Effect of Hydrotherapy Versus Aerobic Exercise on Pulmonary Function on Hemiplegic Cerebral Palsied Children

NCT06086678 | Unknown

• 1 other identifier: P.T.REC/012/004140
• Study Type: interventional
• Target: 3
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy (CP) is the most common motor disability in childhood. Respiratory muscle weakness and a low upper to lower chest diameter ratio are common respiratory dysfunction manifestations in those children which negatively affect their quality of life..

Conditions

To Compare the Effectiveness of Hydrotherapy Versus Aerobic Exercise on Pulmonary Function in Hemiplegic Children With Cerebral Palsy

Keywords

Aerobic exercise; Cerebral palsy; Children; Hemiplegia; Pulmonary function

Outcome Measures

Primary Outcomes (3)

• Forced vital capacity (FVC)

  Pulmonary function test

  12 consecutive weeks

• Pulmonary function tests Forced expiratory volume in the first second (FEV1)

  Pulmonary function test

  12 consecutive weeks

• FEV1/FVC ratio

  Pulmonary function test

  12 consecutive weeks

Secondary Outcomes (1)

• Six-minute walk test (6-MWT)

  12 consecutive weeks

Study Arms (3)

Conventional physical therapy group

EXPERIMENTAL

Strengthening exercises, stretching exercises for the weak and tightened muscles respectively, facilitation of equilibrium and protective reactions and breathing exercises in form of Deep breathing, Diaphragmatic breathing and Pursed lip breathing exercises

Other: Conventional physical therapy

Hydrotherapy and conventional physical therapy group

EXPERIMENTAL

Strengthening exercises, stretching exercises for the weak and tightened muscles respectively, facilitation of equilibrium and protective reactions and breathing exercises in form of Deep breathing, Diaphragmatic breathing and Pursed lip breathing exercises in addition to hydrotherapy

Other: Conventional physical therapy; Other: Hydrotherapy

Aerobic exercise and conventional physical therapy group

EXPERIMENTAL

Strengthening exercises, stretching exercises for the weak and tightened muscles respectively, facilitation of equilibrium and protective reactions and breathing exercises in form of Deep breathing, Diaphragmatic breathing and Pursed lip breathing exercises in addition to aerobic exercise

Other: Conventional physical therapy; Other: Aerobic exercise

Interventions

Conventional physical therapy OTHER

1. Deep breathing exercise. 2. Diaphragmatic breathing exercise. 3. Pursed lip breathing exercise.

Also known as: Physical therapy

Aerobic exercise and conventional physical therapy group; Conventional physical therapy group; Hydrotherapy and conventional physical therapy group

Hydrotherapy OTHER

1. Water walking exercise. 2. Forward lunges exercise. 3. Single leg balance exercise. 4. Side stepping exercise. 5. Push ups exercise. 6. Standing knee lifts exercise.

Also known as: Physical therapy

Hydrotherapy and conventional physical therapy group

Aerobic exercise OTHER

Aerobic exercise in form of treadmill training when each child was standing on the treadmill, should be ensure that this standing in an upright position, and according to each child, the therapist corrected the height of the handrails. Ask the child to keep looking forwards along the walking on the treadmill aiming to encourage the setting of walking free. The treadmill training would be completed for each child when the child completes three stages in 1-min training cycles. First stage: the child grasped on to the rails with both hands in first 15 s of every 1-min. Second stage: the child grasped on to the railings with one hand in the second 15 s. And final stage: the child didn't grasp on to the railings in last 30 s. Every child performed this procedure twenty times

Also known as: Physical therapy

Aerobic exercise and conventional physical therapy group

Eligibility Criteria

• Age: 8 Years - 16 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Ages ranged from 8 to 16 years.
• Belonged to levels I to II of the Gross Motor Function Classification System (GMFCS).
• Spasticity ranged from grade 1 to grade 1+ according to Modified Ashwarth Scale. - Able to walk, no impairment of sensation or other neurological or psychological problems.
• Clinically and medically stable and able to understand and follow the instructions

You may not qualify if:

• i) Visual and/or auditory defects. ii) Significant shortening and/or deformity of lower extremities. iii) Other neurological problems that affect balance or mentality (e.g. epilepsy) iv) Advanced radiographic alterations comprise (bone destruction, bony ankylosis, knee joint sublaxation as well as epiphysial fracture).
• v) Lower extremity skeletal abnormalities (whether congenital or acquired). vi) Cardiopulmonary dysfunction.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

Ragaee Saeed Mahmoud

Giza, Faisal, Egypt

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy; Hemiplegia

Interventions

Physical Therapy Modalities; Hydrotherapy; Exercise

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: single
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: random

Study Record Dates

• First Submitted: October 11, 2023
• First Posted: October 17, 2023
• Study Start: October 15, 2023
• Primary Completion: January 15, 2024
• Study Completion: January 20, 2024
• Last Updated: October 17, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)