Pelvic Neuromuscular Facilitation and Swiss Ball Exercises on Trunk Control in Children With Diaplegic CP

Riphah International University

Status: Enrolling

Conditions: Cerebral Palsy

Treatments: Other: Proprioceptive Neuromuscular Facilitation; Other: Swiss Ball Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05460923

REC/RCR & AHS/22/0716

Details and patient eligibility

About

Cerebral palsy is an umbrella term that covers a group of non-progressive motor impairment syndromes that are associated with abnormalities in the brain particularly during the early stages of its development. CP usually involves a number of musculoskeletal and neurological problems they include spasticity, contractures, dystonia, abnormal growth, poor trunk control, and poor balance. Poor trunk control leads to a disturbance in activities of daily living along with postural issues. PNF techniques and Swiss ball exercises target the trunk muscles by stimulating the proprioceptors and by allowing maximum resistance to them respectively. The aim of the study is to do a comparison of Pelvic neuromuscular facilitation techniques and Swiss ball exercises in improving trunk control in children with diplegic cerebral palsy.

Full description

The studies conducted in the past were focused on finding out the effect of proprioceptive neuromuscular facilitation techniques on the lower extremities of children suffering from diplegic cerebral palsy. The effects of PNF on trunk control the children suffering from diplegic CP are nearly minimal. In addition to PNF, the literature shows that studies have been conducted to find the effects of Swiss ball training exercise on trunk control of the post-stroke patients however there is very little research on the effects of Swiss ball training in children suffering from diplegic CP. Even if the studies are conducted the time duration of the studies are not enough to gain the maximum outcomes.

Enrollment: 32 estimated patients

Sex: All

Ages: 5 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with no trunk control
• Age between 5-12 years
• Patients with diplegia

Exclusion criteria

• Patients with Cognitive impairment
• Patients with comorbidities
• Patients who are unable to follow instructions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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32 participants in 2 patient groups

Swiss Ball Exercises

Experimental group

Description:

Swiss ball exercises along with baseline treatment trunk twists,

Treatment:

Other: Swiss Ball Exercises

Proprioceptive Neuromuscular Facilitation

Experimental group

Description:

pelvic neuromuscular facilitation techniques including various PNF movement patterns along with the baseline treatment

Treatment:

Other: Proprioceptive Neuromuscular Facilitation