Cuevas Medek Exercises on Balance and Postural Control in Children With Spastic Cerebral Palsy

NCT05719623 | Completed DMC

• 1 other identifier: REC/RCR&AHS/22/0734
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic diplegia, spastic quadriplegia, and extra-pyramidal or dyskinetic. Clinical prediction models and neuroimaging have been used to diagnose CP before the age of 2 years, but further research is necessary. Cuevas Medek Exercises (CME) is a pediatric physiotherapy approach for children with developmental motor delay impacting the central nervous system. According to Ramon Cuevas, who developed the therapy, CME are mainly based on the principle of provoking novel automatic motor reactions using exercises against gravity with progressive distal holding. This study will find the effects of Cuevas Medak Exercises on Balance and Postural control in children with spastic cerebral palsy. This Randomized Controlled Trial will recruit the participants through random sampling. Participants will be randomly divided into 2 groups. Two groups of children aged between 2 and 5 years, suffering from cerebral palsy in spastic form, one for control and one for experiment. Controlled will get conventional treatment while study group will get conventional treatment with Cuevas Medak Exercises. Treatment duration is of 12 weeks. Progress will monitored every month. The frequency of recovery sessions will 3 sessions/week, and the duration of a session will 45 minutes. Patient evaluation will be made at the beginning and the end of the treatment through pediatric balance scale and static balance test. Data will be analyzed through SPSS 25.

Conditions

Spastic Cerebral Palsy

Keywords

Spastic Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• pediatric balance scale

  The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points

  12 weeks

Secondary Outcomes (1)

• static balance test.

  12 weeks

Study Arms (2)

CUEVAS MEDEK EXERCISES

EXPERIMENTAL

Experimental group will get conventional treatment along with Cuevas Medak Exercises

Other: CUEVAS MEDEK EXERCISES

BALANCE AND POSTURAL

OTHER

Controlled will get conventional treatment

Other: BALANCE AND POSTURAL

Interventions

CUEVAS MEDEK EXERCISES OTHER

stretchings/strengthening

Also known as: Conventional Physical therapy

CUEVAS MEDEK EXERCISES

BALANCE AND POSTURAL OTHER

BALANCE AND POSTURAL

BALANCE AND POSTURAL

Eligibility Criteria

• Age: 2 Years - 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with medical diagnosis of Spastic Cerebral Palsy
• Age ranging from 2 to 5 years.
• Children who will able to stand and walk

You may not qualify if:

• Children with planned surgical or medical surgeries during study period
• Children with impaired cognition
• Children with hearing impairment and visual impairment

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Helping Hands Organization (HHRD) Bahawalpur.

Bahawalpur, Punjab Province, 63080., Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Postural Balance

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Proprioception; Vestibulocochlear Physiological Phenomena; Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Sensation; Nervous System Physiological Phenomena

Study Officials

• Sara khan, MS

  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 31, 2023
• First Posted: February 9, 2023
• Study Start: February 9, 2023
• Primary Completion: August 31, 2023
• Study Completion: September 30, 2023
• Last Updated: October 12, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)