Balance, cp, Rebound Therapy, Whole Body Vibration
Conditions
Brief summary
the study aims to compare the effect of core stabalization and rebound therapy on balance in children with hemiplegic cerebral palsy
Detailed description
PURPOSE: To compare the effect of core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy BACKGROUND: Cerebral palsy is primarily a disorder of movement and posture HYPOTHESES: There is no significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy. RESEARCH QUESTION: Is there a significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy?
Interventions
The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* children diagnosed with spastic hemiplegic CP. * Their chronological age ranged from 5 to 8 years, * able to follow verbal commands or instructions during testing procedures, * degree of spasticity in affected lower limbs ranged between1 to 1+ according to Modified Ashworth scale (MAS), * they are able to understand and follow instructions given to them,
Exclusion criteria
* Children who had significant visual or auditory problems that may interfere with testing, - ---- patients who had contractures or fixed deformities related to the joints of the lower limbs, ---- injection with Botulinium toxin or any orthopaedic surgery in lower limbs 6m before study, * children who were suffering from cardiopulmonary problems or epilepsy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| balance | 12 week | it measures the degree of tilting for each axis during dynamic conditions and calculates a medial lateral stability index (MLSI); an anterior-posteriorstability index (APSI); and an overall stability index(OSI), |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| gross motor function measure-88 | 12 week | measure gross motor function. higher scores indicate better outcome. scores are reported in percentage. |
| lafayette hand held dynamometer | 12 week | measure isometric muscle strength of knee flexors and extensors. higher scores reflect better outcome |
| 6 minute walk test | 12 week | measure endurance. |
Countries
Egypt