Lower Extremity Functional Training (LIFT) on Gross Motor Function and Gait in Children With Spastic CP

NCT05460936 | Unknown

• 1 other identifier: REC/RCR& AHS /22/0715
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 2

Brief Summary

Cerebral Palsy is a developmental disorder caused by damage to the brain before, during or after birth. Spastic Cerebral Palsy is one of the most common types of cerebral Palsy. It affects about 80% of cerebral palsy. Spastic CP is characterized by increased muscle tone, jerky movements, joint stiffness, and muscle tightness. Spastic Cerebral primarily affects strength, coordination, and balance resulting in gait difficulties and affecting gross motor functioning. These abnormalities affect the very basic activities of daily life (ADLs). Even if the child is able to walk the motor skills are usually disturbed which are very important to improve and maintain gross motor functioning. Physical therapy plays a vital role in overcoming these issues.

Conditions

Cerebral Palsy

Keywords

cerebral palsy. gait training, motor learning, functional training, balance, hemiplegic gait.

Outcome Measures

Primary Outcomes (3)

• 1-minute walk test

  1-minute walk test will be used to measure the functional ability of the child. This is a cost-effective and user-friendly tool which makes it a very suitable tool to be used in various clinical settings. This tool is selected because of the low attention span and ability of children to perform other tests. This test can be conducted in a short duration of time giving the required results

  8th week

• Single leg stance

  a. The single-leg stance test is used to check the balance control along with the static posture control on the affected side. This tool is considered valuable and effective in monitoring the musculoskeletal; status and neurological status of the individual

  8th week

• Gross Motor Function Measurement

  The Gross Motor Function Measure31 is a criterion-referenced assessment designed to be used with children with cerebral palsy. It evaluates the child's ability to complete motor functions, such as rolling, crawling, sitting, standing, walking, running, stair use, and jumping.

  8th Week

Study Arms (2)

conventional physical therapy

ACTIVE COMPARATOR

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

Other: conventional physical therapy

Lower Extremity Functional Training

EXPERIMENTAL

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Other: Lower Extremity Functional Training

Interventions

Lower Extremity Functional Training OTHER

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Lower Extremity Functional Training

conventional physical therapy OTHER

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

conventional physical therapy

Eligibility Criteria

• Age: 7 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients who are not able to stand
• Age between 7 to 16 years
• Patients living near the designated center

You may not qualify if:

• Patients with comorbidities
• Patients with cognitive impairment
• Patients who are not able to follow commands
• Patients with a history of falls

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

Related Publications (3)

• Baldon Rde M, Serrao FV, Scattone Silva R, Piva SR. Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):240-251, A1-A8. doi: 10.2519/jospt.2014.4940. Epub 2014 Feb 25.

  PMID: 24568258 BACKGROUND

• Vereijken A, Aerts I, Jetten J, Tassignon B, Verschueren J, Meeusen R, van Trijffel E. Association between Functional Performance and Return to Performance in High-Impact Sports after Lower Extremity Injury: A Systematic Review. J Sports Sci Med. 2020 Aug 13;19(3):564-576. eCollection 2020 Sep.

  PMID: 32874110 BACKGROUND

• Bowman EN, Elshaar R, Milligan H, Jue G, Mohr K, Brown P, Watanabe DM, Limpisvasti O. Proximal, Distal, and Contralateral Effects of Blood Flow Restriction Training on the Lower Extremities: A Randomized Controlled Trial. Sports Health. 2019 Mar/Apr;11(2):149-156. doi: 10.1177/1941738118821929. Epub 2019 Jan 14.

  PMID: 30638439 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy; Gait Disorders, Neurologic

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

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 18, 2022
• Primary Completion: November 15, 2022
• Study Completion: November 25, 2022
• Last Updated: November 9, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)