Vestibular and Motor Functions in Children With Hemiplegic Cerebral Palsy

Riphah International University

Status: Completed

Conditions: Cerebral Palsy; Hemiplegic Cerebral Palsy

Treatments: Other: Neurodevelopmental technique

Study type: Interventional

Funder types: Other

Identifiers

NCT04894812

REC/00757 Anam Tariq

Details and patient eligibility

About

As many researches have been conducted to see the effects of vestibular system activation on gross motor activities of children with cerebral palsy but there are limited researches on improvement of motor abilities of hemiplegic cerebral palsy child using UEU or BOSU ball or treadmill in a single study. There is lack of research on vestibular stimulation in hemiplegic cerebral palsy along with neurodevelopmental treatment.

This study will improve the gross motor activities of children with hemiplegic cerebral palsy. It will broaden up the ways for physical therapist to deal with this type of cerebral palsy (hemiplegic).

Full description

There are various therapeutic approaches that are used to improve motor activities and postural control in CP child. Among these approaches vestibular stimulation is used to improve neuromotor development by different sensory stimulation techniques. It has shown positive effects on motor control of CP child. It also influences all sensory experiences and is an exercise based approach.

Enrollment: 28 patients

Sex: All

Ages: 3 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: 3 years to 12 years
• Gender: Both Male and female
• Children with Spastic Hemiplegic CP scoring 1,1+ and 2 on Modified Ashworth scale
• Level III and IV on GMFCS (Gross Motor Function Classification System)

Exclusion criteria

• Children with other types of Cerebral Palsy (diplegia, quadriplegia etc)
• Children with other Abnormalities and pathologies (delayed milestones, hydrocephalous, epilepsy etc)
• Children Undergone any kind of surgery (cardiac, shunt placement, orthopedic etc)
• Children with any other neurological deficits (spina bifida etc)
• Children with conditions in which vestibular stimulation is not allowed (paroxysmal positional vertigo or vestibular neuritis, Meniere's disease, migraine-associated vertigo, and childhood vertigo).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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28 participants in 2 patient groups

Group A

Active Comparator group

Description:

Neurodevelopmental Treatment. Total duration of treatment will be 20 minutes, 3 sessions per for 3 months

Treatment:

Other: Neurodevelopmental technique

Group B

Experimental group

Description:

Neurodevelopmental Technique and Vestibular stimulation. Total duration of treatment will be 50 minutes (20 min NDT+ 30 MIN VS) 3 sessions per week for 3 months.

Treatment:

Other: Neurodevelopmental technique