Cerebral palsy is a common neurodevelopmental disorder that affects movement, posture, and functional abilities in children. This randomized controlled trial focuses on comparing the effects of task-oriented circuit training and group circuit training on functional performance and functional capacity in children with quadriplegic cerebral palsy. Outcomes will be measured using the Gross Motor Function Measure (GMFM-88) and the Activities Scale for Kids-Capability version (ASK-C). The findings of this study may help identify effective rehabilitation strategies for improving functional outcomes in children with cerebral palsy.
Children diagnosed with spastic quadriplegic cerebral palsy.
Age between 7 and 12 years.
Gross Motor Function Classification System (GMFCS) level II or III.
Both genders.
Presence of fixed orthopedic deformities affecting balance or movement.
Visual, auditory, vestibular, or perceptual deficits.
History of seizures or epilepsy.
Orthopedic surgery or botulinum toxin injections within the past 6 months.
Parallel
Task-Oriented Circuit Training
Other interventionTask-oriented circuit training will include goal directed functional tasks such as sit-to-stand activities, balance tasks, walking-related activities, and functional mobility tasks arranged in a circuit format. The intervention will focus on improving functional performance through repetitive practice of meaningful tasks.
Group Circuit Training
Other interventionGroup circuit training will consist of structured exercise stations that focus on strength, balance, endurance, and gross motor activities, all performed in a group setting. Exercises will be performed in a circuit format under therapist supervision.
Functional Performance
Functional performance will be assessed using the Gross Motor Function Measure-88 (GMFM-88), which evaluates gross motor abilities across five dimensions (lying/rolling, sitting, crawling/kneeling, standing, walking/running). Ordinal scale 0-3 (0=does not initiate, 3=completes), resulting in a percentage score (0-100%) for each dimension and total score.
Functional Capacity
Functional capacity will be measured using the Activities Scale for Kids-Capability version (ASK-C), a validated questionnaire assessing a child's ability to perform daily activities. This scale consists of 30 items, each rated on a 5-point ordinal scale. 0= with no problem 1. with a little problem 2. with a moderate problem 3. with a big problem 4. I could not The final score ranges from 0 to 100, with a higher score indicating better functional outcomes
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