Cerebral Palsy
Conditions
Keywords
Cerebral palsy, Proximal stability, Shoulder, Whole body vibration
Brief summary
Objectives: Children with cerebral palsy have weak proximal stability which not only affects range of available motion but also reflects on distal dexterity. These have a great impact on their mobility and efficiency of daily living activities. Vibration has been regarded as an effective exercise method to improve muscle strength and endurance. The aim of this study was to determine the effect of vibration on shoulder proximal stability in children with cerebral palsy. Methods: Fifty children with cerebral palsy from 4 to 9 years old participated in this study and were selected from the outpatient clinic of faculty of physical therapy. They were divided into two groups of equal sizes randomly. The control group received a conventional physical therapy program in addition to Sling exercise therapy, and the study group received the same conventional physical therapy program in addition to Sling exercise therapy (SET) and Whole-body vibration (WBV). Shoulder muscle strength was assessed for both groups by using Lafayette manual muscle tester before and after treatment.
Interventions
PROCEDUREConventional physical therapy program and Sling exercise therapy
The control group received a conventional physical therapy program in addition to sling exercise therapy (SET) for 60 minutes.
PROCEDUREWhole body vibration
The study group received the same selected conventional physical therapy program in addition to sling exercise therapy (SET) given to the control group (for 30 minutes) besides whole body vibration (WBV) (for 30 minutes).
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Experimental trial
Eligibility
Sex/Gender
ALL
Age
4 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* children with cerebral palsy affecting weight bearing of the upper limbs. * Aged from 4 to 9 years. * Both gender participated. * Having grade 1 and 1+ spasticity according to the Modified Ashworth Scale.
Exclusion criteria
* Congenital anomalies. * Surgical or neurological disease of the upper limbs. * Osteopenia or osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder muscle strength | 4 to 6 months | Lafayette manual muscle tester In order to produce precise, objective, and dependable findings, the Lafayette Manual Muscle Tester (MMT) Model Number 01163 blends modern ergonomic design with accuracy and precision. The three cushioned stirrups that were interchangeable allowed for the confident and efficient use of recognized techniques while maintaining patient comfort. No other manual muscle test method uses the advancements found in the Lafayette MMT. The user may choose from an extensive array of variables through the interactive menus, including high and low threshold settings (to account for larger muscles or fingers), test periods ranging from one to ten seconds, and data storage. There is less chance of reading mistakes or selecting undesirable alternatives because of the wide, easy-to-read LCD screen that clearly shows all the information. |
Countries
Egypt
Outcome results
None listed