Core Stability in Ataxic Cerebral Palsied Children

NCT04823936 | Completed

• 1 other identifier: Faculty of Physcial therapy
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Forty children with cerebellar ataxia ranged in age from five to nine years old, they were randomly assigned into two matched control and study groups. The control groups received the selected physical therapy program three times weekly one hour per session while the study group received core stability training for 30 minutes in addition to the selected physical therapy program. Both groups were evaluated by SARA Scale for the Assessment and Rating of Ataxia, Balance Error Scoring Systems scale, Bruininks-Oseretsky test of motor Proficiency 2ed subtest 4 (bilateral coordination), and subtest 7 (upper limb coordination), and HUMAC Balance System before and after two months of intervention.

Conditions

Ataxic Cerebral Palsied Children; Core Stability; Balance and Coordination; Severity of the Ataxia

Keywords

Ataxia; humac balance sysytem; balance; coordination

Outcome Measures

Primary Outcomes (3)

• HUMAC Balance System

  measuring Mobility Standing Balance Bilateral, stability standing balance bilateral, limit of stability and modified clinical test of sensory integration of balance Stabil

  2 months

• The Bruininks-Oseretsky Test of Motor Proficiency (bilateral coordination subtest)

  measuring bilateral coordination with maximum score of the subtest 24 the higher scale score indicates better bilateral coordination

  2 months

• The Bruininks-Oseretsky Test of Motor Proficiency (upper limb coordination subtest)

  measuring upper limb coordination with maximum score of the subtest 39 and higher sub test score indicate more upper limb coordination

  2 months

Secondary Outcomes (2)

• Balance Error Scoring Systems scale

  2 months

• Scale for the Assessment and Rating of Ataxia

  2 months

Study Arms (2)

control group

NO INTERVENTION

received the selected physical therapy program for one hour, three times weekly for two successive months including facilitation of balance and protective reactions from kneeling, half kneeling and standing position, standing alone on balance board, standing on one leg, open gait training alone (walking on the balance beam, walking on the stepper and walking on wedges), training stair climbing, and strengthening of the back and abdominal muscles.

study group

ACTIVE COMPARATOR

received the selected physical therapy program for one hour, three times weekly in addition to core stability training program for 30 minutes

Other: core stability training

Interventions

core stability training OTHER

core stability training program for 30 minutes including Supine abdominal draw in Abdominal draw in with double knee to chest Trunk twist while sitting on medical ball Lying supine on the medical ball and rotating the trunk to the sides Contracting abdominal muscles while lying in a supine position and pulling the limbs upward with arms and legs kept close Bringing up the arms and legs simultaneously in the prone position Bridging with head on medical ball hold this position for 3-5 s then slowly relaxes Bridging while shoulders and hands are on the floor and one leg is raised Lying supine on the medical ball and holding the abdomen in and bringing with one leg up

Also known as: selected physical therapy program

study group

Eligibility Criteria

• Age: 5 Years - 9 Years
• Gender Eligibility Details: boys and girls ranged in age from five to nine years old
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• ataxic cerebral palsied children
• must have level IV according to the gross motor function classification system.

You may not qualify if:

• spastic cerebral palsied children
• ataxia-telangiectasia
• spinocerebellar ataxia
• Joubert syndrome.
• sensory ataxic

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

faculty of physical therapy Cairo university

Giza, 11111, Egypt

Location

MeSH Terms

Conditions

Ataxia

Condition Hierarchy (Ancestors)

Dyskinesias; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor of physical therapy Faculty of Physical Therapy Cairo University

Model Details: pre-test post-test randomized controlled trial

Study Record Dates

• First Submitted: March 25, 2021
• First Posted: April 1, 2021
• Study Start: October 1, 2018
• Primary Completion: September 30, 2020
• Study Completion: February 28, 2021
• Last Updated: April 1, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)