Hemiplegic Cerebral Palsy
Conditions
Brief summary
This clinical trial aims to Compare the effectiveness of lower limb CIMT and the Strength Training of the Non-Hemiplegic lower limb on motor performance in hemiplegic children with CP. Participants will: diagnosed with hemiplegic cerebral palsy treated with CIMT or Strength training (cross-education) for a non-hemiplegic limb for 8 weeks. 3 sessions per week. Measurements will be taken at baseline and then at the end of the 8 weeks.
Detailed description
Method: 32 children with hemiplegic CP will be equally and randomly allocated to two groups (group A and B). group A will receive lower limb CIMT for the non- hemiplegic limb using whole leg orthosis and Group B will receive strengthen training for the non-hemiplegic lower limb. Both groups will receive routine physical therapy for the hemiplegic lower limb. Both groups will receive 60 minutes training session for 3 sessions per week for 8 consecutive weeks. Assessment will be at baseline then at the end of trial.
Interventions
OTHERrehabilitation
children in the CIMT group will RECIEVE lower limb CIMT for the non-hemiplegic limb using whole leg orthosis. Children in cross-education group will receive strengthening training for the non-hemiplegic lower limb
Sponsors
Imam Abdulrahman Bin Faisal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
1. Children with hemiplegic cerebral palsy aged age between 4 and 10. 2. (GMFCS) levels I, II and III. 3. Able to follow therapist instructions during training session.
Exclusion criteria
1. Lack of patient's cooperation. 2. Difficulty wearing constraint method due to severe joint deformation or/and contracture. 3. Patients were treated with botulinum toxin during the last 3 months. 4. Seizure disorder not fully controlled by medication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| stride length | at base line then at the end of the 8 weeks | gait spatiotemporal parameter |
| gait speed | at base line then at the end of the 8 weeks | gait spatiotemporal parameter |
| cadence gait spatiotemporal parameter | at base line then at the end of the 8 weeks | gait spatiotemporal parameter |
| step length | at base line then at the end of the 8 weeks | gait spatiotemporal parameter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric balance scale | at base line then at the end of the 8 weeks | Pediatric balance scale The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. |
| 6 Minute walk test (6MWT) | at base line then at the end of the 8 weeks | endurance measurement |
| Modified Ashworth scale | at base line then at the end of the 8 weeks | measuring muscle tone Scoring 0 No Increased in tone 1. Slight increase in tone giving a catch when the limb is moved in flexion or extension 1+ Slight increase in muscle tone, indicated by a catch followed by minimal resistance throughout range of motion (ROM) 2. More marked increase in tone through most of the ROM, but the limb easily flexed 3. Considerable increase in tone, passive movement difficult 4. Limb rigid in flexion or extension |
| Handheld dynamometer | at base line then at the end of the 8 weeks | measuring muscles strength |
Countries
Saudi Arabia
Contacts
Primary Contactabdullah owaid Alanazi, PhD student
Backup Contactalaa ibrahim ismail, professor
Outcome results
None listed