Dynamic Surface Exercise and Trunk Targeted Training in Children With Spastic Cerebral Palsy

Riphah International University

Status: Enrolling

Conditions: Spastic Cerebral Palsy

Treatments: Other: trunk targeted training; Other: dynamic surface exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05810779

REC/RCR&AHS/22/0742

Details and patient eligibility

About

This study aims to describe the comparative effects of dynamic surface training and trunk targeted training in order to ensure which method is best in improving gross motor function , balance and trunk control in children with spastic cerebral palsy . this will be randomized control study which includes participants with age 5 to 10 years

Full description

Cerebral palsy (CP) is a well-documented nonprogressive neurodevelopmental condition commencing in early childhood and persisting throughout life. The neuromuscular deficits observed in children with CP include abnormal muscle tone that affects posture, movement, alteration of balance and motor coordination, decrease in strength, and loss of selective motor control, leading to functional limitation. Neurodevelopmental principles state that the control of movement proceeds from the proximal to the distal part of the body. The trunk being the central key point of the body, proximal trunk control is a prerequisite for distal limb movement control, balance, and functional mobility. Using dynamic surface for exercise provides proprioceptive and vestibular feedback about the position of their body segments in space with adaptive motor control response to stimuli. Standard physiotherapy based on motor-learning principle is task-specific training, which involves practice of functional movements in activities of daily living.

This study aims to describe the comparative effects of dynamic surface training and trunk targeted training in order to ensure which method is best in improving gross motor function , balance and trunk control in children with spastic cerebral palsy . this will be randomized control study which includes participants with age 5 to 10 years. Data will be taken from shahida islam teaching hospital Lodhran after taking consent, techniques will be applied and data will be recorded. Assessment will be made by using pedriatics balance scale , gross motor function measure (GMFM 66) and trunk control measurement scale (TCMS) for determining balance and gross motor function and trunk stability . The collective data will be analyzed in Statistical Package for Social Sciences (SPSS) 27.0

Enrollment: 16 estimated patients

Sex: All

Ages: 5 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Children who can follow the therapist instructions

• Children who have not had any procedure and surgery within the past six months
• Both genders male and female
• Age 5 to 10 years
• Spastic cerebral palsy

Exclusion criteria

• Children with innate musculoskeletal diseases, developing Central nervous system diseases and history of orthopedic surgery

  • Children with genetic disorders and other severe diseases other than cerebral palsy
  • Children who had Botulinum Toxin A (BoNT-A) injection during the last 6 months or had seizures during the last one year were excluded from the study
  • Children with visual impairement
  • Children with hearing Impairemen

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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16 participants in 2 patient groups

dynamic surface exercise with conventional therapy

Experimental group

Description:

the experimental group undergo conventional physical therapy and additional dynamic surface exercise training thrice a week for 2 months dynamic surface training will include gym balls , bolster or platform swing

Treatment:

Other: dynamic surface exercise

trunk targeted training with conventional therapy

Active Comparator group

Description:

the group will receive conventional physical therapy and additional trunk targeted training thrice a week for 2 months.

Treatment:

Other: trunk targeted training