Comparative Effects of Frenkel's and Core Stability Exercises on Coordination and Balance in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Finger to nose test
研究概览
简要总结
The aim of this study is to determine and compare the effects of Frenkel's and core stability exercises on the motor function, postural stability and core muscle strength in children with cerebral palsy.
详细描述
Cerebral palsy (CP) is a brain injury that manifests as a mobility and posture impairment in infancy or early childhood. Frenkel exercises are series of movements with increasing difficulty that can be performed by ataxic patients in order to regain coordinated, smooth and rhythmic movement. The Core stability Exercises are for the spine, pelvis, and kinetic chain to all balance properly under stress, core stability is necessary. The aim of this study is to determine and compare the effects of Frenkel's and core stability exercises on the motor function, postural stability and core muscle strength in children with cerebral palsy. This will be a Randomized Clinical Trial in which 50 participants with cerebral palsy will be included as per sample size calculation through non probability convenience sampling technique. The study will be single blinded. Participants that achieve the required standards of inclusion and exclusion criteria will be randomly allocated using online randomization tool into two Groups. Group A will receive Frenkel's exercises and Group B will receive core stability exercises, both groups will receive the treatment for 40 minutes with the routine physical therapy for 20 minutes and short-term rest intervals in between for 3 alternative days per week for 12 weeks. Participants initial screening will be done through Gross Motor Function Classification System (GMFCS). The balance will be assessed through the Pediatric Balance Test (PBS), coordination will be assessed through Finger and Nose Test, Heel Shin Test, Catching and Throwing Tasks.
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
- Single (Participant)
入排标准
- 年龄范围
- 6 Years 至 12 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The participants fulfilling the given criteria will be included.
- •Age: 6 To 12 Years
- •Gender: Both male and female
- •Children with ataxic cerebral palsy
- •Children having level II and III on Gross Motor Functional Classification System (GMFCS)
- •Children able to understand the test instruction, able to sit and stand.
- •Children with and without using Botulinum Toxin Injections
- •The Pediatric Balance Scale (PBS) of 54.6
排除标准
- •Severe Cognitive Dysfunction
- •Visual problems
- •Vestibular Dysfunction
- •Uncontrolled epilepsy
- •Severe Orthopedic Condition affecting Lower limbs Mobility
研究组 & 干预措施
Group A ( Frenkel's exercises)
In this group, participants will receive Frenkel's exercises for the lower limb in lying, sitting, and standing positions. And for the upper limb.
干预措施: Frenkel's exercises (Other)
Group B (Core Stability Exercises)
Participants will receive core stability exercises, i.e., abdominal draw-in, roll-up, superman, and bridging.
干预措施: Core stability exercises (Other)
结局指标
主要结局
Finger to nose test
时间窗: 12th week
The Finger-to-Nose Test measures smooth, coordinated upper-extremity movement by having the examinee touch the tip of his or her nose with his or her index finger. Evaluation of coordination with the Finger-Nose Test is an essential part of the neurological examination
Heel shin test
时间窗: 12th week
The heel-shin test is a part of the neurological examination of coordination: the patient runs the sole of one foot up and down the shin of the opposite leg.
Catching and throwing tasks
时间窗: 12th week
Ball catching is a skill included in most tests for assessing the motor impairment of children with a mild motor deficit. To objectively measure ball catching short and long ball catching tests were developed to assess children between seven and nine years of age
PBS (Pediatric Ballance Scale)
时间窗: 12th week
A modified version of the Berg Balance Scale, the Pediatric Balance Scale is used to evaluate school-age children's functional balance abilities. The 14 items on the scale have a maximum score of 56 points and are rated from 0 (lowest function) to 4 (highest function).
次要结局
未报告次要终点
