Cerebral Palsy, Spastic
Conditions
Keywords
cerebral palsy, whole body vibration, gait, balance
Brief summary
Some positive effects of whole body vibration applications in reducing spasticity, improving walking ability, and increasing walking speed have been reported in children with CP, but the evidence is not strong enough. Therefore, this study was planned to evaluate the effect of whole body vibration treatment on spasticity, gait, balance, and motor performance in children with spastic CP. This study hypothesis that whole body vibration provides an additive improvement on spasticity, balance, gait and motor performance.
Detailed description
Participants will be evaluate at baseline, after the conventional physiotherapy program, and after whole body vibration training program. During this period, the participants who were recruited whole body vibration training program, whole body vibration will be applied in addition to conventional physiotherapy sessions comprised 45 min, 2 days a week, during 8 week.
Interventions
The conventional physiotherapy program consists of stretching exercises for lower extremities, strength exercises for core, upper, and lower extremity muscles, sit to stand exercises, and balance exercises.
OTHERwhole body vibration training program
The whole body vibration training program sessions consisted of three 3-min bouts of vibration of 20 Hz and a peak-to-peak amplitude of 2mm with a 3-min rest in between, in addition to conventional physiotherapy exercises for children with cerebral palsy.
Sponsors
Kutahya Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Children diagnosed with spastic diplegic CP in GMFCS levels I and II, CFCS level I and MACS levels I and II * Aged 6-17 years * Ability to cooperate with the evaluations * Walking independently with or without an orthosis (without any support)
Exclusion criteria
* Having a recent injury affecting the lower extremities * Having undergone any surgery or Botulinuim Toxin application within the last six months * Having severe cardiopulmonary or systemic problems * Having uncontrolled seizures, visual or hearing problems preventing the evaluations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spatiotemporal parameters of gait will be evaluated with the Zebris™ FDM-2 gait analysis platform. | Change from baseline step length at 2 months. | Gait analysis will be performed without any shoes and assistive devices. Walking evaluation on the gait platform will be limited to 1 minute. Obtained data about step length will be collected as centimeters from the entire 1-minute walk will use for analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Pediatric Balance Scale will be used to measure functional balance of the participants. | Change from baseline score at 2 months. | Scale consist of 14-item. The highest score that can be obtained from the scale is 56. Highest scores shows better balance skills. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Spasticity level of the participants will be measure with Modified Ashworth Scale. | Change from baseline score at 2 months. | Muscle tone will be evaluated using the Modified Ashworth Scale from the right and left elbow flexors, forearm pronators, knee flexors, ankle plantar flexors, and hip adductors. The possible scores ranged from 0-4 for each movement, and lower scores indicate better outcome and higher scores indicate worse outcome. |
| Functional mobility of the participants will be measure with 1-min walk test. | Change from baseline distance at 2 months. | Participants will be tested with their usual walking aids, orthoses and shoes. Before the test, a trial test will be performed. After 5 minutes resting period, the participant will be asked to walk as fast as possible without running on the 20 meter oval track during 1 minute. When the time is over, the distance the participant has walked will be measured in meters and recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed