Effects of Trunk Stability Exercises on Hand Function in Children With Cerebral Palsy

Riphah International University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: trunk stability exercise plan; Other: conservative physiotherapy plan

Study type: Interventional

Funder types: Other

Identifiers

NCT05491863

REC/RCR & AHS/22/0710

Details and patient eligibility

About

Rationale of this research is to evaluate the outcome of trunk stabilizing exercises on the fine motor skills of subjects with hemiplegic CP. The significance of this study is to identify how much core stability exercises improve hand function. This study will help gather evidence on the practice of core stabilizing exercises to improve hand function so that it can help both physicians and patients.

Full description

Cerebral palsy is a permanent damage in early brain in fetus which leads to movement disorder. The most frequent reason of bodily incapacity is cerebral palsy in pediatric population. CP children have difficulty maintaining dynamic and static trunk stability, which leads to affect sitting, standing, reaching and walking. Hemiplegic Cerebral palsy patients are challenged by fine motor skills, like gripping or object handling, which are essential for activities of daily life.the purpose of the study was to evaluate the effects of trunk stability exercises on hand function in children with cerebral palsy.It was a randomized, controlled trial, conducted among hemiplegic cerebral palsy patients. Sample size was 26 by using Epitool software. Participants were randomly assigned to the intervention or control group after a baseline assessment with a lottery ticket and an opaque envelope. All participants in both groups were evaluated on three occasions: (i) baseline (ii) post-intervention and (iii) after 4 weeks follow to assess long term effects.

Enrollment: 26 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Both male and female were included
• Age group 6 to 18 years.
• Medical diagnosis of hemiplegic cerebral palsy assured.
• Unilateral Movement deficit (less than 2.5) on amount of use scale on MAL (motor activity log).
• Level 1 to 3 on manual ability classification system (MACS).
• Mild to moderate spasticity of upper extremity (MAS grade 1 to 2.)
• GMCS level I-II.
• Subjects were cognitively capable and competent to follow the instructions

Exclusion criteria

• Patients with altered conscious level.
• Previous surgery or pain in upper limbs.
• Rigid contracture and fixed deformities in the spine
• Auditory / vision problem.
• Previous Botulinum Toxin-A injections in upper limb.
• Cardio-respiratory problem

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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26 participants in 2 patient groups

conservative physiotherapy plan

Active Comparator group

Description:

Postural and Proprioceptive facilitation,walking ,jumping and staircase activity

Treatment:

Other: conservative physiotherapy plan

Other: trunk stability exercise plan

Trunk stability exercise plan

Experimental group

Description:

Trunk stability exercises including proprioception,balance and stability.

Treatment:

Other: conservative physiotherapy plan

Other: trunk stability exercise plan