Cerebral Palsy
Conditions
Brief summary
To investigate the effect of Perturbation-Based Balance Training on trunk proprioception and balance in hemiparetic cerebral palsy
Detailed description
Thirty-eight patients with hemiplegic cerebral palsy will participate in this study. The patients will randomly be divided into two equal groups; the control group which received the selected physical therapy exercise program and the study group received the same exercise training program in addition to Perturbation-Based Balance Training, three times per week for three months. The evaluation methods are BIODEX, The Pediatric Balance Scale, baseline digital inclinometer.
Interventions
Perturbation-based balance training (PBT; or reactive balance training or perturbation training) is balance training that uses repeated, externally applied mechanical perturbations to trigger rapid reactions to regain postural stability in a safe and controlled environment
trunk control therapeutic exercise, static and dynamic balance treaining exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* \- Thirty-eight children hemiplegic cerebral palsy * Age will range as (8:10) years old * Spastic hemiplegic cerebral palsy * Normal body mass index ranged from 1SD to -2SDaccording to BMI-for age Z score charts include an age and sex- specific BMI for children (WHO, 2007). * Gross motor function classification system: level I\&II
Exclusion criteria
* • Difficulty to communicate or to understand program instructions * any other neurological deficits or orthopaedic abnormalities, * secondary musculoskeletal complication * vestibular problems * any mental impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BIODEX balance system | three months | to evaluate postural balance. The BBS is a multiaxial device that objectively measures and records an individual's ability to stabilize the involved joint under dynamic stress. |
| Pediatric Balance Scale | three months | 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 |
| baseline digital inclinometer. | four weeks | for measuring lateral movement in applications like: Earth movement in the landslide zone. Detecting shear planes in hydraulic structures. Measuring stability during construction |
Countries
Egypt