Cerebral Palsy
Conditions
Brief summary
This study will evaluate the comparative effectiveness of Spider Cage Therapy (SCT) and Proprioceptive Neuromuscular Facilitation (PNF) in managing motor impairments in children with cerebral palsy (CP). Cerebral palsy often leads to motor deficits that limit movement and impair functionality.
Detailed description
SCT and PNF are therapeutic interventions that target these motor challenges but use distinct approaches. Spider Cage Therapy will involve the use of elastic cords within a supportive frame (the spider cage) to stabilize the child, enhancing postural control and enabling dynamic movement training. This approach is expected to improve balance and alignment, promoting functional mobility. In contrast, PNF will focus on neuromuscular reeducation through specific movement patterns intended to enhance strength, coordination, and flexibility. By comparing SCT and PNF, this study aims to identify their respective impacts on motor function improvements, particularly in gross motor skills, balance, and postural stability, potentially guiding future rehabilitation protocols for children with CP.
Interventions
COMBINATION_PRODUCTProprioceptive Neuromuscular Facilitation (PNF)
Participants in the PNF group will undergo intensive training of the affected limbs for 20 minutes per day, 5 days a week, over a 4-week period. During therapy sessions, the unaffected limb will be constrained using a mitt or cast to encourage focused activation and strengthening of the affected side. The therapy will include repetitive movement patterns designed to enhance strength, flexibility, and coordination.
COMBINATION_PRODUCTSpider Cage Therapy Group
This group will participate in therapy sessions within the Spider Cage for 20 minutes per day, 5 days a week, for 4 weeks. Interventions will involve weight-bearing exercises, movement facilitation, and balance training, utilizing the cage's elastic cords to support and stabilize posture. The goal is to improve gross motor skills, balance, and controlled movement.
DIAGNOSTIC_TESTCombined PNF and Spider Cage Therapy Group
Participants in this group will receive both PNF and Spider Cage Therapy, with integrated principles and techniques from both approaches. The intensity and duration will be consistent with the individual therapy groups, with sessions held for 20 minutes per day, 5 days a week, over 4 weeks. This combination is expected to enhance functional outcomes by targeting both strength/coordination and balance/postural control.
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 4-12 years. * Clinical diagnosis of cerebral palsy. * Classified within Gross Motor Function Classification System (GMFCS) levels I to III. * Ability to follow instructions and participate in therapy sessions.
Exclusion criteria
* Severe cognitive impairments hindering participation. * Severe musculoskeletal deformities or recent surgeries. * Other medical conditions contraindicating participation in physical therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gross Motor Function Measure (GMFM-66 | 12 Months | Five levels and each has different nbr of questions each having 0- 3 score 0 no movement 3 complete movement |
| Paedetric balance scale | 12 months | 14 items each have 0-4 score total 56 0 totally dependent 4 independently can prrform movement |
| Functional Independence Measure for Children (WeeFIM) | 12 months | for overall functional independence (FIM) it has total 18 items 13 relatesd to mobilty and 5 regarding cognition Each has1- 7 score where reports total dependence and 7 shows complete independence |
Countries
Pakistan
Outcome results
None listed