Core Stabalization and Rebound Therapy and CP

NCT05739396 | Unknown DMC

• 1 other identifier: P.T.REC/012/003117
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

the study aims to compare the effect of core stabalization and rebound therapy on balance in children with hemiplegic cerebral palsy

Conditions

Whole Body Vibration; Rebound Therapy; Balance; cp

Outcome Measures

Primary Outcomes (1)

• balance

  it measures the degree of tilting for each axis during dynamic conditions and calculates a medial lateral stability index (MLSI); an anterior-posteriorstability index (APSI); and an overall stability index(OSI),

  12 week

Secondary Outcomes (3)

• gross motor function measure-88

  12 week

• lafayette hand held dynamometer

  12 week

• 6 minute walk test

  12 week

Study Arms (2)

core stabalization

EXPERIMENTAL

The core stability exercises will be used for core stabilization training of group (A) in addition to traditional physical therapy. The core stability program included 3 levels. Each exercise lasted 5 min, and the children shifted from one exercise to the next after the complete performance of the preceding exercise. The first (simple) level included supine abdominal draw-in (20 repetitions), abdominal draw-in with both knees to the chest (10-20 repetitions), and supine twist (10-20 repetitions). The second (medium) level included pelvic bridging (3e5 repetitions) and twist with a medicine ball (10e20 repetitions). Finally, the third (difficult) level included bridging with the head on a physio ball (the position was held for 3-5 s, followed by a slow relaxation phase, with 10-20 repetitions)

Other: core stabilization

rebound therapy

EXPERIMENTAL

Rebound exercises will be applied for group B. this group will receive rebound exercise training in addition to traditional physical therapy . Rebound exercises were conducted on a mini-trampoline and BOSU ball. Passive bouncing will be conducted while the child was standing with his/her feet a shoulder-width apart. The therapist will held the child's legs while applying upward and downward movement. The bouncing started slowly. The child then will progress to include the rebound exercises, starting with active bounce, where in a hands free manner the therapist will ask the child to speed up or slow down the bounce rate according to the child's abilities

Other: core stabilization

Interventions

core stabilization OTHER

The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks

Also known as: rebound therapy

core stabalization; rebound therapy

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• children diagnosed with spastic hemiplegic CP.
• Their chronological age ranged from 5 to 8 years,
• able to follow verbal commands or instructions during testing procedures,
• degree of spasticity in affected lower limbs ranged between1 to 1+ according to Modified Ashworth scale (MAS),
• they are able to understand and follow instructions given to them,

You may not qualify if:

• Children who had significant visual or auditory problems that may interfere with testing, - ---- patients who had contractures or fixed deformities related to the joints of the lower limbs, ---- injection with Botulinium toxin or any orthopaedic surgery in lower limbs 6m before study,
• children who were suffering from cardiopulmonary problems or epilepsy.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty Of Physical Therapy

Cairo, Egypt

Location

Related Publications (1)

• Al-Nemr A, Kora AN. Effect of core stabilization versus rebound therapy on balance in children with cerebral palsy. Acta Neurol Belg. 2024 Jun;124(3):843-851. doi: 10.1007/s13760-023-02430-8. Epub 2024 Jan 5.

  PMID: 38177509 DERIVED

Study Officials

• Faculty OP Therapy

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer in pediatric department, faculty of physical therapy

Study Record Dates

• First Submitted: February 13, 2023
• First Posted: February 22, 2023
• Study Start: February 1, 2023
• Primary Completion: June 1, 2023
• Study Completion: July 11, 2023
• Last Updated: March 1, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)