Cerebral Palsy, Hyperbaric Oxygen Therapy
Conditions
Keywords
Spastic cerebral palsy, Hyperbaric oxygen therapy, Functional Balance, Gait parameters
Brief summary
Abnormal gait is a common issue in children with CP. As a result of motor weakness and a lack of voluntary motor control. Furthermore, gait in children with cerebral palsy is characterized by a slower walking speed, a shorter stride length, and more time spent in double support. Deficits in postural control constitute a major limitation to the motor development in children with CP. The performance of static and dynamic tasks, such as sitting, standing, and walking, is limited in these children due to postural instability. Postural control deficits in CP are caused by altered sensory processing, motor impairment, and biomechanical alignment, which result in altered neuromuscular responses. HBO2 therapeutic benefits in CP are attributed to an increase in dissolved oxygen in plasma and tissue, which aids tissue regeneration, So, the purpose of this study was to investigate the long-term effects of hyperbaric oxygen therapy on spatiotemporal gait parameters and functional balance skills in children with CP.
Detailed description
This was a randomized clinical trial. Thirty-nine children with spastic cerebral palsy with ages ranging from 5 to 10 years referred from local pediatric rehabilitation centers participated in this study. All children were classified randomly using sealed envelopes into two groups (Control and Study groups). The children in the control group received traditional physical therapy and the study group received the same traditional physical therapy in addition to hyperbaric oxygen therapy. Written informed consent from the child's legal guardian was obtained. The study was authorized by the Ethics Committee for Research at Cairo University in accordance with the ethical standards of the Declaration of Helsinki. PBS was used to assess functional balance and GAITRite was used to assess spatiotemporal gait parameters. Measurements of functional balance and spatiotemporal gait parameters were taken three times: at the start of the intervention, eight weeks later, and six months after cessation of HPO2 therapy to assess the long-term effect.
Interventions
OTHERTraditional Physical Therapy
Stretching for tight muscles, strengthening for weak muscles, postural reactions training, proprioceptive training, and walking training were all part of the neurodevelopmental treatment plan.
DEVICEHyperbaric oxygen therapy
HBO2 therapy at a pressure of 1.7 atm For 60 minutes, participants breathed 100% O2.
Sponsors
Batterjee Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* medically free by their doctor. * being able to tolerate a hyperbaric oxygen hood. * being able to blow through a straw, or swallow on command. * having spasticity ranging from 1 to 1+ on the Modified Ashworth Scale * level I or II on the Gross Motor Function Classification System (GMFCS). * being capable of understanding and following instructions
Exclusion criteria
* Previous HBO treatments. * botulinum toxin A treatments. * thoracic surgery within 6 months. * major changes to spasticity medications within 3 months. * unstable epilepsy. * pulmonary dysfunction. * cardiovascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Velocity (cm/s) | 6 months | Change of the velocity was measured using GAITRite System |
| Stride Length (cm) | 6 months | Change of the stride length was measured using GAITRite System |
| Double leg support (% of gait cycle) | 6 months | Change of the double leg support was measured using GAITRite System |
| Functional Balance skills (score) | 6 months | Change of balance scores was measured using pediatric balance scale. PBS collect scores for the 14 tasks assessed. The tasks are scored on a five-point scale (0, 1, 2, 3 or 4), with zero denoting an inability to perform the activity without assistance and four denoting the ability to perform the task with complete independence. Score range from 0 to 56, with higher scores indicating better postural control |
Countries
Saudi Arabia
Outcome results
None listed