Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy

ConditionsCerebral Palsy (CP)Functional Mobility

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age5-12

SponsorFoundation University Islamabad

About this trial

cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed cases of hemiplegic cerebral palsy

Both genders are included

The children were between 5 and 12 years old.

Their motor function was at a level I or II based on the GMFCS,

Disqualifiers

Visual or hearing loss

Cognitive impairment

Seizures

A botulinum toxin injection in the previous six months,

Trial design

Design model

Parallel

Treatments tested in this trial

Experimental
Procedure/Surgery
The intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight leg raises, stair climbing (ascending and descending), backward walking, balance beam walking, core strengthening via crunches and bridges, prone alternating arm/leg raises, side bridges, and cycling on a stationary bicycle with adjustable resistance and direction.
CONVENTIONAL PHYSICAL THERAPY
Procedure/Surgery
Sessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2 1. Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic muscle. 2. Strengthening Exercises Exercise Detail: Weak muscles are activated through gentle contractions performed against light resistance. Dosage: Perform 10 repetitions for each weak muscle in every session. 3. Positioning Exercise Detail: Child is positioned in sitting with legs open on a bench or block, heels touching the ground. Standing against a wall with moderate abduction and external rotation is also introduced. Dosage: Maintain sitting as tolerated. Wall -standing for 15 minutes

Treatment groups

34 Participants

are divided into 2 treatment groups

Group A: task oriented circuit trainingExperimental treatment 1 intervention

Group B: Conventional physical therapyOther 1 intervention

Trial outcomes

Primary outcomes

activity participation

activity participation is assessed by child engagement in daily life measurement scale. A CEDL scaled score ranges from 0 to 100, where 100 indicates the highest level of participation or independence, 70-90 suggests moderate participation, 40-60 indicates limited or inconsistent participation, and below 40 represents significant restrictions

Time frame

6 weeks

Functional mobility

functional mobility assessed by 6-minute walk test functional changes were evaluated using the minimal clinically important difference (MCID) reported for children with CP. Changes exceeding 6-23 meters is significant. Difference less than 6 meters is insignificant.

Time frame

6 weeks

Sponsors and contacts

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

Foundation University Islamabad

Lead sponsor

Source ClinicalTrials.gov

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