NCT05322759

Brief Summary

The aim of this research is to find and compare the effects of halliwick exercises and aquatic exercises on gross motor function, trunk stability and hand function in spastic cerebral palsy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
32

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Feb 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 15, 2021

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 15, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2021

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 24, 2022

Completed
3 months until next milestone

First Posted

Study publicly available on registry

April 12, 2022

Completed
Last Updated

April 12, 2022

Status Verified

April 1, 2022

Enrollment Period

8 months

First QC Date

January 24, 2022

Last Update Submit

April 11, 2022

Conditions

Spastic Cerebral Palsy

Keywords

Halliwick exercisesAquatic exercisesGross Motor Function measurmentTrunk control

Outcome Measures

Primary Outcomes (6)

  • GMFM-88

    It is an observational clinical measure designed to evaluate gross motor function in children with cerebral palsy.

    first reading at 0 week

  • GMFM-88

    It is an observational clinical measure designed to evaluate gross motor function in children with cerebral palsy.

    final reading at 8 week

  • Trunk Impairment Scale

    this scale measures static sitting and dynamic balance as well as trunk co-ordination. this aims to score the quality of trunk movement and to be as a guide for treatment.

    First reading at 0 week

  • Trunk Impairment Scale

    this scale measures static sitting and dynamic balance as well as trunk co-ordination. this aims to score the quality of trunk movement and to be as a guide for treatment.

    Final reading at 8 week

  • Nine Hole Peg Test

    it is a standerized test for measuring hand function and finger dexterity. scoring is done on the basis of average time for consecutive 4 trial with dominant hand and then by non-dominant hand.

    first reading at 0 week

  • Nine Hole Peg Test

    it is a standerized test for measuring hand function and finger dexterity. scoring is done on the basis of average time for consecutive 4 trial with dominant hand and then by non-dominant hand.

    final reading at 8 week

Study Arms (2)

Aquatic exercises

ACTIVE COMPARATOR

this group receives sessions for consecutive 8 weeks and 3 days per week. warm up for 10 min, that will include walking in shallow water and stretchings of upper and lower extremities. After that APE for 30 min followed cool down period for 5 min. exercise frequency is 3 sets of each exercise with 15 repetitions.

Other: aquatic exercisesOther: halliwick exercise programme

Halliwick exercise programme

EXPERIMENTAL

this group receives sessions for consecutive 8 weeks and 3 days per week. warm up for 10 min that specifically includes mental adjustments along with walking in shallow side of pool and static stretchings. After that Halliwick exercise programme for 30 min that followed by cool down period for 5 min. exercise frequency is 3 sets of each exercise with 15 repetitions.

Other: aquatic exercisesOther: halliwick exercise programme

Interventions

aquatic exercisesOTHER

aquatic polymetric exercises for 30 min including hip abduction/adduction, knee flexion/extension, hip flexion/extension, holding pool from sides, bending forward and picking up objects, shoulder flexion/extension kangroo jumpes, jumping to sides.

Aquatic exercisesHalliwick exercise programme
halliwick exercise programmeOTHER

Halliwick exercise programme for 30 min include sagittal rotations, transversal rotations, longitudnal rotations and combined rotations.

Aquatic exercisesHalliwick exercise programme

Eligibility Criteria

Age13 Years - 16 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Both genders Male \& female
  • Age 13-16 years
  • Able to use assistive devices
  • Diagnosed CP children
  • Able to follow verbal commands

You may not qualify if:

  • Unstable seizures
  • had a surgery for the last 12 months or receive medication for spasticity
  • Associated cognitive issue
  • Incontinence
  • Persistent infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Binash Afzal

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (8)

  • Gurpinar B, Kara B, Idiman E. Effects of aquatic exercises on postural control and hand function in Multiple Sclerosis: Halliwick versus Aquatic Plyometric Exercises: a randomised trial. J Musculoskelet Neuronal Interact. 2020 Jun 1;20(2):249-255.

    PMID: 32481240BACKGROUND

  • Akinola BI, Gbiri CA, Odebiyi DO. Effect of a 10-Week Aquatic Exercise Training Program on Gross Motor Function in Children With Spastic Cerebral Palsy. Glob Pediatr Health. 2019 Jun 25;6:2333794X19857378. doi: 10.1177/2333794X19857378. eCollection 2019.

    PMID: 31263742BACKGROUND

  • Adar S, Dundar U, Demirdal US, Ulasli AM, Toktas H, Solak O. The effect of aquatic exercise on spasticity, quality of life, and motor function in cerebral palsy. Turk J Phys Med Rehabil. 2017 Aug 14;63(3):239-248. doi: 10.5606/tftrd.2017.280. eCollection 2017 Jun.

    PMID: 31453460BACKGROUND

  • Ballington SJ, Naidoo R. The carry-over effect of an aquatic-based intervention in children with cerebral palsy. Afr J Disabil. 2018 Oct 29;7(0):361. doi: 10.4102/ajod.v7i0.361. eCollection 2018.

    PMID: 30473998BACKGROUND

  • Terrens AF, Soh SE, Morgan P. The safety and feasibility of a Halliwick style of aquatic physiotherapy for falls and balance dysfunction in people with Parkinson's Disease: A single blind pilot trial. PLoS One. 2020 Jul 30;15(7):e0236391. doi: 10.1371/journal.pone.0236391. eCollection 2020.

    PMID: 32730325BACKGROUND

  • Veldema J, Jansen P. Aquatic therapy in stroke rehabilitation: systematic review and meta-analysis. Acta Neurol Scand. 2021 Mar;143(3):221-241. doi: 10.1111/ane.13371. Epub 2020 Nov 22.

    PMID: 33141446BACKGROUND

  • Carayannopoulos AG, Han A, Burdenko IN. The benefits of combining water and land-based therapy. J Exerc Rehabil. 2020 Feb 26;16(1):20-26. doi: 10.12965/jer.1938742.371. eCollection 2020 Feb.

    PMID: 32161731BACKGROUND

  • Perez-de la Cruz S. Effect of an Aquatic Balance-Training Program in Patients with Chronic Stroke: A Single-Group Experimental Pilot Study. Medicina (Kaunas). 2020 Nov 28;56(12):656. doi: 10.3390/medicina56120656.

    PMID: 33260785BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, ChronicBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Binash Afzal, Phd*

    Riphah International University

    PRINCIPAL INVESTIGATOR

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
SPONSOR

Study Record Dates

First Submitted

January 24, 2022

First Posted

April 12, 2022

Study Start

February 15, 2021

Primary Completion

October 15, 2021

Study Completion

December 15, 2021

Last Updated

April 12, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)