Effects of Dynamic Surface Exercise Training on Trunk Control and Gross Motor Functions in Children With Diplegic Cerebral Palsy

NCT05946096 | Unknown

• 1 other identifier: ULahore123
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to determine the effect of dynamic surface exercise treatment on trunk control and gross motor abilities in children with spastic diplegic cerebral palsy.

Conditions

Cerebral Palsy Spastic Diplegia

Keywords

trunk control; dynamic surface exercise therapy; gross motor

Outcome Measures

Primary Outcomes (2)

• Gross motor function measure- 88

  The Gross Motor Function Measure (GMFM 88) is used to evaluate change that occurs over time in the gross motor function of children with cerebral palsy. It explores five areas of motor ability, which are known as dimensions: A) Lying and rolling B) Sitting C) Crawling and kneeling D) Standing E) Walking, running and jumping

  change in baseline scores and 8th week scores

• trunk control measurement scale

  The Trunk Control Measurement Scale is a clinical tool to measure trunk control in children with cerebral palsy. total score is 58 . low score means severely impaired trunk control and a high score shows better trunk control

  change in baseline scores and 8th week scores

Study Arms (2)

dynamic surface exercise training group

EXPERIMENTAL

This group includes 19 subjects all of which are children with spastic diplegic cerebral palsy of GMFCS levels 3 and 4. This group received a set of exercises on various dynamic surfaces along with routine physical therapy. This group underwent a 60-minutes vigorous exercise program four days a week for two months

Other: Dynamic surface exercise training

conventional physical therapy group

ACTIVE COMPARATOR

This group includes 19 subjects all of which are children with spastic diplegic cerebral palsy of GMFCS levels 3 and 4. This group received only conventional physical therapy which is based upon principles of NDT. This group underwent a 60-minutes vigorous exercise program four days a week for two months.

Other: conventional physical therapy

Interventions

Dynamic surface exercise training OTHER

Dynamic surface exercise training involves a set of exercises that are performed on various dynamic surfaces like gym ball and vestibular swing. All these exercise provide optimal arousal as they provide proprioceptive and vestibular stimulus. This group received a set of exercises on various dynamic surfaces.These exercises were implemented for 60 minutes for four days a week for two months.And it was observed how these exercises impacted gross motor function and trunk control of children with diplegic cerebral palsy of GMFCS level 3 and 4

dynamic surface exercise training group

conventional physical therapy OTHER

conventional physical therapy based on NDT involves a set of exercises that mostly include positioning exercises such as quadruped, side sitting, reaching sideways and overhead in sitting and catch and throw activities.

conventional physical therapy group

Eligibility Criteria

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

You may qualify if:

• Diplegic children having Cerebral Palsy
• Children of age 5 - 12 years
• Children of GMFCS- E \&R level III and IV
• Children who can follow verbal commands

You may not qualify if:

• Children with epileptic fits
• Children presenting with lower limb muscular contractures
• Children with scoliosis

Sponsors & Collaborators

• Ayesha Hameed: lead

Study Sites (1)

University of Lahore

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Ayesha Hameed, DPT

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: the outcome assessor was masked and had no idea about which participants were assigned to which group
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Researcher

Model Details: 38 children with CP were randomly assigned to 2 groups. 1 group was interventional group and second group was control group. Both the groups were provided with therapy ( interventional group was provided with conventional therapy and intervention. control group was provided with conventional therapy only) and results were analyzed based on performance of both groups.

Study Record Dates

• First Submitted: April 9, 2023
• First Posted: July 14, 2023
• Study Start: November 1, 2022
• Primary Completion: November 1, 2023
• Study Completion: December 1, 2023
• Last Updated: July 14, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)