Effect of Delorme Resistance Exercises Versus Treadmill Training in Cerebral Palsy

NCT03755648 | Completed DMC

• 1 other identifier: 12345
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy is one of the most important source of disability among children and its incidence is almost 3.6 in thousand live births.Children with Cerebral Palsy presents with ambulatory difficulties.The current study highlights the effect of treadmill training as compared to DeLorme resistance exercises on locomotor activities in cerebral palsy child.The present study would add to the clinical knowledge of physical therapists by promoting the implementation of treadmill training and DeLorme resistance exercises for this prevalent pediatric neurodevelopmental disorder. The study would decrease the burden of disease among community and enhance the social participation of cerebral palsy children. This in turn would improve the quality of living of these disabling diseased children.

Conditions

Cerebral Palsy

Keywords

Delorme resistance exercises; treadmill training; locomotor abilities; tendon of achilles lengthening

Outcome Measures

Primary Outcomes (1)

• Locomotor ability

  Locomotor ability was assessed using ABILOCO-kids questionnaire. It consisted of 10 locomotion activities of which difficulty was rated by the parents. It has good reliability r=0.97 and reproducibility of 0.96. Parent is asked to fill in questionnaire by estimating their child's ease or difficulty in performing each activity. Activities are presented in 10 different random orders to avoid any systematic effect. During evaluation, 3-level response scale is presented to parent. Parent is asked to rate his perception on response scale as 'Impossible', 'Difficult' or 'Easy'. Activities not attempted by child within last 3 months are not scored and are entered as not applicable. Activities that child doesn't perform because they are too difficult must be scored as 'Impossible'. Child's locomotion ability and its 95% confidence interval are located on locomotion ability scale expressed in logits. Higher the ability of a child the more the measure will be located to the right.

  1 month

Study Arms (3)

Treadmill training

EXPERIMENTAL

Group A: received treadmill training along with traditional physiotherapy.. The motorized treadmill was used keeping treatment parameters as 50 Hertz, 10 Ampere and 220 Volts The treadmill training was provided by giving instructions first and then warm up was given for 5 minutes prior to the training. The children were upright with the feet flat on treadmill platform. The height of handrails was adjustable according to every child thus keeping their gaze forward. The training was ended at cool down period of 5 minutes

Other: Treadmill training

traditional physical therapy

OTHER

Traditional therapy includes use of hot packs for 15 minutes and stretching for 20 minutes which will be applied to both groups prior to actual intervention

Other: traditional physical therapy

Delorme Resistance exercise

EXPERIMENTAL

Group B received delorme resistance exercise with traditional physiotherapy. Delorme Resistance Training was also initiated with 5 minute warm up period. It was started with 10 Repetition Maximum and was gradually increased. The treatment session was thirty minutes for each group, six times a week for three months.

Other: Delorme resistance exercise

Interventions

Treadmill training OTHER

The motorized treadmill treatment parameters considered will be 50 Hertz, 10 Ampere and 220 Volts. The speed of treadmill will be controlled with a single finger tip allowing an individual to exercise in safe environment with sufficient space.The treadmill training will be provided by giving instructions first and then warm up will be given for 5 minutes prior to the training. The children will be upright with the feet flat on treadmill platform. The height of handrails will be adjustable according to every child thus keeping their gaze forward. The training will be ended at cool down period of 5 minutes.The treatment session will be thirty minutes for each group, six times a week for three months.

Also known as: traditional physical therapy

Treadmill training

traditional physical therapy OTHER

Traditional therapy includes hot pack for 15 minutes and stretching for 20 minutes

traditional physical therapy

Delorme resistance exercise OTHER

Delorme Resistance Training was also initiated with 5 minute warm up period. It was started with 10 Repetition Maximum and was gradually increased. The treatment session was thirty minutes for each group, six times a week for three months.

Also known as: traditional physical therapy

Delorme Resistance exercise

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with Gross Motor Functional Scale Level II and III
• Ability to understand commands and directions
• Diplegic type of cerebral palsy
• Children who had undergone bilateral Tendon of Achilles Lengthening procedure 3 to 6 months post-operatively

You may not qualify if:

• Children presenting with other types of Cerebral Palsy
• Children with audiovisual impairment that can hinder the treatment
• leg length discrepancy greater than 2 cm,
• Fixed contractures, joint instability and associated cardiovascular condition.

Sponsors & Collaborators

• Ghurki Trust and Teaching Hospital: lead

Study Sites (1)

Samreen Sadiq

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Hafiz Asim, DPT (USA)

  Lahore Medical and Dental college

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 9, 2018
• First Posted: November 28, 2018
• Study Start: July 20, 2018
• Primary Completion: September 18, 2018
• Study Completion: October 15, 2018
• Last Updated: February 15, 2019

Record last verified: 2018-10

Locations

PA (1)