Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy,A Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Pediatric Balance Scale PBS
研究概览
简要总结
Cerebral palsy (CP) is a group of permanent disorders affecting movement and posture, caused by non-progressive disturbances in the developing fetal or infant brain.
Circuit training and task-oriented training are two emerging approaches in pediatric rehabilitation.
Circuit training focuses on structured exercises performed in sequence to improve strength, agility, and balance, while task-oriented training emphasizes repetitive practice of meaningful, functional activities relevant to daily life.
详细描述
The purpose of this study is to compare the Circuit Training and Task Oriented Training for upgrading Balance and Paediatric Quality of Life in Children with Spastic Diplegic Cerebral Palsy, focusing on improvements in balance, functional mobility and activity performance. Implemented a single-blinded randomized controlled trial at paediatric rehabilitation centres in Rawalpindi and Islamabad, it will include children aged 6 to 12 years male and females with GMFCS levels I-II who can walk with or without aids. The intervention will last for eight weeks, with both groups receiving standard physiotherapy three times weekly. In the period of eight weeks, result will be measured at baseline and three sessions using validated tools such as the Peadiatric Balance scale, and Peadiatric Quality of life Inventory. Ethical consideration comprise confidentiality, informed consent, and make certain that participation has no effect on medical care. Supporting evidence are its well defined intervention, clear methodology, and use of proven evaluation methodologies, with a purpose to evaluate long term benefits, sustainability of gains, and generalisability through randomised sampling and potential multi-centre recruiting. It also design to address activity and participation elements and classify participants based on age and functional levels for broader applicability. The data will be analysed using SPSS27.0.
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 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children (both gender) aged between 6 to 12 years.
- •Diagnosed with non-progressive motor impairments [cerebral palsy GMFCS I-II]
- •Capable to understand and follow verbal instructions.
- •Children demonstrating stable sitting and standing balance or with minimum assistance.
排除标准
- •Children with severe cognitive impairments.
- •Recent orthopedic surgery [within last 6 months].
- •Uncontrolled seizures or cardiopulmonary conditions.
- •Any condition contraindicating physical activity. (19)
研究组 & 干预措施
Group A- Circuit Training
Group A will receive in Circuit Training for enhancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.
Obstacle standing balance Gym ball sitting balance Step-ups with resistance bands Ball toss while standing on foam Tandem walking on straight line
干预措施: Group A Circuit Training (Other)
Group B - Task-Oriented Training
Task Oriented Training for ehancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.
Stride stand on the mat and slight stuck by therapist Sit-to-stand with ball tasks (no walking) Walking on foam surface Stepping over soft obstacles Step up and down using a bar
干预措施: Group B Task-Oriented Training (Other)
结局指标
主要结局
Pediatric Balance Scale PBS
时间窗: Assessed at Baseline (0 week ), Mid-intervention ( 4 week) and Post-Intervention (8 week)
A clinical test called Pediatric Balance Scale \[PBS\] is used to examine children's balance skills, especially in those with developmental delays or motor impairments. It is modified version of the adult berg balance scale, intended for use with children. Asses functional balance in children between 5 and 15 years of age, often utilized for children with conditions like cerebral palsy, developmental coordination disorder, or after neurological injury. Structure: Consists of 14 tasks that assess static and dynamic balance, such as sitting to standing, standing unsupported, reaching forward, turning, and standing on one foot. Scoring: Each item is scored on a scale from 0 to 4, where 0 indicates inability to perform the task and 4 indicates independent and steady outcome. The highest possible score is 56. Clinical Use: Helps to identify balance deficits, monitor progress over time, and guide rehabilitation planning. Advantages: Simple
Paediatric Quality of Life Inventory-CP Module (PedsQL-CP)
时间窗: Assessed at Baseline ( Week 0) , Mid-intervention ( Week 4 ) and Post-intervention ( Week 8)
To asses quality of life specific to children with cp from both physical and psychosocial perspectives. Contains age-appropriate versions with domain including daily activities, school participation, and mobility. 5-points Likert scale \[0 =never, 4 =almost always\], transformed to a 0-100 scale; higher score indicates better Quality of life. 10 to 15 min
次要结局
未报告次要终点