Cerebral Palsy
Conditions
Keywords
Task-Oriented Training (TOT), Pediatric Endurance and Limb Strengthening (PEDALS), gross motor function (GMF)
Brief summary
To compare the Effects of Pediatric endurance and limb strengthening (PEDALS) program VS Task-oriented Training (TOT) improving gross motor function among children with Cerebral Palsy.
Detailed description
By integrating the Pediatric endurance and limb strengthening (PEDALS) exercises and Task Oriented training children can engage in more comprehensive therapy that simultaneously targets muscle strengthening, coordination and balance with in a context that stimulates real life activities. Task Oriented Training interventions can promote neural plasticity through repetitive task specific practice. It will have marked impact on improvement of ADLS in CP community. This study will play a vital role in improving the mobility of CP community. Hence improving the gross motor functions i.e. facilitating the CP child being more independent in sitting standing jumping and running.
Interventions
OTHERPediatric Endurance and Limb Strengthening (PEDALS) program
Participants will perform pediatric endurance and limb strengthening (PEDALS) program. The stationary cycling intervention will be performed 3 times per week, for a total of 24 sessions, within 8 weeks period. The longer session duration is designed to allow adequate rest intervals between set (1-3 minutes). A generalized stretching program will be performed prior to cycling for mental relaxation for 6-7 minutes. Ankle-foot orthosis if used for walking. Each 60 minutes cycling session will be divided into 2 phases: (1) lower-extremity strengthening and (2) cardiorespiratory endurance.
The experimental protocol consists of task-oriented training program (TOT) .it will be performed 3 times per week, for a total of 24 sessions, within 8 weeks period. Before each training session, there will be a warm-up period with 5 to 10 minutes of dynamic activities (e.g., jogging). After training, there will be a cool down period with 5 to 10 minutes of dynamic stretching exercises. In addition to rest intervals. after training session, there will be a 48-hour rest interval to prevent muscle fatigue and injury.
Sponsors
Shalamar Institute of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* • Diplegic Cerebral Palsy children * Gross motor classification system level 1and level 2. * Age 6 to 12 years. * Male and female are included.
Exclusion criteria
* • Individuals with co-existing medical conditions that significantly impact motor function other than CP. * Participants who are unable to engage in the assigned interventions due to physical or cognitive limitations. * Gross motor classification system level 3.4 and 5. * Any contraindications to the assigned interventions, such as severe motion sickness or contraindications to physical exercise for pedal training. * Previous participation in similar interventions within a defined timeframe to avoid potential confounding effects.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gross motor function | 12 weeks | The improving gross motor functions i.e A) lying and rolling B) sitting C) crawling and kneeling D) standing and E) walking, running, and jumping. |
Countries
Pakistan
Contacts
Primary ContactAmmana Saeed, DPT
Backup ContactDr.Sadaf Tabasum Tabassum, MS.OMPT
Outcome results
None listed