None listed
Conditions
Brief summary
The primary objective of this study will be to evaluate the comparative effect of Intensive Segmental Trunk Training and Vojta Therapy on Postural Control. Hypothesis: Intensive Segmental Trunk Training will be more effective than Vojta Therapy in attaining postural control in terms of trunk control, sitting and upper extremity functions.
Interventions
Arm I will receive Intensive Segmental Trunk Training (ISTT), including therapeutic exercises of selective trunk segments, core stability exercises, functional reaching activities and weight shift training. Trunk exercise program will consist of 3 sets of 10-15 repetitions/day (50 min), 5 days/week for 3 consecutive months (50 hours for 60 days approx.) along with Conventional therapy.
Following treatment will be performed by physical therapist one to one. Mainly the setting will be Pediatric R
Arm I will receive Intensive Segmental Trunk Training (ISTT), including therapeutic exercises of selective trunk segments, core stability exercises, functional reaching activities and weight shift training. Trunk exercise program will consist of 3 sets of 10-15 repetitions/day (50 min), 5 days/week for 3 consecutive months (50 hours for 60 days approx.) along with Conventional therapy. Following treatment will be performed by physical therapist one to one. Mainly the setting will be Pediatric Rehabilitation Department of the University of Lahore Teaching Hospital, and home plan will also be provided. The patient's guardian will have to make videos of the sessions performed at home so that the compliance and adherence to the treatment program can be checked.
Sponsors
Dr. Iqra Khan
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
4 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
1. Children 4-12 years of age, both sexes, diagnosed with Spastic diplegic Cerebral Palsy. 2. Level III-V on Gross Motor Function Classification System (GMFCS) 3. Spasticity degree ranging grade 1-2 on Modified Ashworth Scale (MAS) 4. Level of segmental trunk control will be level 3 on Segmental Assessment of Trunk Control (SATCo) 5. Impaired trunk and poor postural control
Exclusion criteria
1. Acute fever 2. Inflammatory disease 3. Contracture or structural vertebral deformities inhibiting vertical posture 4. Undergone recent surgery, or modification in the medicinal treatment for motor function in the last 6 month-period 5. History of ataxia, dystonia, dystrophy or spina bifida affecting motor and physical performance 6. Uncontrolled seizures 7. Major visual or auditory impairments 8. Taking any other treatments
Outcome results
None listed