Effects of Hydrotherapy in Children With Cerebral Palsy
ConditionCerebral Palsy Children
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-18
SponsorGaziosmanpasa Research and Education Hospital
About this trial
The goal of this observational study is to learn the effects of hydrotherapy in children with cerebral palsy. It aims to answer if hydrotherapy is affective on balance and selective motor control of the children with cerebral palsy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with Cerebral Palsy by a specialist physician
Aged between 4-18 years
Cooperative with physiotherapy applications
Gross Motor Function Classification System (GMFCS) levels 1-4
Disqualifiers
Mental retardation or insufficient cognitive function to comply with study assessments
GMFCS level 5
Presence of an intrathecal baclofen pump for spasticity treatment or history of soft tissue and/or bone surgery
Active infection or localized skin infection at the injection site
Trial design
Design model
Parallel
Treatments tested in this trial
Intervention Group (water-based and conventional exercise)
Other interventionPatients in the study group will undergo individualized water-based exercises (including standing, balance, weight shifting, breathing exercises, range of motion, stretching, and strengthening exercises) under the supervision of an experienced physiotherapist, 2-3 times per week for six weeks. Additionally, routine conventional exercises will be continued daily for six weeks.
control group (conventional exercise)
Other interventionPatients in the control group will continue passive, active, active-assisted, or resistance-based upper and lower extremity conventional exercises appropriate to their functional level and muscle strength. They will be instructed to perform these exercises 2-3 times per week, with each session lasting no more than 45 minutes, for six weeks.
Treatment groups
36 Participants
are divided into 2 treatment groupsGroup A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Pediatric Balance Scale
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills during tasks that mimic experiences of everyday living in school-aged children. The scale consists of 14 balance-related test items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.
Time frame
six weeksSecondary outcomes
1
Selective Control of Upper Extremity Scale (SCUES)
Selective Control of Upper Extremity Scale is a clinical assessment tool used to evaluate selective motor control (SMC) in the upper extremities of individuals with neurological impairments, such as cerebral palsy. It is adapted from the Selective Control Assessment of the Lower Extremity (SCALE) and focuses on assessing isolated joint movements in the shoulder, elbow, forearm, wrist, and fingers while minimizing synergistic patterns or involuntary movements.
Time frame
six weeks2
Selective Control Assessment of the Lower Extremity (SCALE)
Selective Control Assessment of the Lower Extremity is a clinical tool used to evaluate selective voluntary motor control (SVMC) in individuals with neuromotor disorders, such as cerebral palsy. It assesses the ability to perform isolated joint movements in the lower extremities without involuntary movements or abnormal muscle synergies.
Time frame
six weeksOther outcomes
1
Goal Attainment Scaling (GAS)
Goal Attainment Scaling is a method of scoring the extent to which patient's individual goals are achieved in the course of intervention. In effect, each patient has their own outcome measure but this is scored in a standardised way as to allow statistical analysis.
Time frame
six weeks2
Pediatric Quality of Life Inventory (PedsQL).
Pediatric Quality of Life Inventory is a standardized tool designed to measure health-related quality of life (HRQoL) in children and adolescents. It assesses the physical, emotional, social, and school functioning of children with various health conditions, including cerebral palsy.
Time frame
six weeks3
Child and Adolescent Scale of Participation (CASP).
Child and Adolescent Scale of Participation is a standardized assessment tool used to measure the extent of participation of children and adolescents in daily life activities across various settings, such as home, school, and community. It is particularly useful for children with disabilities or developmental disorders, including cerebral palsy.
Time frame
six weeks4
Pediatric Functional Independence Measure (WeeFIM)
Pediatric Functional Independence Measure is a standardized tool used to assess functional independence in children with disabilities, including cerebral palsy. It evaluates a child's ability to perform daily activities and tracks their level of assistance required in different domains.
Time frame
six weeksSponsors and contacts
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Source ClinicalTrials.gov