Lower Extremity Functional Training (LIFT) on Gross Motor Function and Gait in Children With Spastic CP

Riphah International University

Status: Enrolling

Conditions: Cerebral Palsy

Treatments: Other: Lower Extremity Functional Training; Other: conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05460936

REC/RCR& AHS /22/0715

Details and patient eligibility

About

Cerebral Palsy is a developmental disorder caused by damage to the brain before, during or after birth. Spastic Cerebral Palsy is one of the most common types of cerebral Palsy. It affects about 80% of cerebral palsy. Spastic CP is characterized by increased muscle tone, jerky movements, joint stiffness, and muscle tightness. Spastic Cerebral primarily affects strength, coordination, and balance resulting in gait difficulties and affecting gross motor functioning. These abnormalities affect the very basic activities of daily life (ADLs). Even if the child is able to walk the motor skills are usually disturbed which are very important to improve and maintain gross motor functioning. Physical therapy plays a vital role in overcoming these issues.

Full description

In the previous studies the effects of LIFT on the trunk and core has been studies however, the data on the effects on the gross motor skills are very less. In addition to that the effects of lower extremity functional training on the gait have also been limited to a few studies only. The past studies were of very short time period due to which the proper effects of LIFT on the gait and gross motor skills were not very well understood.

Enrollment: 22 estimated patients

Sex: All

Ages: 7 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who are not able to stand
• Age between 7 to 16 years
• Patients living near the designated center

Exclusion criteria

• Patients with comorbidities
• Patients with cognitive impairment
• Patients who are not able to follow commands
• Patients with a history of falls

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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22 participants in 2 patient groups

conventional physical therapy

Active Comparator group

Description:

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

Treatment:

Other: conventional physical therapy

Lower Extremity Functional Training

Experimental group

Description:

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Treatment:

Other: Lower Extremity Functional Training