Pelvic Neuromuscular Facilitation and Swiss Ball Exercises on Trunk Control in Children With Diaplegic CP

Not Applicable

• Conditions: Cerebral Palsy
• Interventions: Other: Proprioceptive Neuromuscular Facilitation; Other: Swiss Ball Exercises

• Registration Number: NCT05460923
• Lead Sponsor: Riphah International University

Brief Summary

Cerebral palsy is an umbrella term that covers a group of non-progressive motor impairment syndromes that are associated with abnormalities in the brain particularly during the early stages of its development. CP usually involves a number of musculoskeletal and neurological problems they include spasticity, contractures, dystonia, abnormal growth, poor trunk control, and poor balance. Poor trunk control leads to a disturbance in activities of daily living along with postural issues. PNF techniques and Swiss ball exercises target the trunk muscles by stimulating the proprioceptors and by allowing maximum resistance to them respectively. The aim of the study is to do a comparison of Pelvic neuromuscular facilitation techniques and Swiss ball exercises in improving trunk control in children with diplegic cerebral palsy.

Detailed Description

The studies conducted in the past were focused on finding out the effect of proprioceptive neuromuscular facilitation techniques on the lower extremities of children suffering from diplegic cerebral palsy. The effects of PNF on trunk control the children suffering from diplegic CP are nearly minimal. In addition to PNF, the literature shows that studies have been conducted to find the effects of Swiss ball training exercise on trunk control of the post-stroke patients however there is very little research on the effects of Swiss ball training in children suffering from diplegic CP. Even if the studies are conducted the time duration of the studies are not enough to gain the maximum outcomes.

Study Timeline

• Study Start: 2022-05-25
• Status Verified: 2022-07
• Study First Submitted: 2022-07-14
• Study First Submitted QC: 2022-07-14
• Last Update Submitted: 2022-07-14
• Study First Posted: 2022-07-15
• Last Update Posted: 2022-07-15
• Primary Completion: 2022-09-25
• Study Completion: 2022-11-28

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Patients with no trunk control
• Age between 5-12 years
• Patients with diplegia

Exclusion Criteria

• Patients with Cognitive impairment
• Patients with comorbidities
• Patients who are unable to follow instructions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Proprioceptive Neuromuscular Facilitation	Proprioceptive Neuromuscular Facilitation	pelvic neuromuscular facilitation techniques including various PNF movement patterns along with the baseline treatment
Swiss Ball Exercises	Swiss Ball Exercises	Swiss ball exercises along with baseline treatment trunk twists,

Primary Outcome Measures

Name	Time	Method
GMFC	8th week	The Gross Motor Function Classification System or GMFCS is a 5 level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities.
Trunk Control Measurement Scale	8th week	The Trunk Control Measurement Scale is a clinical tool that is used in order to measure the trunk control. The scale is used in the areas of assessment of non-vestibular balance and functional mobility

Trial Locations

Locations (2)

International Therapy Services Center; 🇵🇰 Lahore, Punjab, Pakistan

Rising Sun Institute; 🇵🇰 Lahore, Punjab, Pakistan