Effect of Electrical Stimulation With Functional Task Training on Balance and Motor Abilities in Children With Diplegia

Cairo University (CU)

Status: Completed

Conditions: Cerebral Palsy Spastic Diplegia

Treatments: Other: functional task training; Device: functional electrical stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06234215

E.S and balance in diplegia

Details and patient eligibility

About

The aims of the study are to:

1. Investigate the combined effect of functional task training with electrical stimulation of bilateral hip abductor muscles on balance in children with diplegia.
2. Investigate the combined effect of functional task training with electrical stimulation of bilateral hip abductor muscles on motor abilities in children with diplegia.

Full description

Cerebral palsy (CP) is a group of permanent disorders of movement and posture. It is non-progressive lesion or abnormality of immature brain. The term cerebral refers to the brain and palsy refers to the loss or impairment of motor function.

Functional electrical stimulation (FES) is a subtype of neuromuscular electrical stimulation (NMES) in which the stimulation assists functional and purposeful movements. This is achieved by applying electrical stimulation to muscles that, when they contract, produce a movement that can be used functionally.The FES is used to provide electrical stimulation via the peripheral nervous system to activate muscle contractions to assist functional activities when nervous or musculo-skeletal systems are damaged.The common applications of FES include strengthening muscle, reducing muscle spasticity, increasing range of motion, improving upper extremity function and walking speed.

Enrollment: 30 patients

Sex: All

Ages: 7 to 11 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Their ages will range from 7-11 years.
• Both genders will be included.
• Their degree of spasticity will range from 1 to 1+ according to Modified Ashworth Scale (Meseguer-Henarejos et al., 2018).
• Their motor function will be at level I & II according to Gross Motor Function --- -Classification system (Palisano et al., 2008).
• They will be understanding instructions.

Exclusion criteria

• Children will be excluded from the study if they have any of the following criteria:

Musculoskeletal fixed deformities in upper limb, lower limb or spine.

• Visual or hearing problems.
• Epilepsy.
• Botulinium toxin therapy or orthopedic surgery within the past 6months or within the study period.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

control group had functional task training

Active Comparator group

Description:

this group doing functional task training exercise for 50 min 3 times per week for two months

Treatment:

Other: functional task training

study group had functional task training combined with electrical stimulation

Experimental group

Description:

this group doing functional task training exercise combined with electrical stimulation for 50 min 3 times per week for two months

Treatment:

Other: functional task training

Device: functional electrical stimulation