Effect of Functional Training on Motor Performance

Effect of Functional Strength Training From Plantigrade Foot Position on Motor Performance in Children With Diplegia

The functional strength training is mainly dealt with anti-gravity muscles and aiming at maximal carry over in day to day activities. The functional strength training can be given using resistance and it may be gravity, body weight, resistance bands and free weights. The exercises are specific to the muscle or muscle groups recruited during the functional activities

Study Overview

• Status: Completed
• Conditions: Diplegia
• Intervention / Treatment: Other: functional training exercises

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Hanaa

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 7 years to 10 years (Child)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Age ranged from 7 to 10 years old.
2. The degree of spasticity ranged from grade 1 to 2 hypertonia according to Modified Ashwarth Scale (MAS)
3. Level II and III on GMFCS-ER
4. They were able to understand and follow verbal instructions

Exclusion Criteria:

• 1- visual or auditory problems. 2- Orthopedic surgery in the lower limb in the last 12 months before the study. 3- Fixed deformities in joints and bones of lower limbs. 4- Botox injection in the last six months before the study. 5- Children with any special medications affecting muscle functions (anti-spastic drugs).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: STUDY GROUP; they received progressive resistive functional strength training from plantigrade foot position conducted for one hour, 3 days/week. The therapist will replace the conventional physical therapy with the progressive resistive functional strength training, when this is consistent with the objectives of the strength training.	Other: functional training exercises; progressive resistive functional strength training from plantigrade foot position conducted for one hour, 3 days/week. The therapist will replace the conventional physical therapy with the progressive resistive functional strength training, when this is consistent with the objectives of the strength training.
No Intervention: control group; received a designed physical therapy program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gross motor functional measurement	The GMFM is a standardized observational scale designed and validated to measure change in gross motor function over time in children with CP.	pre and after 3 months of intervention,, the higer score will represent the improvement

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Isometric muscle strength measurements	The gold standard for evaluating isometric muscle strength is the portable dynamometer. This is an easy-to-use, sensitive device for detecting muscular action and for performing objective, valid, and reliable measurements in several populations	pre and after 3 months of intervention,, increase in muscle will represent the improvement

Collaborators and Investigators

• Sponsor: Badr University

Study record dates

Study Major Dates

• Study Start (Actual): January 20, 2021
• Primary Completion (Actual): April 30, 2021
• Study Completion (Actual): April 30, 2021

Study Registration Dates

• First Submitted: January 19, 2021
• First Submitted That Met QC Criteria: January 20, 2021
• First Posted (Actual): January 26, 2021

Study Record Updates

• Last Update Posted (Actual): April 20, 2023
• Last Update Submitted That Met QC Criteria: April 19, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: Hana 5

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No