Compare The Effectiveness of SCT and PNF In Children With Cerebral Palsy

NCT06851117 | Completed DMC

• 1 other identifier: MSRSW/Batch-Fall22/754
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This study will evaluate the comparative effectiveness of Spider Cage Therapy (SCT) and Proprioceptive Neuromuscular Facilitation (PNF) in managing motor impairments in children with cerebral palsy (CP). Cerebral palsy often leads to motor deficits that limit movement and impair functionality.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (3)

• Gross Motor Function Measure (GMFM-66

  Five levels and each has different nbr of questions each having 0- 3 score 0 no movement 3 complete movement

  12 Months

• Paedetric balance scale

  14 items each have 0-4 score total 56 0 totally dependent 4 independently can prrform movement

  12 months

• Functional Independence Measure for Children (WeeFIM)

  for overall functional independence (FIM) it has total 18 items 13 relatesd to mobilty and 5 regarding cognition Each has1- 7 score where reports total dependence and 7 shows complete independence

  12 months

Study Arms (3)

Proprioceptive Neuromuscular Facilitation (PNF)

EXPERIMENTAL

Combination Product: Proprioceptive Neuromuscular Facilitation (PNF)

Spider Cage Therapy Group

EXPERIMENTAL

Combination Product: Spider Cage Therapy Group

Combined PNF and Spider Cage Therapy Group

ACTIVE COMPARATOR

Diagnostic Test: Combined PNF and Spider Cage Therapy Group

Interventions

Proprioceptive Neuromuscular Facilitation (PNF) COMBINATION_PRODUCT

Participants in the PNF group will undergo intensive training of the affected limbs for 20 minutes per day, 5 days a week, over a 4-week period. During therapy sessions, the unaffected limb will be constrained using a mitt or cast to encourage focused activation and strengthening of the affected side. The therapy will include repetitive movement patterns designed to enhance strength, flexibility, and coordination.

Proprioceptive Neuromuscular Facilitation (PNF)

Spider Cage Therapy Group COMBINATION_PRODUCT

This group will participate in therapy sessions within the Spider Cage for 20 minutes per day, 5 days a week, for 4 weeks. Interventions will involve weight-bearing exercises, movement facilitation, and balance training, utilizing the cage's elastic cords to support and stabilize posture. The goal is to improve gross motor skills, balance, and controlled movement.

Spider Cage Therapy Group

Combined PNF and Spider Cage Therapy Group DIAGNOSTIC_TEST

Participants in this group will receive both PNF and Spider Cage Therapy, with integrated principles and techniques from both approaches. The intensity and duration will be consistent with the individual therapy groups, with sessions held for 20 minutes per day, 5 days a week, over 4 weeks. This combination is expected to enhance functional outcomes by targeting both strength/coordination and balance/postural control.

Combined PNF and Spider Cage Therapy Group

Eligibility Criteria

• Age: 3 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 4-12 years.
• Clinical diagnosis of cerebral palsy.
• Classified within Gross Motor Function Classification System (GMFCS) levels I to III.
• Ability to follow instructions and participate in therapy sessions.

You may not qualify if:

• Severe cognitive impairments hindering participation.
• Severe musculoskeletal deformities or recent surgeries.
• Other medical conditions contraindicating participation in physical therapy.

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Azra Naheed Medical College, Superior University

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 24, 2025
• First Posted: February 28, 2025
• Study Start: October 28, 2023
• Primary Completion: April 20, 2024
• Study Completion: August 28, 2024
• Last Updated: February 28, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)