Functional Electrical Stimulation, Cerebral Palsy, Core Stability
Conditions
Brief summary
This study was done to: * investigate the combined effect of functional electrical stimulation with core stabilization exercises on pelvic tilting in children with spastic diplegia. * To investigate the combined effect of functional electrical stimulation with core stabilization exercises on standing balance in children with spastic diplegia.
Detailed description
Spastic diaplegia in children affects motor development and muscle tone. Functional electrical stimulation can improve range of motion, muscle strength, walking speed, and gait. Correcting pelvic position is crucial for treating postural weaknesses. Core stability programs are recommended for spastic cerebral palsy children. Rehabilitation programs should focus on restoring normal pelvic alignment to improve overall balance and functional abilities. This study investigates the effect of functional electrical stimulation on rectus abdominis and gluteus maximus muscles and core stabilization exercises in spastic diplegic cerebral palsy children.
Interventions
a one-hour physical therapy program, focusing on abdominal and back muscle activation and improving balance during standing. The program includes exercises like supine on wedges, prone on wedges, weight shifting, and balance training.
OTHERcore stabilization exercise with neuromuscular electrical stimulation
The text describes various exercises for children to improve their physical abilities. These exercises include bridging, crab, plank, superhero, wheelbarrow walk, and kneeling on balls. The placement of electrodes on the gluteus maximus and rectus abdominis muscles is determined using anatomical landmarks. The electric current is generated using a biphasic symmetrical waveform with pulse width and intensity, and the stimulus frequency is adjusted to 35 Hz. The neuromuscular electric stimulation mode is used in a Synchronous mode.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* Their age will range from 4 to 6 years. * Their degree of spasticity will range from 1 to 1+, according to the modified Ashworth scale. * Their motor function will be at level Ⅰ & Ⅱ according to gross motor function classification system. * Their pelvic tilting angle will be more than 7.6°
Exclusion criteria
* Musculoskeletal fixed deformities in lower limbs and spine * Visual or hearing problems * Epilepsy * Botulinum toxin injection or orthopedic surgery within past 6 months or within study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of muscle tone | at baseline and after 12 weeks | The modified Ashworth scale will be used to determine the degree of spasticity of the affected lower limb; the child will be in supine position with head in neutral position, and the examiner will moves the knee of affected side through full range of flexion and extensions the child is instructed to stay relaxed and to avoid resisting or facilitating the joint movement applied by the examiner; children with grades 1 or 1+ will be included |
| Assessment of gross motor function level | at baseline and after 12 weeks | The Gross Motor Function Classification System is a clinical classification system with five levels based on functional limitations, the need for handheld mobility devices, and movement quality. It includes children with level I and II and those transported in a manual wheelchair. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of change of pelvic tilting | at baseline and after 12 weeks | Pelvic inclinometers and pelvic meter (PALM) are devices designed to assess pelvic tilt. Pelvic inclinometers have adjustable arms for direct contact with bony landmarks, while Pelvic inclinometers and pelvic meter have adjustable arms for contact with the anterior superior iliac spine and posterior superior iliac spine. These devices are typically used in a relaxed standing position, with children with a pelvic tilting angle over 7.6° included. |
| Assessment of change of balance | at baseline and after 12 weeks | The Humac Balance System is a combination of a balance board and Humac Balance software, providing a robust assessment tool for static and dynamic balance. It offers various training and measurement routines, including weight-bearing random motions, center of pressure, limits of stability, and roadway measurements. |
Countries
Egypt
Contacts
Primary ContactAhmed Abdelsamed Mahmoud, physical therapist
Outcome results
None listed