Trunk Stabilization vs. Core Stability Exercises: Impact on Balance and Walking Ability in Cerebral Palsy.

NCT06529328 | Recruiting DMC

• 1 other identifier: REC/RCR&AHS/23/0794
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Brain lesions cause cerebral palsy, a chronic condition that affects movement, posture, and balance. Its causes range in age from pregnancy to postpartum, and they can impact the neurological, musculoskeletal, and sensory systems. This causes problems with balance, movement, and posture. It is essential to intervene early for improved life quality. Maintaining a constant center of gravity within your support base is referred to as balance. Walking is putting one foot on the ground at all times and lifting and lowering each foot in turn. The stability of the trunk and core is necessary for muscle coordination and deliberate motions. A study compares the efficiency of trunk stabilization and core exercises to enhance balance and evaluates mobility changes, such as altered muscle strength, endurance, and gait, as a result of two treatment approaches.

Conditions

Cerebral Palsy

Keywords

Cerebral palsy,; Balance,; Core Stability,; Trunk Stabilization.

Outcome Measures

Primary Outcomes (2)

• Pediatric Reach Test (Pediatric Functional Reach Test)

  Functional Reach will be measured

  8weeks

• Manual Ability Classification System

  ability of children with cerebral palsy to handle objects with the help of their hands.

  8weeks

Study Arms (2)

Group A

EXPERIMENTAL

For eight weeks, the experimental group in this study will engage in three sessions of thirty to forty-five minutes each, dedicated to core stability exercises that will challenge the muscles of the trunk and abdomen.

Other: core stability

Group B

EXPERIMENTAL

In addition to receiving 25 minutes of conventional therapy, the subjects participated in a 30-minute trunk stabilization exercise program three days a week on non-consecutive days. All tense muscles, including the hamstrings and calf muscles in the lower limb, can benefit from passive stretching exercises. First, it is done five times, then you work your way up to ten repetitions, stretch five times, and finally take five minutes to relax. Extensor muscle strengthening exercises for the back, hips, and knees (for 10 minutes).

Other: core stability

Interventions

core stability OTHER

In this study the experimental group will perform core stability exercises 3 times per week for an 8-week period and each session of 30 to 45 minutes, the core stability exercises will work on abdominals and trunk muscles with challenges.Subjects received 25 min conventional therapy in addition to 30 30-minute trunk stabilization exercise program conducted for 3 days\\week on non-consecutive days. Passive stretching exercises are applied to all tight muscles, including the hamstrings and calf muscles in the lower limb. It is performed five times initially, building up to ten repetitions, stretching for 5 times, and then allowing relaxation for 5time. Strengthening exercises for back, hip, and knee extensor muscles (for 10 minutes).

Also known as: trunk stability

Group A; Group B

Eligibility Criteria

• Age: 2 Years - 7 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• ● Gender: both girls and boys;
• ● Age: 2-7 years.
• ● Diagnosis: spastic CP.
• ● According to the modified Ashworth scale, the affected lower extremity's degree of spasticity falls between grades 1 and 2.
• PBS \> 32.

You may not qualify if:

• ● Got a timing injection with botulinum toxin.
• ● Epilepsy \| Seizures.
• ● Lower limb surgery performed throughout the research period.
• Any deformity or orthopedic condition that affects balance. Deficits in vision and hearing with a MACS score higher than three will not be considered.
• ● PBS rating less than 32.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International university

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Vitrikas K, Dalton H, Breish D. Cerebral Palsy: An Overview. Am Fam Physician. 2020 Feb 15;101(4):213-220.

  PMID: 32053326 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Core Stability

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Saba Munir, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

9233224390125; Imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS

CONTACT

03224209422; a.javed@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: participants will get separate treatment protocols and possible efforts will be put to mask the both group about the treatment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: It will be randomized control trail in which nonprobability convenient sampling will be used. two groups of 2 to 7 years age will be formed in which participants will be randomly divided. Group A: will receive , CP children will receive core stability exercises. Group B: Experiment group B, CP children will receive trunk stability exercise.

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: July 31, 2024
• Study Start: June 1, 2024
• Primary Completion: December 20, 2024
• Study Completion: December 20, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)