Effects of Core Stabilization Exercises on Postural Control in Spastic Diplegic CP Children

NCT07736417 | Not Yet Recruiting

• 1 other identifier: 064-26
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial will evaluate the effectiveness of a 12-week comprehensive core stabilization exercise program on balance, trunk control, and gross motor function in children with spastic diplegic cerebral palsy. Outcome measures will be assessed at baseline and at the end of the intervention to determine changes following treatment.

Conditions

Spastic Diplegic Cerebral Palsy

Keywords

Balance; Trunk control; Gross motor function

Outcome Measures

Primary Outcomes (2)

• Balance

  Pediatric Balance Scale (PBS) is a 14-item performance-based scale used to assess functional balance in children. Total scores range from 0 to 56, with higher scores indicating better balance.

  Baseline and post 12 weeks of intervention

• Trunk Control

  Trunk Control Measurement Scale (TCMS) is a clinical scale used to evaluate static and dynamic trunk control and trunk coordination in children with cerebral palsy. Total scores range from 0 to 58, with higher scores indicating better trunk control.

  Baseline and post 12 weeks of intervention

Secondary Outcomes (1)

• Gross Motor Function

  Baseline and post 12 weeks of intervention

Study Arms (2)

Core Stabilization Exercise Program with Conventional Therapy

EXPERIMENTAL

Participants will receive a structured core stabilization exercise program in addition to conventional physiotherapy. The program includes progressive exercises targeting trunk muscle activation, trunk control, and postural control, tailored to each participant's functional ability. Sessions will be conducted 3 times per week for 12 weeks.

Other: Exercise; Other: Conventional

Conventional therapy

ACTIVE COMPARATOR

Participants will receive conventional physiotherapy consisting of stretching, strengthening, balance training, gait training, and functional exercises according to standard rehabilitation practice. Sessions will be conducted 3 times per week for 12 weeks.

Other: Conventional

Interventions

Exercise OTHER

Progressive exercises targeting trunk muscle strength, stability, and postural control alongside conventional therapy

Core Stabilization Exercise Program with Conventional Therapy

Conventional OTHER

Stretching exercises, strengthening exercises, balance training, gait training, functional activities according to standard rehabilitation practice

Conventional therapy; Core Stabilization Exercise Program with Conventional Therapy

Eligibility Criteria

• Age: 4 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children diagnosed with spastic diplegic cerebral palsy
• Gross Motor Function Classification System (GMFCS) Levels II-III
• Stable medical management for at least 3 months prior to enrollment
• Ability to understand and follow simple verbal instructions

You may not qualify if:

• Fixed contracture or musculoskeletal deformities limiting exercise
• Orthopedic surgery or botulinum injection within the previous 3 months
• Uncontrolled epilepsy
• Severe visual impairment
• Participation in another rehabilitation intervention during the study period

Sponsors & Collaborators

• Shifa Tameer-e-Millat University: lead

Study Sites (1)

Shifa Tameer-e-Millat University

Islamabad, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Exercise; Congresses as Topic

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Organizations; Health Care Economics and Organizations

Central Study Contacts

Shafaq Altaf, PhD

CONTACT

+92 343 5020507; shafaq_dpt.ahs@stmu.edu.pk

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: Assistant Professor

Study Record Dates

• First Submitted: July 25, 2026
• First Posted: July 30, 2026
• Study Start: August 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 1, 2026
• Last Updated: July 31, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)