Dynamic Surface Exercise and Trunk Targeted Training in Children With Spastic Cerebral Palsy
Comparison of Dynamic Surface Exercise and Trunk Targeted Training on Gross Motor Function, Balance and Trunk Control in Children With Spastic Cerebral Palsy
1 other identifier
interventional
16
1 country
1
Brief Summary
This study aims to describe the comparative effects of dynamic surface training and trunk targeted training in order to ensure which method is best in improving gross motor function , balance and trunk control in children with spastic cerebral palsy . this will be randomized control study which includes participants with age 5 to 10 years
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2022
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 15, 2022
CompletedFirst Submitted
Initial submission to the registry
January 4, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 5, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 5, 2023
CompletedFirst Posted
Study publicly available on registry
April 12, 2023
CompletedApril 12, 2023
March 1, 2023
7 months
January 4, 2023
March 31, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
pedriatic balance scale
Pediatric balance scale is an outcome measurement tool used to assess functional balance skills in 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
2 months
gross motor function measure 88 GMFM-88
The Gross Motor Function Measure (GMFM) is an observational clinical tool designed to evaluate change in gross motor function in children with cerebral palsy. There are two versions of the GMFM - the original 88-item measure (GMFM-88) and the more recent 66-item GMFM (GMFM-66). The scoring system of the GMFM is a four-point scale that consists of 66 items divided into five dimensions of gross motor function:(a) lying and rolling, (b) sitting, (c) crawling and kneeling, (d) standing, and (e) walking, running and jumping
2 months
Trunk control measurement scale
Trunk Control Measurement Scale is the clinical tool to measure trunk control in children with cerebral palsy. Control of muscles is necessary to maintain stability around the trunk.
2 months
Study Arms (2)
dynamic surface exercise with conventional therapy
EXPERIMENTALthe experimental group undergo conventional physical therapy and additional dynamic surface exercise training thrice a week for 2 months dynamic surface training will include gym balls , bolster or platform swing
trunk targeted training with conventional therapy
ACTIVE COMPARATORthe group will receive conventional physical therapy and additional trunk targeted training thrice a week for 2 months.
Interventions
Optimal arousal Physio ball Make the child bounce, active/passive on the Swiss ball, slow/fast 5 times 5 sets Combined frontal and transverse plane movements Physio ball/ bolster High sitting: one hand weight bearing followed by trunk rotation to reach the toy on opposite side 5-7 each side 1 set Combined frontal and transverse plane movements Platform swing Reaching the toy with both the hands kept overhead and 45°-60° diagonal to the mid line 5-7 times each side 1 set
trunk training group (TTG) consist of exercises and activities focusing on the activation of the trunk muscles, pelvic control and proximal stabilization and these were combined with the trunk and gluteal muscle strengthening exercises. The trunk elongation activities, the facilitation of spinal extension, weight shifting and weight-bearing activities The children in the TTG received 45-75-minute of physiotherapy twice a week for 8 weeks
Eligibility Criteria
You may qualify if:
- Children who can follow the therapist instructions
- Children who have not had any procedure and surgery within the past six months
- Both genders male and female
- Age 5 to 10 years
- Spastic cerebral palsy
You may not qualify if:
- Children with innate musculoskeletal diseases, developing Central nervous system diseases and history of orthopedic surgery
- Children with genetic disorders and other severe diseases other than cerebral palsy
- Children who had Botulinum Toxin A (BoNT-A) injection during the last 6 months or had seizures during the last one year were excluded from the study
- Children with visual impairement
- Children with hearing Impairemen
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shahida Islam Teaching Hospital
Lodhran, Punjab Province, 59320, Pakistan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Arnab Altaf, Mphill
Riphah International University
Central Study Contacts
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
January 4, 2023
First Posted
April 12, 2023
Study Start
September 15, 2022
Primary Completion
April 5, 2023
Study Completion
April 5, 2023
Last Updated
April 12, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share