Cerebral Palsy (CP), Quality of Life (QOL)
Conditions
Keywords
Balance, Gross motor function, task-specific circuit training, hemiplegic cp
Brief summary
This study investigates how Task-Specific Circuit Training (TSCT) affects gross motor function, balance, and quality of life in children with Cerebral Palsy. Two groups will be compared: one receiving TSCT and the other receiving conventional physiotherapy. Outcome measures, such as the GMFM, Pediatric Balance Scale, and CP-QoL questionnaire, will be recorded before and after a 8-week intervention (40-50 minutes, 3 sessions per week). Participants will be screened using GMFCS levels I-III. The study aims to determine whether TSCT provides greater improvements in functional mobility, postural control, and overall well-being compared to standard therapy.
Detailed description
This study evaluates the effects of a task-specific circuit training program on functional performance in individuals with cerebral palsy. The intervention is based on motor learning principles and emphasizes repetitive, goal-directed, and functionally relevant activities to enhance neuromuscular control and postural stability. The task-specific circuit training protocol consists of a series of functional workstations targeting gross motor activities commonly required in daily life, including transitional movements, ambulation-related tasks, and static and dynamic balance activities. Exercises are individualized and progressively modified by adjusting task complexity, repetitions, and external support based on participant performance and tolerance. All training sessions are supervised by trained physiotherapists to ensure standardized implementation and safety. The intervention is delivered over a structured training period with multiple sessions per week. Each session follows a standardized format consisting of a warm-up phase, circuit-based task-specific exercises, and a cool-down phase. The training approach prioritizes active participation, task repetition, and functional relevance to promote motor performance and functional independence. The study examines changes in functional outcomes following the intervention period to determine the clinical utility of task-specific circuit training as a rehabilitation strategy for individuals with cerebral palsy.
Interventions
PROCEDURETask-Specific Circuit Training (TSCT)
Task-specific circuit training program consisting of 14 workstations designed to improve gross motor skills, balance, strength, and functional mobility. Each station includes a specific functional task-such as reaching, sit-to-stand, stepping in different directions, heel-to-toe raises, squatting, straight-leg raises, stair climbing, backward walking, balance-beam walking, core exercises, bridges, opposite-arm/leg raises, side-bridge exercises, and stationary cycling. Progression at each station is achieved by increasing difficulty through adjustments such as varying distances or heights, increasing repetitions, adding weights, altering surfaces (firm/soft), increasing movement speed, reducing squat depth, carrying objects during tasks, or increasing resistance (for cycling). Overall, the program gradually challenges the child's balance, strength, coordination, and motor control by systematically modifying task demands.
PROCEDUREConventional Physical Therapy
Conventional physical therapy will include stretching, strengthening, and positioning exercises. Spastic muscles will be stretched to mild discomfort, held for 20 seconds, and repeated five times. Weak muscles will be strengthened with 10 resisted contractions per session. Parents will be advised to seat the child with legs apart on a bench/block with heels supported and to practice wall-standing with legs moderately abducted and externally rotated for 15 minutes daily after exercises.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Confirmed diagnosis of Spastic Hemiplegic Cerebral Palsy. * Age range 5-12 years. * GMFCS Levels I-III, indicating the ability to walk independently or with assistance. * Modified Ashworth Scale score 0 to ≤ 2. * Sufficient cognitive ability to participate in training and follow instructions.
Exclusion criteria
* Modified Ashworth Scale (MAS) score greater than 2 in key muscle groups. * GMFCS Levels IV-V, indicating inability to walk. * History of frequent seizures. * Inability to follow verbal or visual instructions, or presence of severe cognitive impairment. * Recent orthopedic surgery or Botulinum Toxin (Botox) injections. * Severe musculoskeletal abnormalities such as spinal deformities, hip dislocation, or significant contractures limiting movement. * Any respiratory, metabolic, or cardiovascular condition that may limit safe participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gross motor function | 8 week | Gross motor function is measured by GMFM-88. These are the gold-standard tools for evaluating changes in gross motor abilities in CP children. It helps to evaluate changes in motor skills over time or after intervention. Assesses gross motor functions such as lying, rolling, sitting, crawling, standing, walking, running, and jumping. 80-100% Near-normal motor function / mild CP 40-80% Moderate motor impairment \< 40% Severe motor impairment |
| Balance | 8 week | Balance is measured by the Pediatric Balance Scale (PBS). Contains 14 tasks such as standing, reaching, turning, and transferring. Scores range from 0 to 5. 50-56 Normal or near-normal balance 33-49 Moderate balance impairment 0-32 Poor balance / high fall risk |
| Cerebral Palsy Quality of Life | 8 week | Quality of life is measured by CP QOL (Cerebral Palsy Quality of Life Questionnaire). It measures domains such as: Social well-being, Emotional well-being, Participation, Pain and disability, Access to services, Family health. Scores range 0-100 \> 70 High QOL 50-70 Moderate QOL \< 50 Low QOL |
Countries
Pakistan
Outcome results
None listed