Analyzing the Effect of Trunk Training on Limbs in Children With Spastic Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy, Spastic
• Interventions: Other: Functional Trunk Training

• Registration Number: NCT02643160
• Lead Sponsor: Abant Izzet Baysal University

Brief Summary

The purpose of this study is to analyze if trunk training has effects on trunk, upper, lower extremity motor functions in children with spastic Cerebral Palsy. Second purpose is to analyze the relation between trunk control and prematurity, birth weight, upper and lower extremity motor functions in children with spastic Cerebral Palsy.

Detailed Description

Cerebral Palsy (CP) is a condition caused by a lesion occurred in immature brain during prenatal, natal or postnatal period. Children with CP may have motor, cognitive, sensory, auditory, behavioral problems during their lifespan. Spastic type CP is most common type of CP and many children with spastic CP have both trunk and limb impairment. Physiotherapy is very important for improving motor function and protect from secondary impairments in this children and should start as early as possible. The aim of this study is to analyze if trunk training has effects on trunk, upper and lower extremity motor function in children with spastic CP. 38 children with spastic CP between 4-18 years age are included in this study. Both genders are included. The Participants randomized according to their gross motor function classification system levels and their age. Before intervention all groups assessed with assessment tools which assess muscle spasticity, balance, gross motor function, trunk control and walking characteristics. After randomization there wasn't any intervention for control group; they continued their regular physiotherapy in special education centers two times a week. Study group received trunk training two times a week in addition to their regular physiotherapy in special education centers during 8 weeks. After 8 weeks all groups assessed with the same assessment tools.

Study Timeline

• Study Start: 2014-01
• Primary Completion: 2015-10
• Study Completion: 2015-10
• Study First Submitted: 2015-11-25
• Status Verified: 2015-12
• Study First Submitted QC: 2015-12-30
• Last Update Submitted: 2015-12-30
• Study First Posted: 2015-12-31
• Last Update Posted: 2015-12-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

1. Children with spastic cerebral palsy effected bilaterally
2. Between 4-18 years age

Exclusion Criteria

1. Received orthopedic surgery during last 6 weeks
2. Receive Botulinum Toxin injection during last 6 weeks
3. Mentally retarded children with communication limitations
4. Had epileptic seizures during last 12 moths -

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Functional Trunk Training Group	Functional Trunk Training	Functional Trunk Training which includes strengthening of trunk muscle and functional activities including trunk region.

Primary Outcome Measures

Name	Time	Method
Change in trunk control over time assessed with Trunk Control Measurement Scale.	At baseline and 8 weeks after baseline	Assessing change in trunk control

Secondary Outcome Measures

Name	Time	Method
Change in daily living activities and participation over time assessed with Child Health Questionary Parent Form 50.	At baseline and 8 weeks after baseline	Assessment of child's daily living activities and participation
Change in gross motor function over time assessed with Gross Motor Function Measurement	At baseline and 8 weeks after baseline	Assessing gross motor function
Change in upper extremity skills over time assessed with Quality of Upper Extremity Skills Test	At baseline and 8 weeks after baseline	Assessing upper extremity skills
Change in walking speed over time assessed with 1 Minute Walk Test	At baseline and 8 weeks after baseline	Assessing walking speed
Change in muscle activation over time assessed with Surface Electromyography.	At baseline and 8 weeks after baseline	Assessment of muscle activation
Change in muscle spasticity over time assessed with Modified Tardieu Scale.	At baseline and 8 weeks after baseline	Assessing muscle spasticity
Change in balance over time assessed with Pediatric Balance Scale	At baseline and 8 weeks after baseline	Assessing balance
Change in loco motion over time assessed with Gillette Functional Assessment Scale	At baseline and 8 weeks after baseline	Assessing loco motion.
Change in walking parameters over time assessed with Physicians Rating Scale	At baseline and 8 weeks after baseline	Assessing walking parameters
Change in functional loco motion over time assessed with Timed Up and Go Test	At baseline and 8 weeks after baseline	Assessing functional loco motion
Change in impact of having a disabled child on family over time assessed with Impact on Family Scale	At baseline and 8 weeks after baseline	Assessing impact on family to have a disabled child
Change in independence level over time assessed with Functional Independence Measure for Kids	At baseline and 8 weeks after baseline	Assessing independence level