Spastic Diplegic Cerebral Palsy
Conditions
Brief summary
This was a RCT to determine and compare the effects of vestibular stimulation in addition to conventional physical therapy on gross motor function and mobility in children with spastic diplegic cerebral palsy.
Detailed description
In this RCT , Experimental Group received Vestibular Stimulation along with Conventional therapy. Control Group received Conventional physiotherapy alone.
Interventions
OTHERExperimental Group A received Vestibular Stimulation along with Conventional therapy.
Experimental Group A received Vestibular Stimulation along with Conventional therapy. Vestibular stimulation included Multi-directional swinging , Trampoline jumps , Rocking movement , Gaze stabilization exercises , Visual pursuit exercises , Passive soft tissue stretching , Lower limb resistance exercises , Balance board training , Movement transitions.
OTHERControl Group B received Conventional physiotherapy alone.
Control Group B received Conventional physiotherapy alone which includes Passive soft tissue stretching , Lower limb resistance exercises , Balance board training , Movement transitions.
Sponsors
Ibadat International University, Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* • Participants with age limit of 6-12 years * Diagnosed cases of Spastic Diplegic Cerebral Palsy by Pediatric neurologist * Both genders (male/female) * Participants with GMFCS Level I-III * Participants with Grade I spasticity, Modified Ashworth Scale (MAS) • Participants able to understand and follow basic commands.
Exclusion criteria
* • Children with history of vestibular disorders, epileptic fits or uncontrolled seizures from past six months * Children with any surgical procedure of the spine or lower limbs or Botox treatment in the last 6 months * Children with any visual or hearing impairment * Children having any fixed deformity, contracture or fracture limiting participation in therapy * Patients having VP shunt
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gross Motor Function Measure (GMFM-88) | Assessment was performed at baseline and after 6 weeks of intervention. | Gross Motor Function Measure (GMFM-88) will be used to assess the progression of gross motor function over time in cerebral palsy affected children. The original GMFM version has 88-items and divided into five dimensions. each item scored on a 4-point ordinal scale of 0 to 3, where: * 0 shows that the participant does not begin the activity * 1 show that the participant initiates the activity (completes \< 10% of the activity) * 2 show that the participant completes the activity partially (performed from 10 to 99% of the activity) * 3 show that the participant finishes the activity (100%) * NT show that the participant was not tested For each item, maximum of three trials is permitted and the best one will be recorded. Scores for each group are expressed as a percentage of the its highest score and the total score is calculated by summing the percentage scores for each of the five groups/dimensions. |
| 10-Meter Walk Test (10MWT) | Assessment was performed at baseline and after 6 weeks of intervention | The 10 Meter Walk Test was used to determine functional mobility in children with spastic diplegic cerebral palsy. The test will be conducted on a 14 m pathway, including the starting and ending points, with a 2 m walk-in section. The time taken to reach the midpoint of the 10 m walk will be recorded. |
| Timed Up and Go (TUG) test | Assessment was performed at baseline and after 6 weeks of intervention. | Mobility of children was evaluated via timed get up and go (TUG) test and its results were recorded.(15) In this test, the duration of standing up from an armchair, walking up to 3 m, turn walk back, and sitting on the chair was measured. (16) Interpretations are as follow: * \<10 seconds = normal * \< 20 seconds = good mobility, can go out alone, mobile without a gait aid. * \< 30 seconds = problems, cannot go outside alone, requires a gait aid. |
Countries
Pakistan
Outcome results
None listed