Plyometric vs Resistance Training for Trunk Balance in Children With Spina Bifida

NCT07125807 | Completed

• 1 other identifier: 61351342/020-512
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To compare the efficacy of upper extremity plyometric and resistance exercises in improving trunk balance in children with Spina Bifida (SB). Methods: This randomized controlled trial (RCT) enrolled 28 children (aged 6-12 years) with lumbar-level SB, randomized to plyometric (n=14) or resistance (n=14) exercise groups for an 8-week intervention (3 days/week) alongside standard rehabilitation. Primary outcomes included Trunk Control Measurement Scale (TCMS) for static/dynamic sitting and reaching, and Pediatric Balance Scale (PBS) for overall balance. Secondary outcomes included ambulation levels via Hoffer classification.

Conditions

Spina Bifida; Balance Changes

Keywords

Spina Bifida; Plyometric exercises; Sitting Balance; Pediatric Rehabilitation

Outcome Measures

Primary Outcomes (2)

• Trunk Control Measurement Scale (TCMS)

  It measures both static and dynamic trunk control, including selective motor control and dynamic reaching abilities. The total TCMS score ranges from 0 to 58 points. Higher scores on the TCMS indicate better trunk control and function.

  Day 1, right before starting treatment and right after finishing the treatment (4 weeks). using questionary scores

• Pediatric Balance Scale (PBS)

  It is a reliable and valid clinical tool designed to assess functional balance in children aged 5 to 15 years with mild to moderate balance impairments. It is a modified version of the Berg Balance Scale tailored specifically for pediatric use, focusing on balance performance during daily functional tasks. The PBS consists of 14 items, each scored on a 5-point scale from 0 to 4: The total PBS score ranges from 0 to 56 points (14 items x 4 points each). Higher scores indicate better functional balance and motor performance.

  Day 1, right before starting treatment and right after finishing the treatment (4 weeks). using questionarry scores

Study Arms (2)

Plyometric

EXPERIMENTAL

plyometric exercises for trunk and sitting balance

Other: upper extremity plyometric exercises

Resistance

ACTIVE COMPARATOR

resistance exercises for trunk and sitting balance

Other: upper extremity resistance exercises

Interventions

upper extremity plyometric exercises OTHER

upper extremity plyometric exercises in neuro rehabilitation

Plyometric

upper extremity resistance exercises OTHER

upper extremity resistance exercises in neuro rehabilitation

Resistance

Eligibility Criteria

• Age: 6 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The study included children diagnosed with lumbar-level Spina Bifida,
• Aged 6 to 15 years,
• IQ of 50 or higher based on the SPARCLE cognitive assessment

You may not qualify if:

• History of shunt infection or revision,
• Tethered cord syndrome or syringomyelia,
• Insufficient sitting balance,
• Upper extremity spasticity or contractures,
• Severe visual or hearing impairments

Sponsors & Collaborators

• Okan University: lead

Study Sites (1)

istanbul Okan University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Spinal Dysraphism

Condition Hierarchy (Ancestors)

Neural Tube Defects; Nervous System Malformations; Nervous System Diseases; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Design

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

Study Record Dates

• First Submitted: June 17, 2025
• First Posted: August 15, 2025
• Study Start: March 1, 2025
• Primary Completion: July 20, 2025
• Study Completion: July 30, 2025
• Last Updated: August 15, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)