Spastic Diplegic Cerebral Palsy
Conditions
Keywords
Balance, Trunk control, Gross motor function
Brief summary
This randomized controlled trial will evaluate the effectiveness of a 12-week comprehensive core stabilization exercise program on balance, trunk control, and gross motor function in children with spastic diplegic cerebral palsy. Outcome measures will be assessed at baseline and at the end of the intervention to determine changes following treatment.
Interventions
Progressive exercises targeting trunk muscle strength, stability, and postural control alongside conventional therapy
Stretching exercises, strengthening exercises, balance training, gait training, functional activities according to standard rehabilitation practice
Sponsors
Study design
Eligibility
Inclusion criteria
* Children diagnosed with spastic diplegic cerebral palsy * Gross Motor Function Classification System (GMFCS) Levels II-III * Stable medical management for at least 3 months prior to enrollment * Ability to understand and follow simple verbal instructions
Exclusion criteria
* Fixed contracture or musculoskeletal deformities limiting exercise * Orthopedic surgery or botulinum injection within the previous 3 months * Uncontrolled epilepsy * Severe visual impairment * Participation in another rehabilitation intervention during the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance | Baseline and post 12 weeks of intervention | Pediatric Balance Scale (PBS) is a 14-item performance-based scale used to assess functional balance in children. Total scores range from 0 to 56, with higher scores indicating better balance. |
| Trunk Control | Baseline and post 12 weeks of intervention | Trunk Control Measurement Scale (TCMS) is a clinical scale used to evaluate static and dynamic trunk control and trunk coordination in children with cerebral palsy. Total scores range from 0 to 58, with higher scores indicating better trunk control. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gross Motor Function | Baseline and post 12 weeks of intervention | Gross Motor Function Measure (GMFM-88) is a standardized observational measure used to assess gross motor function in children with cerebral palsy across activities such as lying, sitting, crawling, standing, and walking. Scores range from 0 to 100%, with higher scores indicating better gross motor function. |
Countries
Pakistan