Spinal Mobility in Children With Cerebral Palsy: NDT-Bobath and Exergaming
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-18
SponsorWroclaw University of Health and Sport Sciences
About this trial
The purpose of this study is to evaluate changes in spinal mobility in the cervical, thoracic, and lumbar regions in children with cerebral palsy aged 10-15 years. The study will compare outcomes between standard NDT-Bobath therapy supplemented with exergaming in a sitting position and exergaming in a standing position. Postural stability, body composition, and functional parameters will also be assessed.
Participants will complete a socio-medical questionnaire and undergo baseline measurements of spinal mobility, cervical range of motion, postural stability (using Podoscan and Zebris platform), body height, and body composition (using SECA stadiometer and Tanita bioimpedance analyzer).
The intervention will last 3 months and include twice-weekly 60-minute therapy sessions. Group I will receive NDT-Bobath therapy supplemented with exergaming in a sitting position, while Group II will receive NDT-Bobath therapy with exergaming in a standing position.
After the intervention, participants will undergo post-intervention measurements and a follow-up evaluation three months later to assess the persistence of any changes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent from parents/guardians and the child (if capable)
GMFCS levels I-III (mild to moderate motor limitations)
Ability to maintain standing position
Ability to follow instructions and perform exercises
Disqualifiers
GMFCS levels IV-V
Orthopedic surgery within the past 12 months
Seizure episodes within the past 6 months
Cognitive or behavioral impairments preventing cooperation
Trial design
Design model
Parallel
Treatments tested in this trial
NDT-Bobath Therapy
Other interventionStandard NDT-Bobath neurodevelopmental therapy focusing on normalization of muscle tone in the pelvic and shoulder girdle, enhancement of central trunk stability including rotational control, and promotion of symmetrical posture and controlled movements according to NDT principles (facilitation, stimulation, communication). Dosage - 60-minute sessions, twice weekly, for 3 months.
Sitting Exergaming
Other interventionExergaming performed in a seated position using Kinect Therapy-Based Exergames. Participants sit on an adjustable chair with hips, knees, and ankles flexed at 90°. Exercises involve safe, non-impact, visually engaging three-dimensional trunk and limb movements, personalized to the child's functional level. Movements are synchronized with the MyoMotion system for monitoring. Dosage - 60-minute sessions, twice weekly, for 3 months (as part of combined therapy).
Standing Exergaming
Other interventionExergaming performed in a standing position using Kinect Therapy-Based Exergames, promoting weight-bearing and functional trunk and limb control. Exercises involve safe, visually engaging three-dimensional movements, personalized to the child's functional abilities. Movements are synchronized with the MyoMotion system for real-time monitoring. Dosage - 60-minute sessions, twice weekly, for 3 months (as part of combined therapy).
Treatment groups
42 Participants
are divided into 2 treatment groupsGroup A: NDT-Bobath + Sitting ExergamingExperimental treatment 2 interventions
Group B: NDT-Bobath + Standing ExergamingExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Cervical Spine Mobility
Change in active cervical spine range of motion in children with cerebral palsy aged 10-15 years, measured in sagittal, frontal, and transverse planes using the CROM device. Cervical flexion/extension, lateral flexion, and rotation are expressed in degrees.
Time frame
Baseline, post-intervention (3 months), follow-up (6 months)2
Thoracic Spine Mobility
Change in thoracic spine mobility measured as active range of motion and trunk rotation using the MyoMotion system. Measurements are expressed in degrees and reflect thoracic flexion/extension, lateral flexion, and rotational movements.
Time frame
Baseline, post-intervention (3 months), follow-up (6 months)3
Lumbar Spine Mobility
Change in lumbar spine mobility measured as active range of motion using the MyoMotion system. Lumbar flexion/extension, lateral flexion, and rotation are expressed in degrees.
Time frame
Baseline, post-intervention (3 months), follow-up (6 months)Sponsors and contacts
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Source ClinicalTrials.gov
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