Effects of Dynamic Surface Exercise Training in Children With Diplegic Cerebral Palsy

ConditionChild, Only
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-8
SponsorRiphah International University

About this trial

Data will be collected after the approval of synopsis a total of 14 children with diplegic cerebral palsy of age between 6 and 8 years of both genders with Gross Motor Function Classification System of level III and IV will be recruited to participate in randomized controlled study. The study will be completed within 10 months after the approval of the synopsis. Technique of the study is non-probability convenient sampling technique. Recruited will be randomly divided into two groups, dynamic surface exercise training (DSET) group and standard physiotherapy training group. Both the groups receive active training program lasting for 60 minutes, 4 days/week for 6 weeks who have the ability to follow and accept verbal instructions. Gross Motor Function Measure (GMFM)-88 and Pediatric Balance Scale (PBS) and Time up and go test scores will be recorded at baseline, and at the end of 6-week post-intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 5 and 8 years of both genders

Classification as level III and IV on the Gross Motor Function Classification system (GMFCS)

Disqualifiers

• Any orthopedic surgery or botulinum toxin injection in the past 6 months.

Refusal by the parents to participate.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dynamic surface exercise training

    Other intervention

    This group will be given dynamic surface exercise training lasting for 60 minutes, 4 days /week for 6 weeks. For balance, the first (simple) level included supine abdominal draw-in (20 repetitions), abdominal draw-in with both knees to the chest (10e20 repetitions), and supine twist (10e20 repetitions) . The second (medium) level included pelvic bridging (3e5 repetitions) and twist with a medicine ball (10e20 repetitions). Finally, the third (difficult) level included bridging with the head on a physio ball (the position was held for 3e5 s, followed by a slow relaxation phase, with 10e20 repetitions) and prone bridging (the entire sequence was repeated 3e5 times.

  • Standard physiotherapy Training

    Other intervention

    This group will be given standard physiotherapy training lasting for 60 minute, 4 days/week for 6 weeks. Standard physiotherapy includes side sitting on bench/stool to quadruped-quadruped to side sit (transition activity) 5 times each side and 1 set in a day.

Treatment groups

14 Participants
are divided into 2 treatment groups
Group A: Group AActive comparator 1 intervention
Group B: Group BActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Gross Motor Function Measure (GMFM)

Balance Scale (PBS) will be the outcome measures use in this trial. GMFM-88 has excellent relative reliability of excellent (Intraclass correlation coefficient (ICC) = 0.952-1.000)

Time frame
baseline, 1st week and 6th week
2

Pediatric Berg 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

Time frame
baseline, 1st week and 6th week
3

Time up and go test

Reliability of TUG test was high, with ICC of 0.99 for within-session reliability and 0.99 for test-retest reliability

Time frame
baseline, 1st week and 6th week

Secondary outcomes

Other outcomes

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