Effect of Reciprocal Electrical Stimulation on Balance and Quality of Life in Hemiparetic CP

NCT07599267 | Not Yet Recruiting DMC FDA Device

• 1 other identifier: cairo2025
• Study Type: interventional
• Target: 32
• Locations: 0 countries
• Sites: N/A

Brief Summary

to investigate the effect of the reciprocal neuromuscular electrical stimulation on balance and quality of life in hemiparetic children

Conditions

Hemiparetic Cerebral Palsy

Keywords

Reciprocal electrical stimulation; Hemiparesis; Balance; Quality of life

Outcome Measures

Primary Outcomes (2)

• balance change measured by humac balance system

  the ability to maintain a stable posture and preserve it in counter gravity position

  3 monthes

• quality of life change xby Egyptian quality of life questionnaire

  change in social, psychological and physical domains

  3 months

Study Arms (2)

a group of hemiparetic children their balance is disturbed

EXPERIMENTAL

children diagnosed with hemiparetic CP will receive reciprocal electrical stimulation in combination with neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control. * training for active trunk extension to improve posture control and balance . * Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board. * facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance. * approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and

Other: reciprocal electrical stimulation; Other: physical therapy program

children diagnosed with hemiparetic CP

SHAM COMPARATOR

neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control. * training for active trunk extension to improve posture control and balance . * Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board. * facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance. * approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.

Other: physical therapy program

Interventions

reciprocal electrical stimulation OTHER

Mode (A) is selected to apply reciprocal neuromuscular electrical stimulation

Also known as: Everyway-EV906

a group of hemiparetic children their balance is disturbed

physical therapy program OTHER

* neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control. * training for active trunk extension to improve posture control and balance . * Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board. * facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance. * approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.

Also known as: designed physical therapy program

a group of hemiparetic children their balance is disturbed; children diagnosed with hemiparetic CP

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• age range from 6 to10 years .
• spasticity level 1 , 1+ in lower limb muscles according to Modified Ashworth Scale.
• Gross Motor Function Classification System (GMFCS) level 1.
• Able to follow instructions.

You may not qualify if:

• Affections of musculoskeletal system including fixed contractures.
• Visual , auditory , vestibular ,sensory disorders or cerebellar disease .
• Botox injection in the last 6 months in gastrocnemius

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Paresis

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

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: physical therapist

Study Record Dates

• First Submitted: December 3, 2025
• First Posted: May 20, 2026
• Study Start: May 20, 2026
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): September 15, 2026
• Last Updated: May 20, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share