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CONSTRAINT-INDUCED MOVEMENT THERAPY VERSUS CROSS EDUCATION IN CHILDREN WITH CEREBRAL PALSY

ConditionHemiplegic Cerebral Palsy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-15
SponsorImam Abdulrahman Bin Faisal University

About this trial

This clinical trial aims to Compare the effectiveness of lower limb CIMT and the Strength Training of the Non-Hemiplegic lower limb on motor performance in hemiplegic children with CP.

Participants will:

diagnosed with hemiplegic cerebral palsy treated with CIMT or Strength training (cross-education) for a non-hemiplegic limb for 8 weeks.

3 sessions per week. Measurements will be taken at baseline and then at the end of the 8 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children with hemiplegic cerebral palsy aged age between 4 and 10.

(GMFCS) levels I, II and III.

Able to follow therapist instructions during training session.

Disqualifiers

Lack of patient's cooperation.

Difficulty wearing constraint method due to severe joint deformation or/and contracture.

Patients were treated with botulinum toxin during the last 3 months.

Seizure disorder not fully controlled by medication.

Trial design

Design model

Parallel

Treatments tested in this trial

  • rehabilitation

    Other intervention

    children in the CIMT group will RECIEVE lower limb CIMT for the non-hemiplegic limb using whole leg orthosis. Children in cross-education group will receive strengthening training for the non-hemiplegic lower limb

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: CIMT GROUPExperimental treatment 1 intervention
Group B: STRENGHTH TRAINING GROUP (cross education)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

gait speed

gait spatiotemporal parameter

Time frame
at base line then at the end of the 8 weeks
2

cadence gait spatiotemporal parameter

gait spatiotemporal parameter

Time frame
at base line then at the end of the 8 weeks
3

step length

gait spatiotemporal parameter

Time frame
at base line then at the end of the 8 weeks
4

stride length

gait spatiotemporal parameter

Time frame
at base line then at the end of the 8 weeks

Secondary outcomes

1

Pediatric balance scale

Pediatric balance scale The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.

Time frame
at base line then at the end of the 8 weeks
2

6 Minute walk test (6MWT)

endurance measurement

Time frame
at base line then at the end of the 8 weeks
3

Modified Ashworth scale

measuring muscle tone Scoring 0 No Increased in tone 1. Slight increase in tone giving a catch when the limb is moved in flexion or extension 1+ Slight increase in muscle tone, indicated by a catch followed by minimal resistance throughout range of motion (ROM) 2. More marked increase in tone through most of the ROM, but the limb easily flexed 3. Considerable increase in tone, passive movement difficult 4. Limb rigid in flexion or extension

Time frame
at base line then at the end of the 8 weeks
4

Handheld dynamometer

measuring muscles strength

Time frame
at base line then at the end of the 8 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Imam Abdulrahman Bin Faisal University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: