Effect of PNF on Selective Motor Control and Balance in CP

NCT05649501 | Completed

• 1 other identifier: REC/22/0725 Misbah Tahir
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy is attributed to non-progressive disturbances that occurred in the developing infant brain or fetal characterized by abnormalities of muscle tone, movement and motor skills. PNF technique is thought to have an impact on voluntary motor control and balance through stimulation of proprioceptors, so the aim of this study is to determine the effects of proprioceptive neuromuscular facilitation technique on selective motor control and balance on children with cerebral palsy.

Conditions

CP (Cerebral Palsy)

Keywords

Proprioceptive neuromuscular techniques; Selective voluntary motor control; Balance

Outcome Measures

Primary Outcomes (1)

• Pediatric Berg Balance Scale

  The Pediatric Balance Scale (PBS), a modification of Berg's Balance Scale, was developed as a balance measure for school-age children with mild to moderate motor impairments. It has 14 items with score 0-4. The intra-class correlation coefficient (ICC) is 0.998 (18).

  last one week

Secondary Outcomes (1)

• Selective control assessment of lower extremity (SCALE)

  last one week

Study Arms (2)

proprioceptive neuromuscular facilitation techniques

EXPERIMENTAL

Experimental group will receive proprioceptive neuromuscular facilitation stretching which include hold-relax and contract-relax for 6 sec hold, 10 repetitions and 2 min rest in between, for 5 day/week for 4 weeks along with conventional physical therapy.

Other: Proprioceptive neuromuscular facilitation techniques.

traditional physical therapy

ACTIVE COMPARATOR

this group will receive conventional therapy (ROMs, stretching, strengthening).

Other: Proprioceptive neuromuscular facilitation techniques.; Other: Traditional physical therapy

Interventions

Proprioceptive neuromuscular facilitation techniques. OTHER

Proprioceptive neuromuscular facilitation stretching which include hold-relax and contract-relax for 6 sec hold, 10 repetitions and 2 min rest in between, for 5 day/week for 4 weeks along with conventional treatment for 40 minutes.

proprioceptive neuromuscular facilitation techniques; traditional physical therapy

Traditional physical therapy OTHER

Conventional therapy (ROMs, stretching, strengthening) of lower limbs for 40 minutes.

traditional physical therapy

Eligibility Criteria

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

You may qualify if:

• Children diagnosed as spastic diplegic cerebral palsy
• Age between 5-12 years and both genders.
• Gross motor function level II and III according to gross motor functional classification scale (GMFCS).
• Spasticity range between 1 and 1+ grade according to modified ashworth scale
• Children who are able to follow simple verbal instructions

You may not qualify if:

• Children with uncontrolled epilepsy
• Children who show no cooperation
• Children receiving botulinum toxin injections or surgery no earlier than 6 months before project starts.
• Subjects with presence of shortening or deformities of lower limb

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Society for Rehabilitation of the Disabled (PSRD)

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (7)

• Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol. 1992 Jun;34(6):547-51. doi: 10.1111/j.1469-8749.1992.tb11479.x. No abstract available.

  PMID: 1612216 BACKGROUND

• Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D; Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005 Aug;47(8):571-6. doi: 10.1017/s001216220500112x.

  PMID: 16108461 BACKGROUND

• Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.

  PMID: 17370477 BACKGROUND

• Tang-Wai R, Webster RI, Shevell MI. A clinical and etiologic profile of spastic diplegia. Pediatr Neurol. 2006 Mar;34(3):212-8. doi: 10.1016/j.pediatrneurol.2005.08.027.

  PMID: 16504791 BACKGROUND

• 15. Akalan E, Ertürk G, Önerge K, Evrendirek H, Karaca G. Investigation of the Relationship Between Selective Voluntary Motor Control and Static Balance in Cerebral Palsy. 2019.

  BACKGROUND

• Franjoine MR, Darr N, Held SL, Kott K, Young BL. The performance of children developing typically on the pediatric balance scale. Pediatr Phys Ther. 2010 Winter;22(4):350-9. doi: 10.1097/PEP.0b013e3181f9d5eb.

  PMID: 21068635 BACKGROUND

• Balzer J, Marsico P, Mitteregger E, van der Linden ML, Mercer TH, van Hedel HJ. Construct validity and reliability of the Selective Control Assessment of the Lower Extremity in children with cerebral palsy. Dev Med Child Neurol. 2016 Feb;58(2):167-72. doi: 10.1111/dmcn.12805. Epub 2015 May 20.

  PMID: 25991061 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Shabana Ashraf, Masters

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 6, 2022
• First Posted: December 14, 2022
• Study Start: February 1, 2022
• Primary Completion: January 15, 2023
• Study Completion: January 15, 2023
• Last Updated: April 3, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)