Functional Electrical Stimulation With Core Stabilization Exercises in Children With Spastic Diplegia

Cairo University (CU)

Status: Not yet enrolling

Conditions: Functional Electrical Stimulation; Cerebral Palsy; Core Stability

Treatments: Other: designed physical therapy program; Other: core stabilization exercise with neuromuscular electrical stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT07110025

Ahmed_Msc

Details and patient eligibility

About

This study was done to:

• investigate the combined effect of functional electrical stimulation with core stabilization exercises on pelvic tilting in children with spastic diplegia.
• To investigate the combined effect of functional electrical stimulation with core stabilization exercises on standing balance in children with spastic diplegia.

Full description

Spastic diaplegia in children affects motor development and muscle tone. Functional electrical stimulation can improve range of motion, muscle strength, walking speed, and gait. Correcting pelvic position is crucial for treating postural weaknesses. Core stability programs are recommended for spastic cerebral palsy children. Rehabilitation programs should focus on restoring normal pelvic alignment to improve overall balance and functional abilities. This study investigates the effect of functional electrical stimulation on rectus abdominis and gluteus maximus muscles and core stabilization exercises in spastic diplegic cerebral palsy children.

Enrollment: 36 estimated patients

Sex: All

Ages: 4 to 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Their age will range from 4 to 6 years.
• Their degree of spasticity will range from 1 to 1+, according to the modified Ashworth scale.
• Their motor function will be at level Ⅰ & Ⅱ according to gross motor function classification system.
• Their pelvic tilting angle will be more than 7.6°

Exclusion criteria

• Musculoskeletal fixed deformities in lower limbs and spine
• Visual or hearing problems
• Epilepsy
• Botulinum toxin injection or orthopedic surgery within past 6 months or within study period

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

functional electrical stimulation and designed physiotherapy program

Experimental group

Description:

Children in this group will receive the same training program as control group for 30-minutes in addition to functional electrical stimulation using EV-906 DIGITAL transcutaneous electrical nerve stimulation/EMS neuromuscular stimulator device during core stability exercises for 30-minutes 3 sessions/week for 3 months

Treatment:

Other: core stabilization exercise with neuromuscular electrical stimulation

Other: designed physical therapy program

designed physiotherapy program

Active Comparator group

Description:

Children in this group will receive designed physiotherapy program for 1 hour including core stability exercises focusing on correcting pelvic tilting and standing balance. Each child will participate for 1 hour, 3 sessions/week for 3 months

Treatment:

Other: designed physical therapy program