Role of Rebound Therapy in the Rehabilitation of Children With Spastic Cerebral Palsy

NCT04712708 | Unknown

• 1 other identifier: P.T. REC/012/002421
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy (CP) is a group of disorders of movement and posture, causing several body impairments. CP is caused by non-progressive disturbance that occurred in the fetal or immature brain. CP symptoms include several motor disorders such as disturbances in sensation, coordination, cognition, communication and behavior in addition to disturbances in postural stability, balance and coordination. Balance is the ability to maintain the center of body mass over the base of support. CP causes balance impairment which results in decrease in the child's mobility functions and causing activity limitation and participations restrictions. Motor coordination is the registration of two or more things such as body movements , timing or sensory feedback into a harmonious relationship. CP causes disturbances in motor coordination such as difficulties in the routine gross movements as running and jumping, and disturbances in common fine movements like buttoning, clothing or brushing hair Rebound therapy is an exercise therapy which uses mini trampolines, rebounders , Springfree Trampoline and Swiss balls, to provide opportunity to perform recreational movements for individuals with different body structural and functional impairments.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (3)

• Balance

  Stationary Balance Using Biodex Balance System

  12 Weeks

• Gross Motor Function

  Gross Motor Function using Gross Motor Function Measure (GMFM)

  12 Weeks

• Gross Motor Coordination

  Gross Motor Coordination Using Gross Motor Coordination Quotient in BOT-2

  12 Weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Eighteen children with spastic CP will receive especially designed physical therapy program based on Neuro-Developmental treatment (NDT) approach with emphasis on exercise encourage independent standing, stretches exercises, strengthening exercises, approximation, enhancement and facilitation of gait patterning and ankle ROM exercises for one hour for 24 sessions

Other: Physical Therapy Program

Study Group

EXPERIMENTAL

ighteen children with spastic CP will receive the same program that the control group received in addition to especially designed exercises using rebound therapy (Mini Trampoline) that include push up exercise, standing, squatting, single limb squatting, kneeling position, catching and throwing a ball over head in kneeling position, catching and throwing a ball over head in standing position, kicking the ball, broad jumping with assistance, jumping in place, for 1 hour three times per week for three successive months.

Device: Rebound Therapy; Other: Physical Therapy Program

Interventions

Rebound Therapy DEVICE

Rebound therapy is the therapeutic use of full sized trampoline or mini sized trampoline. It provides opportunities for exercise recreation and therapy; and it is distinct from gymnastic trampolining. It is used for facilitating movements, improving balance, enhancing coordination and promoting motor performances in children with different disorders includes learning disabilities, communication disorders and motor dysfunction (Rebound Therapy South Africa, 2020; The Chartered society of Physiotherapists, 2016).

Study Group

Physical Therapy Program OTHER

The Mat Exercises: Stretching exercises to all spastic muscle groups (Kalkman et al., 2018). Gentle exercises was applied for 40-60 seconds and repeated from 3-5 times/ movement as supported by (Fragala et al., 2003). Strengthening Exercises: Dynamic Rising Positioning The Gym Exercises:

Control Group; Study Group

Eligibility Criteria

• Age: 5 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Spastic cerebral palsy was determined according to the sample size calculation, was selected from the outpatient's clinic of the faculty of Physical Therapy Cairo University.
• Level I according to the Gross Motor Function Classification System (GMFCS). Chronological age ranged from 5 to 11 years.
• Height was above 1 meter.
• Understand verbal command.
• The degree of spasticity ranged from 1 to 1+ according to Modified Ashworth' Scale.
• Rebound therapy using trampoline was used as the method of management in the study group in addition to the selected physical therapy program that was used in both groups, and the treatment sessions was provided in the out-patient clinic of the faculty of Physical Therapy Cairo University.

You may not qualify if:

• Vertigo or dizziness.
• Epilepsy.
• Osteoporosis.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Giza, Egypt

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Faten Abdelaziem, PhD

CONTACT

+20 100 855 4818; faten.hassan@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof . Dr

Study Record Dates

• First Submitted: January 4, 2021
• First Posted: January 15, 2021
• Study Start: November 1, 2020
• Primary Completion: July 30, 2021
• Study Completion: July 30, 2021
• Last Updated: January 15, 2021

Record last verified: 2020-12

Locations

EG (1)