Effects of Routine Physical Therapy With and Without Neurodevelopmental Technique on GMF, Spasticity and HRQOL in Diplegic CP

University of Lahore

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Routine Physical therapy with Neurodevelopmental technique; Other: Routine Physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06444230

REC-UOL-536-09-2023

Details and patient eligibility

About

The aim of this study is to investigate the effects of routine physical therapy with and without neurodevelopmental technique on gross motor function, spasticity and health related quality of life in diplegic cerebral palsy.

Full description

The neurological illness known as cerebral palsy is caused by damage to the growing brain and therefore is indicated by anomalies of muscle strength, mobility, and motor functions. Cerebral palsy affects posture, muscle tone, and movement development. Neurodevelopmental technique and routine physical therapy are considered to be effective in treatment of cerebral palsy. This study will investigate the combined effects of neurodevelopmental technique and routine physical therapy versus routine physical therapy on gross motor function, spasticity, and health related quality of life in diplegic cerebral palsy.

Enrollment: 72 patients

Sex: All

Ages: 8 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with an age of 8 to 18 years of both genderswith confirm diagnosis of diplegic cerebral palsy
• Patients could ambulate functionally
• Patients having limited or no prior exposure to NDT
• Individuals with mild to moderate diplegic cerebral palsy, based on established classification scales (GMFM grade I-III)

Exclusion criteria

• Patients with other motor or sensory dysfunctions and unable to understand and obey commands
• Patient undergone any orthopedic surgery that was ought to treatspasticity
• Patients with spasticity level 4-5 according to Modified Ashworth Scale
• Patients with Botulinum toxins type A injection within last 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Neuro-developmental Physical Therapy+ Routine Physical Therapy

Experimental group

Description:

* Protocol of 40 minutes focusing on gross motor functional movements including upright sitting at the table, walking, kneeling, running and stair climbing. * Used a Neuro-developmental method to inhibit undesirable movement patterns and facilitate favorable movement patterns. * Weight-bearing exercises that involved proprioceptive training while in various positions (such as quadruped, kneeling, half kneeling, and standing). * Facilitating weight transfer forward, backward, and sideways during balancing reactions from various balance board postures

Treatment:

Other: Routine Physical therapy

Other: Routine Physical therapy with Neurodevelopmental technique

Routine Physical therapy:

Experimental group

Description:

All children in this group received physical therapy of 40 minutes, 3 times per week for 12weeks, which included passive stretching with focus on diplegic limb 8 minutes, neck and trunk postural control for 8 minutes, strength training 8 minutes, ambulation and gait training for 8 minutes with 2 minutes rest interval between each set of exercise.

Treatment:

Other: Routine Physical therapy

Other: Routine Physical therapy with Neurodevelopmental technique