Scooter Board Activities Versus Core Stability Exercises on Enhancing Trunk Postural Control and Balance in Children With Diplegic Cerebral Palsy: A Randomized Comparative Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Trunk Control Measurement Scale (TCMS)
研究概览
简要总结
Children with diplegic cerebral palsy (CP) often experience impaired trunk control and balance, which limits functional mobility. Core stability exercises are commonly used in pediatric physical therapy to improve trunk control. Scooter board activities, which challenge trunk stability through dynamic movement, may offer an engaging alternative. This study aims to compare the effects of these two interventions.
详细描述
Children with spastic diplegic cerebral palsy (CP) often present with impaired trunk postural control and reduced balance stability, which negatively affect their functional independence, gait, and participation in daily activities.
Core stability training is widely recognized in pediatric rehabilitation as a method to enhance trunk strength and improve postural alignment.
Scooter board activities, however, add an element of dynamic movement, sensory stimulation, and task-oriented play, potentially offering greater engagement and functional carryover.
This study directly compares the two approaches in order to establish evidence-based guidance for clinical practice.
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
- None
入排标准
- 年龄范围
- 6 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CP with a diplegia
- •Age 6 to 10 years
- •Grade 1 and 2 according to the Modified Ashworth scale (RW and Smith, 1987).
- •They could walk with limitation or holding on according to GMFCS (level I&II &III) (Palisano et al., 1997).
- •They were able to understand and follow verbal instructions
排除标准
- •Children with any surgical interference in the upper limb.
- •intellectual disability such that simple tasks could not be understood or executed.
- •Children with any visual or auditory problems.
- •Children with any surgical interference in the lower limb.
- •Children with any structural deformities in joints and bones of lower limbs.
- •Children who suffer from other diseases or associated disorders that interfered with physical activity
结局指标
主要结局
Trunk Control Measurement Scale (TCMS)
时间窗: before and after 3 months of intervention
The TCMS is a standardized observational assessment tool designed to evaluate static and dynamic trunk control in children with cerebral palsy (CP) during functional sitting tasks. It is particularly useful for detecting trunk impairments that affect balance, postural adjustments, and functional mobility. Scoring System Each item is scored 0-2: 0 = Unable to perform or requires arm support/trunk compensation 1. = Performs partially or with minimal compensations 2. = Performs fully without compensations Total Score Range: 0-58 Higher scores indicate better trunk control.
次要结局
- Pediatric Balance Scale (PBS)(before and after 3 months of intervention)
研究者
Omnya Samy Abdallah Ghoneim
Lecturer, Department of Physical Therapy for Woman and Pediatric Health, Faculty of Physical Therapy, King Salman International University (KSIU), Sharm El-sheikh, Egypt.
King Salman International university