Diplegic Cerebral Palsy
Conditions
Brief summary
Cerebral palsy is primarily a disorder of movement and posture however; it often involves disorder of different aspects of cognitive function.
Detailed description
This study evaluated the effect of FST and cognitive intervention and their combined effect on motor and cognitive functions in children with spastic diplegia. A convenient sample of spastic diplegic CP children, with their age ranging from 8 to 12 years were assigned randomly into four treatment groups
Interventions
children in this group received FST. Each training session started with 10 minutes dynamic warm-up period and ended with 5 minutes cool down in the form of muscle stretching and aerobics. The warm up was followed by gait training in addition to 4 functional lower limb exercises; sit to stand exercise, forward/ lateral step-up exercise, half knee rise exercise, and bridging exercise.
OTHERcognitive training
Children in this group received cognitive training by RehaCom cognitive rehabilitation software. Training was applied for four cognitive domains of function; attention / concentration, figural memory, reaction behavior and logical reasoning.
OTHERconventional physical therapy
including reinforcement of normal motor development, reflex inhibiting patterns, balance exercises, stretching exercises and gait training
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* chronological age ranged from 8 to 12 years, * spasticity grade in affected lower limbs ranged between 1 + and 2 according to MAS * can follow instructions given to them, * their intelligence level ranged from 65 to 80 according to Stanford Binet intelligence scale, - -- their motor function ranged between Level II & III according to Gross Motor Functional Classification System Expanded and Revised (GMFCS E&R).
Exclusion criteria
* children who had visual or auditory problems * children who took any medicine affecting alertness * fixed deformities in the joints of upper & lower limbs * any orthopedic surgery in lower limbs within 6 months before study * epileptic children.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in attention / concentration measures | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | * Computer based RehaCom software used to assess attention / concentration cognitive domain of function. It is clinically proven and evidence-based software. * minimum reaction time ( in seconds) of attention / concentration program was assessed |
| change in reaction behavior measures | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | Computer based RehaCom software used to assess reaction behavior cognitive domain of function. It is clinically proven and evidence-based software. \- minimum reaction time ( in seconds) of reaction behavior program was assessed |
| change in logical reasoning measures | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | Computer based RehaCom software used to assess logical reasoning cognitive domain of function. It is clinically proven and evidence-based software. \- minimum reaction time ( in seconds) of logical reasoning program was assessed |
| change in GMFM-88 measures | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | criterion-referenced scale that measure gross motor function in children with CP. |
| change in figural memory measures | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | * Computer based RehaCom software used to assess figural memory cognitive domain of function.It is clinically proven and evidence-based software. * minimum reaction time ( in seconds) of figural memory program was assessed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in Timed up and go test (TUG)measure | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | A reliable and valid test used for assessing dynamic balance and functional mobility in the children. |
| change in Five times sit to stand test (FTSST) measure | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up | measure the time spent for completing five sequential sit to stand to sit cycles. It is a reliable and valid measure of functional muscle strength and balance in CP children. |
Countries
Egypt
Outcome results
None listed