Vestibular and Motor Functions in Children With Hemiplegic Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy; Hemiplegic Cerebral Palsy
• Interventions: Other: Neurodevelopmental technique

• Registration Number: NCT04894812
• Lead Sponsor: Riphah International University

Brief Summary

As many researches have been conducted to see the effects of vestibular system activation on gross motor activities of children with cerebral palsy but there are limited researches on improvement of motor abilities of hemiplegic cerebral palsy child using UEU or BOSU ball or treadmill in a single study. There is lack of research on vestibular stimulation in hemiplegic cerebral palsy along with neurodevelopmental treatment.

This study will improve the gross motor activities of children with hemiplegic cerebral palsy. It will broaden up the ways for physical therapist to deal with this type of cerebral palsy (hemiplegic).

Detailed Description

There are various therapeutic approaches that are used to improve motor activities and postural control in CP child. Among these approaches vestibular stimulation is used to improve neuromotor development by different sensory stimulation techniques. It has shown positive effects on motor control of CP child. It also influences all sensory experiences and is an exercise based approach.

Study Timeline

• Study First Submitted: 2021-05-19
• Study First Submitted QC: 2021-05-19
• Study First Posted: 2021-05-20
• Study Start: 2021-05-30
• Primary Completion: 2021-12-31
• Study Completion: 2022-01-31
• Status Verified: 2022-02
• Last Update Submitted: 2022-02-20
• Last Update Posted: 2022-02-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• Age: 3 years to 12 years
• Gender: Both Male and female
• Children with Spastic Hemiplegic CP scoring 1,1+ and 2 on Modified Ashworth scale
• Level III and IV on GMFCS (Gross Motor Function Classification System)

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Exclusion Criteria

• Children with other types of Cerebral Palsy (diplegia, quadriplegia etc)
• Children with other Abnormalities and pathologies (delayed milestones, hydrocephalous, epilepsy etc)
• Children Undergone any kind of surgery (cardiac, shunt placement, orthopedic etc)
• Children with any other neurological deficits (spina bifida etc)
• Children with conditions in which vestibular stimulation is not allowed (paroxysmal positional vertigo or vestibular neuritis, Meniere's disease, migraine-associated vertigo, and childhood vertigo).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B	Neurodevelopmental technique	Neurodevelopmental Technique and Vestibular stimulation. Total duration of treatment will be 50 minutes (20 min NDT+ 30 MIN VS) 3 sessions per week for 3 months.
Group A	Neurodevelopmental technique	Neurodevelopmental Treatment. Total duration of treatment will be 20 minutes, 3 sessions per for 3 months

Primary Outcome Measures

Name	Time	Method
GMFM-88	12 weeks	It is a Standardized Observational Instrument designed and validated to measure change in gross motor function over time in children with Cerebral Palsy. The GMFM-88 item scores can be summed to calculate raw and percent scores for each of the five GMFM dimensions of interest, selected goal areas and a total GMFM-88 score.

Secondary Outcome Measures

Name	Time	Method
Modified Ashworth Scale	12 weeks	The purpose of the Modified Ashworth Scale is to measure spasticity in patients who have lesions of the CNS or neurological disorders. The MAS is a quick and easy measure that can assist a clinician's assessment of spasticity during passive soft-tissue stretching.

Trial Locations

Locations (1)

Institute of Pediatric Habilitation and Rehabilitation IPH; 🇵🇰 Lahore, Punjab, Pakistan