Cerebral Palsy
Conditions
Keywords
cerebral palsy, progressive resistive exercise, low load resistive training, blood flow restriction
Brief summary
load resistance exercises are performed while partially restricting venous blood flow to the exercising limb using a pneumatic cuff. In children with hemiplegic cerebral palsy, this intervention has been proposed to enhance muscle strength and hypertrophy while minimizing mechanical stress on joints and soft tissues. Previous studies suggest that BFR training may improve muscle thickness, muscle strength, functional mobility, gait performance, and overall physical function compared with conventional low-intensity strength training alone. However, careful monitoring of cuff pressure, exercise intensity, and safety considerations is essential when applying this technique in pediatric populations.
Interventions
A specially designed physical therapy program in addition to progressive resistive exercises for 60 min (30 min designed P.T program and other 30 min for progressive resistive exercise with blood flow restriction ), 3 sessions/ week for 6 successive weeks. strengthening exercise for shoulder flexors, abductors and external rotators, elbow flexors and extensors will be applied with low load while blood flow restriction is applied proximal to the limb
conventional physical therapy program including reinforcement of the normal motor development, reflex inhibiting patterns, postural reaction, stretching, strengthening exercises, and gait training was applied to children in the control group
Sponsors
Study design
Eligibility
Inclusion criteria
1. A diagnosis of spastic hemiplegic CP 2. Degree of spasticity ranges from 1+ and 2, according to modified Ashworth scale (MAS) 3. The age of the selected children will range from 4 to 6 years old. 4. Children are levels II and III according to GMFCS
Exclusion criteria
1- Children with visual or auditory problems. 2. Children with severe intellectual disability (IQ less than 65 according to Stanford Binet intelligence scale).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ultrasonography for measuring muscle thickness | 6 weeks |
| quality of upper-extremity skills test for measuring upper limb function | 6 weeks |