NDT on Fall Risk in Cerebral Palsied Children

Pamukkale University

Status: Completed

Conditions: Cerebral Palsy, Spastic; Falling

Treatments: Other: Neurodevelopmental Therapy (NDT); Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05956444

FallRisk

Details and patient eligibility

About

Children with spastic cerebral palsy experience falls due to weakness in balance skills and abnormalities in gait parameters. It is necessary to improve the quality of life of these children by reducing the frequency of falling. Aim of this study was to investigate the effect of Neurodevelopmental Treatment on the risk of falling and balance and to contribute to the literature on this subject. Cases were randomized into study and control groups. At the beginning of the study, the balance skills of all the cases with spastic cerebral palsy were measured with the Pediatric Balance Scale, and the gait parameters and fall risks were measured with the LEGSys Temporospatial Gait Analysis Device. Then, an 8-week, case-specific, neurodevelopmental therapy program with intensive gait and balance training was applied to the study group in a 45-minute single session, 2 days a week. The control group received 8 weeks of conventional physiotherapy. At the end of the treatment process, the evaluations were repeated with the same methods.

Enrollment: 44 patients

Sex: All

Ages: 2 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Cerebral Palsy diagnosis
• Spastic type
• Gross Motor Function Classification System Level I and II

Exclusion criteria

• Tendon release surgery or Botox application in the last 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

Treatment Group

Experimental group

Description:

Treated with both the treatment programs determined on the basis of the NDT and conventional physiotherapy. Programs prepared specifically for each child, in a 45-minute single session, 2 days a week, for 8 weeks in total. Each child was given a treatment program tailored to their needs.

Treatment:

Other: Neurodevelopmental Therapy (NDT)

Other: Conventional Physiotherapy

Control Group

Active Comparator group

Description:

Treated with only the treatment programs determined on the basis of conventional physiotherapy.

Treatment:

Other: Conventional Physiotherapy