role in providing stable base of support during static and dynamic activities and is an important component of assessment in children with CP. Trunk control develops progressively in cranio-caudal direction that is acquired segmentally through increased control at various trunk segments during the development of independent sitting. The aim of this study is to determine the effect of computerized interactive game-based intervention as an adjunct to conventional therapy on trunk control and functional mobility in children with cerebral palsy spastic diplegia aged 6-12 years. The objective of this study is to assess and compare the effect of conventional training with computerized interactive game-based intervention on trunk control and functional mobility. Methodology- This is an experimental study .36 participants diagnosed with cerebral palsy spastic diplegia will be included as per inclusion and exclusion criteria . convenient sampling will be done . Pre intervention scores will be assessed using trunk control measurement scale[TCMS] and Time up Go [TUG] test. Participants will be allocated into 2 groups of 18 in each. Group 1 will be given computerized interactive game-based intervention and conventional trunk control exercises for 60 minutes. Group 2 will be given conventional trunk control exercises for 45-60 minutes . Both group will be given the above intervention 3 times per week for 4 weeks . Post 4 weeks ,intervention scores will be assessed using the mentioned outcome measures. Data will be collected in Microsoft Excel.

Statistical analysis-

Descriptive statistics will be used to summarize the data. Collected data will be tested for normality. If the data passes normality, between group comparison will be done using un-paired t test and within group comparison will be done using paired t test will be done. If the data doesn’t pass normality , between group comparison will be done using Mann Whitney U test and within group comparison will be done using wilcoxin sign rank test will be done.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 36

Inclusion Criteria

Children diagnosed with cerebral palsy spastic diplegia, GMFCS level II-III Age – 6 to 12 years Able to ambulate a distance of 10 m independently.

Exclusion Criteria

Children with visual and hearing impairments.
Children with epilepsy or seizure disorders.Children with cognitive impairment.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Trunk Control Measurment Scale (TCMS)	Pre-Intervention and Post 4 weeks of Intervention
Time Up and Go (TUG)	Pre-Intervention and Post 4 weeks of Intervention

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): AIIPMR
🇮🇳
Mumbai, MAHARASHTRA, India
AIIPMR
🇮🇳Mumbai, MAHARASHTRA, India
DrSneha Kolhe
Principal investigator
09119445305
snehakolhe23@gmail.com