Pelvic Neuromuscular Facilitation and Swiss Ball Exercises on Trunk Control in Children With Diaplegic CP

NCT05460923 | Unknown

• 1 other identifier: REC/RCR & AHS/22/0716
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 2

Brief Summary

Cerebral palsy is an umbrella term that covers a group of non-progressive motor impairment syndromes that are associated with abnormalities in the brain particularly during the early stages of its development. CP usually involves a number of musculoskeletal and neurological problems they include spasticity, contractures, dystonia, abnormal growth, poor trunk control, and poor balance. Poor trunk control leads to a disturbance in activities of daily living along with postural issues. PNF techniques and Swiss ball exercises target the trunk muscles by stimulating the proprioceptors and by allowing maximum resistance to them respectively. The aim of the study is to do a comparison of Pelvic neuromuscular facilitation techniques and Swiss ball exercises in improving trunk control in children with diplegic cerebral palsy.

Conditions

Cerebral Palsy

Keywords

Cerebral Palsy, Trunk Control Training, Proprioceptive Neuromuscular Facilitation Approach, Swiss ball, Trunk Control Measurement Scale.

Outcome Measures

Primary Outcomes (2)

• Trunk Control Measurement Scale

  The Trunk Control Measurement Scale is a clinical tool that is used in order to measure the trunk control. The scale is used in the areas of assessment of non-vestibular balance and functional mobility

  8th week

• GMFC

  The Gross Motor Function Classification System or GMFCS is a 5 level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities.

  8th week

Study Arms (2)

Swiss Ball Exercises

EXPERIMENTAL

Swiss ball exercises along with baseline treatment trunk twists,

Other: Swiss Ball Exercises

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

pelvic neuromuscular facilitation techniques including various PNF movement patterns along with the baseline treatment

Other: Proprioceptive Neuromuscular Facilitation

Interventions

Proprioceptive Neuromuscular Facilitation OTHER

including trunk twists, supine to sit, knee to chest, crawling, and bridges. Every session will be 45 minutes. Patients will be given 5 sessions per week and the study will last for 12 months

Proprioceptive Neuromuscular Facilitation

Swiss Ball Exercises OTHER

trunk twists, supine to sit, knee to chest, crawling, and bridges. Every session will be 45 minutes. Patients will be given 5 sessions per week and the study will last for 12 months

Swiss Ball Exercises

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients with no trunk control
• Age between 5-12 years
• Patients with diplegia

You may not qualify if:

• Patients with Cognitive impairment
• Patients with comorbidities
• Patients who are unable to follow instructions

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

International Therapy Services Center

Lahore, Punjab Province, 40050, Pakistan

RECRUITING

Rising Sun Institute

Lahore, Punjab Province, 40050, Pakistan

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Wajiha Shahid, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

wajiha shahid, phd

CONTACT

03214885079; wajiha.shahid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 14, 2022
• First Posted: July 15, 2022
• Study Start: May 25, 2022
• Primary Completion: September 25, 2022
• Study Completion: November 28, 2022
• Last Updated: July 15, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)