Effects of Cuevas Medek Exercises on Postural Control and Balance in Children With Spastic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Postural Control
研究概览
简要总结
This study aims to evaluate the effects of Cuevas Medek Exercises on postural control and balance in children with spastic cerebral palsy. Children meeting the eligibility criteria will be randomly allocated into two groups receiving Cuevas Medek Exercises or conventional therapy. The outcomes will be assessed before and after the intervention period to determine the effectiveness of the intervention.
详细描述
Spastic cerebral palsy is a common condition characterized by impaired postural control, poor balance, and limitations in functional movement, which affect a child's ability to maintain stability during daily activities. Conventional physiotherapy is commonly used to address these impairments through strengthening, stretching, and task-based exercises, with variable functional outcomes.
Cuevas Medek Exercises is a dynamic therapeutic approach that focuses on activating automatic postural responses and balance reactions through progressively challenging activities with minimal external support. While this approach has shown potential benefits in improving motor control and postural responses, evidence comparing its effects on postural control and balance with conventional therapy in children with spastic cerebral palsy remains limited.
Therefore, a randomized controlled trial is needed to compare the effects of Cuevas Medek Exercises and conventional therapy on postural control and balance in children with spastic cerebral palsy, with the aim of providing evidence to support clinical decision-making in pediatric physiotherapy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
This is an open-label study as blinding of participants and therapists is not feasible due to the nature of the physiotherapy interventions. Outcome assessments will be conducted using standardized assessment tools to reduce assessment bias.
入排标准
- 年龄范围
- 2 Years 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with spastic diplegic cerebral palsy
- •GMFCS Level III to V
- •Modified Ashworth Scale ≤ 2
- •Able to follow simple commands
排除标准
- •Severe cognitive impairment
- •Uncontrolled epilepsy or frequent seizures
- •Visual or hearing impairment limiting treatment
- •History of recent orthopedic or neurosurgical procedures
- •Other neurological disorders (genetic syndromes, traumatic brain injury)
- •Participation in other experimental therapies during the study period
研究组 & 干预措施
cuevas medek exercise
Children in this group will receive Cuevas Medek Exercises focusing on activation of postural responses and balance control through progressively challenging activities during the intervention period
干预措施: Cuevas medek exercises (Other)
Conventional therapy
Children in this group will receive conventional physiotherapy including stretching, strengthening, and task-oriented activities aimed at improving postural control and balance
干预措施: Conventional Therapy (Other)
结局指标
主要结局
Postural Control
时间窗: At the end of 4 weeks of intervention
Changes from baseline in postural control will be assessed using the Posture and Postural Ability Scale (PPAS). The scale evaluates the child's ability to maintain posture during functional tasks and measures automatic postural responses. The PPAS consists of several domains including trunk control, limb alignment, and dynamic balance. The scoring ranges from 0 to 30, where 0 indicates no disability and 30 indicates maximum postural impairment.
次要结局
- Balance(At the end of 4 weeks of intervention)