Comparative Effects of Spider Cage Therapy and Modified Suit Therapy in CP

Not Applicable

Completed

Brief Summary: Spider Cage is a part of universal exercise unit. It is a suspension system, which works with use of belts, elastic cords and Thera suits (Thera suits especially for cerebral palsy). Cords are dynamic and provides an appropriate amount of support with the help of which patient can perform movement independently. Cerebral Palsy (CP) is a condition where non progressive disorders of posture caused by abnormal development of, or damage to, motor control centers of brain resulting in abnormal movements.

Detailed Description: It will be Randomized Controlled trial in which non probability convenience sampling technique will be used. Two groups of 8 to 12 age will be formed in which participants will be randomly divided by lottery method. Group A will be given modified Thera suits and the other group B will receive spider cage therapy on trunk stability and pelvic control. Improvement will be identified by Trunk Control Measurement Scale (TCMS), Trunk impairment scale (TIS) and Gross motor function classification system. (GMFCS) level I-II. The result after statistical analysis will show that which treatment will be more effective. Results will be analyzed on SPSS 29. Data analyzed by repeated measures ANOVA

Recruitment & Eligibility

Inclusion Criteria

• 8 to 12 years of age
- Both male and female
- Hemiplegic cerebral palsy according to (GMFCS) severity level I-II
- Ability to follow instructions and participate in therapy session

Exclusion Criteria

• Presence of any medical conditions that would severely limit a child's participation in the study as vision or hearing loss, cardiac anomalies.
- severe cognitive impairments that would hinder the participant's ability to actively participate in therapy sessions.
- Complicated systemic disorders.
- Uncontrollable seizures.
- Usage of Botulinum toxin A injection within 3 months of prior

Arm && Interventions

Group	Intervention	Description
group A	spider cage	Spider cage therapy along with strengthening exercises
group B	modified suits therapy	Modified suits therapy along with strengthening exercise

Primary Outcome Measures

Name	Time	Method
Trunk Impairment Scale (TIS).	8 weeks	The static subscale. The dynamic subscale For each item, a 2-, 3- or 4-point ordinal scale is used. On the static and dynamic sitting balance and coordination subscales the maximal scores that can be attained are 7, 10 and 6 points. The total score for TIS ranges between 0 for a minimal performance to 23 for a perfect performance. In a recent version of the TIS (version 2.0) for adults, the static subscale was removed because of a ceiling effect, total score ranges between 0 and 16 points.

Secondary Outcome Measures

Name	Time	Method
Trunk Control Measurement Scale (TCMS).	8 weeks	The TCMS scale assesses seated trunk control in three dimensions. The maximum score is 58 points where 20 points correspond to static balance, 28 to selective movement control, and 10 to the ability to perform dynamic reaching TCMS sub scores appeared to be clinically relevant because children with less than around 80% of the static balance score, less than 55% of the dynamic reaching score, or less than around 35% of the selective movement control score needed support for daily life activities

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