Cerebral Palsy Spastic Diplegia
Conditions
Brief summary
The aims of the study are to: 1. Investigate the combined effect of functional task training with electrical stimulation of bilateral hip abductor muscles on balance in children with diplegia. 2. Investigate the combined effect of functional task training with electrical stimulation of bilateral hip abductor muscles on motor abilities in children with diplegia.
Detailed description
Cerebral palsy (CP) is a group of permanent disorders of movement and posture. It is non-progressive lesion or abnormality of immature brain. The term cerebral refers to the brain and palsy refers to the loss or impairment of motor function. Functional electrical stimulation (FES) is a subtype of neuromuscular electrical stimulation (NMES) in which the stimulation assists functional and purposeful movements. This is achieved by applying electrical stimulation to muscles that, when they contract, produce a movement that can be used functionally.The FES is used to provide electrical stimulation via the peripheral nervous system to activate muscle contractions to assist functional activities when nervous or musculo-skeletal systems are damaged.The common applications of FES include strengthening muscle, reducing muscle spasticity, increasing range of motion, improving upper extremity function and walking speed.
Interventions
electrical stimulation during function
functional exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* Their ages will range from 7-11 years. * Both genders will be included. * Their degree of spasticity will range from 1 to 1+ according to Modified Ashworth Scale (Meseguer-Henarejos et al., 2018). * Their motor function will be at level I & II according to Gross Motor Function --- -Classification system (Palisano et al., 2008). * They will be understanding instructions.
Exclusion criteria
* Children will be excluded from the study if they have any of the following criteria: Musculoskeletal fixed deformities in upper limb, lower limb or spine. * Visual or hearing problems. * Epilepsy. * Botulinium toxin therapy or orthopedic surgery within the past 6months or within the study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Humac balance system | two months | static and dynamic balance when values inscrease the results are better. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Growth motor functional scale | two months | measuring motor abilities standing and walking when values increase the results are better. |
Countries
Egypt