NCT07729800

Brief Summary

Current literature on DNS in CP primarily focuses on motor outcomes like postural control and balance. Therefore, there are fewer studies up to researcher's knowledge about DNS's impact on broad sensory processing skills in CP. The study will investigate the direct effect of reflex-mediated core stability exercises on a comprehensive range of sensory processing skills in children with CP.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2026

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

May 5, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 20, 2026

Completed
7 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 27, 2026

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 28, 2026

Completed
Last Updated

July 28, 2026

Status Verified

July 1, 2026

Enrollment Period

4 months

First QC Date

May 5, 2026

Last Update Submit

July 27, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Sensory processing skills

    Sensory profiling was designed by an occupational therapist. The questionnaire assessing the sensory processing of children aged 3-10 was filled out by their parents or caregivers. It consisted of 125 items. The survey consisted of 14 subsections under 3 main headings. These main topics were sensory processing, modulation, and emotional behavioral responses.

    baseline and after 6 weeks

  • Gross motor function

    The Gross Motor Function Measure (GMFM) is a tool that has been developed to assess change in gross motor function in children with cerebral palsy aged 5 months to 16 years of age.

    baseline and after 6 weeks

Study Arms (2)

Reflex mediated core stability exercise

EXPERIMENTAL

the exercises are progressed over the six weeks and include positions such as: * Supine Lying * Prone Position * Side Lying Position * Quadripod Positio * Tripod Position * Squat

Other: Reflex mediated core stability exerciseOther: conventional therapy

conventional therapy

EXPERIMENTAL

Participants will be given 20 min of conventional therapy for 8 weeks, five times weekly. Therapy includes: Facilitatory techniques are used for gross motor control such as: * Quadruped activities * Crawling * Kneeling * Sitting * Walking It also incorporates exercises like: * Passive stretches for adductors, hamstrings, quadriceps, and calf muscles in both limbs (three repetitions with a 10-second hold). * Active and passive range-of-motion exercises for the lower limbs in sitting and supine positions (three sets with 10 repetitions).

Other: conventional therapy

Interventions

The exercises are progressed over the six weeks and include positions such as: * Supine Lying * Prone Position * Side Lying Position * Quadripod Position * Tripod Position * Squat

Reflex mediated core stability exercise

Participants will be given 20 min of conventional therapy for 8 weeks, five times weekly. Therapy includes: Facilitatory techniques are used for gross motor control such as: * Quadruped activities * Crawling * Kneeling * Sitting * Walking It also incorporates exercises like: * Passive stretches for adductors, hamstrings, quadriceps, and calf muscles in both limbs (three repetitions with a 10-second hold). * Active and passive range-of-motion exercises for the lower limbs in sitting and supine positions (three sets with 10 repetitions).

Reflex mediated core stability exerciseconventional therapy

Eligibility Criteria

Age4 Years - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children with both genders.
  • Children diagnosed with Cerebral Palsy (CP).
  • Children aged between 4-12 years (12).
  • Children with spastic-type Cerebral Palsy (diplegic) classified within Gross Motor Function Classification System (GMFCS) Levels III-V.
  • Ability to understand and consistently follow simple verbal instructions.
  • Informed written consent obtained from the child's legal parent or guardian.

You may not qualify if:

  • Children with severe cognitive impairment.
  • Severe muscle contracture \>10 degrees or bone deformity significantly limiting participation in exercises.
  • Children with significant Communication Deficits
  • Any operational procedure within the last six months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sehat Medical Complex Hanjarwal

Lahore, Pakistan

Location

Related Publications (1)

  • Mahdieh L, Zolaktaf V, Karimi MT. Effects of dynamic neuromuscular stabilization (DNS) training on functional movements. Hum Mov Sci. 2020 Apr;70:102568. doi: 10.1016/j.humov.2019.102568. Epub 2020 Jan 13.

    PMID: 31950895BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, ChronicBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Saifah Ashfaq, dpt

    ripah international university

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 5, 2026

First Posted

July 28, 2026

Study Start

April 1, 2026

Primary Completion

July 20, 2026

Study Completion

July 27, 2026

Last Updated

July 28, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations