Cuevas Medek Exercises to Improve Postural Control and Balance in Children With Spastic Cerebral Palsy

Riphah International University

Status: Enrolling

Conditions: Spastic Cerebral Palsy (sCP)

Treatments: Other: Cuevas medek exercises; Other: Conventional Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07403162

02330 Rimsha Waheed

Details and patient eligibility

About

This study aims to evaluate the effects of Cuevas Medek Exercises on postural control and balance in children with spastic cerebral palsy. Children meeting the eligibility criteria will be randomly allocated into two groups receiving Cuevas Medek Exercises or conventional therapy. The outcomes will be assessed before and after the intervention period to determine the effectiveness of the intervention.

Full description

Spastic cerebral palsy is a common condition characterized by impaired postural control, poor balance, and limitations in functional movement, which affect a child's ability to maintain stability during daily activities. Conventional physiotherapy is commonly used to address these impairments through strengthening, stretching, and task-based exercises, with variable functional outcomes.

Cuevas Medek Exercises is a dynamic therapeutic approach that focuses on activating automatic postural responses and balance reactions through progressively challenging activities with minimal external support. While this approach has shown potential benefits in improving motor control and postural responses, evidence comparing its effects on postural control and balance with conventional therapy in children with spastic cerebral palsy remains limited.

Therefore, a randomized controlled trial is needed to compare the effects of Cuevas Medek Exercises and conventional therapy on postural control and balance in children with spastic cerebral palsy, with the aim of providing evidence to support clinical decision-making in pediatric physiotherapy

Enrollment: 54 estimated patients

Sex: All

Ages: 2 to 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with spastic diplegic cerebral palsy
• GMFCS Level III to V
• Modified Ashworth Scale ≤ 2
• Able to follow simple commands

Exclusion criteria

• Severe cognitive impairment
• Uncontrolled epilepsy or frequent seizures
• Visual or hearing impairment limiting treatment
• History of recent orthopedic or neurosurgical procedures
• Other neurological disorders (genetic syndromes, traumatic brain injury)
• Participation in other experimental therapies during the study period

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

54 participants in 2 patient groups

cuevas medek exercise

Experimental group

Description:

Children in this group will receive Cuevas Medek Exercises focusing on activation of postural responses and balance control through progressively challenging activities during the intervention period

Treatment:

Other: Cuevas medek exercises

Conventional therapy

Active Comparator group

Description:

Children in this group will receive conventional physiotherapy including stretching, strengthening, and task-oriented activities aimed at improving postural control and balance

Treatment:

Other: Conventional Therapy