An interventional study of Neck-Trunk Stabilization Exercises and conventional physical therapy and Bobath Therapy and conventional physical therapy in Cerebral Palsy Spastic Diplegia, sponsored by Riphah International University. Status unknown at 1 site in Pakistan. Open to participants aged 4 Years to 15 Years. Per ClinicalTrials.gov, last updated 2023-01-31.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
Physiotherapy is widely used in the treatment of children with cerebral palsy. This study is conducted to identify the most appropriate physiotherapy approach. The purpose of the study is to compare two physical rehabilitation strategies i.e., Neck-trunk stabilization exercises and Bobath therapy, to investigate their effectiveness on trunk control and upper limb function. The aims of treatment are to influence muscle tone and improve postural alignment by specific handling technique.
The study will be a Randomized Clinical Trial conducted at the physiotherapy outpatient clinic of the tertiary care hospital in Sialkot, Idrees Hospital. Following the approval of the BASR, the study will be completed within six months. The sample will be taken using a non-probability convenient sampling technique, and the sample will be randomly divided into two groups. A sample size of 44 patients will be taken in this study. There will be two groups. Both groups will receive conventional therapy consisting of stretching, strengthening, range-of-motion exercises, positioning, and electrical stimulation. Group A: This group will receive Neck-Trunk Stabilization exercises. Group B: This group will receive Bobath therapy. The total intervention protocol will be given for six weeks' duration, with three sessions per week of about 45 minutes each. Outcome measures tools will be Segmental Assessment of Trunk Control (SATCo) and Manual Ability Classification System (MACS). Children with spastic diplegic cerebral palsy will be measured at baseline and after 6 weeks.
703 studies on the registry are indexed under Muscle Spasticity; 148 are open to participants now.
This study's planned enrollment of 44 is above the median of 36 across 524 interventional studies indexed under Muscle Spasticity.
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Exclusion Criteria:
First neck and trunk exercise involved lifting the head in a modified bridge exercise position so that lower abdominal muscles contracted when the neck was bent, thereby activating the neck flexor muscle and the lower abdominal muscles simultaneously. Second exercise involved pushing the neck backward in supine position to activate the erector muscles of the neck and the upper thoracic vertebrae through the extension of the muscles of the back of the neck. Third exercise activated the deep abdominal muscles in bridge exercise positions so that the participants would experience the posterior inclined movement of the pelvis. Keep each posture for 10 seconds at a time and repeat 10 times with a rest interval of 3 seconds per each.
Other: Neck-Trunk Stabilization Exercises and conventional physical therapy
1. trunk-pelvic-hip neutral alignment with anterior-posterior weight shifts on the ball, 2. bilateral upper extremity abduction-traction for lateral weight shift, 3. prone extension on the ball, 4. forward weight shift for the trunk and hip extension and forward protective extension, 5. diagonal weight shifts in flexion-rotation direction, 6. lateral weight shift for simultaneous activation of flexors and extensors, 7. bilateral shoulder flexion for latissimus dorsi elongation, 8. pectoral elongation exercise for trunk extension, 9. preparatory trunk activities (with continuous and/or intermittent compression and intermittent support), 10. positioning and holding of the head-trunk Keep each posture for 10 seconds at a time with a rest interval of 3 seconds per each.
Other: Bobath Therapy and conventional physical therapy
Neck-Trunk Stabilization Exercises along with conventional physical therapy in which stretching, strengthening, ROMs positioning and electrical stimulation are included.
Bobath based exercises along with conventional physical therapy in which stretching, strengthening, ROMs positioning and electrical stimulation are included.
Segmental Assessment of Trunk Control (SATCo)
Changes from baseline SATCo provides a systematic method of assessing discrete levels of trunk control in children with motor disabilities. The SATCo determines the topmost (most cephalo) segment at which control of the upright posture is poor or not demonstrated i.e. is currently being learned for each of static, active and reactive control.
Time frame: 4th week
Manual Ability Classification System (MACS)
Changes from baseline MACS as been used to classify how children with cerebral palsy use their hands when handling objects in daily activities.it is designed to reflect the typical manual performance of child. The ability of children from 4 - 18 years old with cerebral palsy to handle objects in everyday activities can be categorized into 5 levels.
Time frame: 4th week
Plan to share: No
This study is status unknown, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.
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Riphah International University