Scooter Board Activities in Diplegic Cerebral Palsy

Effect of Scooter Board Activities on Trunk Postural Control and Gait in Children With Diplegic Cerebral Palsy

Children with CP may have muscle weakness, changes in mobility, posture, muscle tone, motor coordination and deficits in postural control. These changes, individually or collectively, affect psychomotor function. As a result, activities that are performed quickly and readily by healthy children may be difficult and time-consuming for children with CP.

Study Overview

• Status: Completed
• Conditions: Diplegia
• Intervention / Treatment: Other: Physical therapy program; Other: scooter board activities

Detailed Description

Similar vestibular stimulation can be provided with ascooter-board which requires more active participation on the part of the child. A scooter-board is simply a wooden board mounted on four castors so that it can roll freely and spin in any direction, it should be big enough to support the middle part of the body while the head, upper chest and legs hang off the ends.

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

Contacts and Locations

Study Locations

• Egypt
  • Cairo
    • Badr, Cairo, Egypt, 002
      • Badr university

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 3 years to 7 years (Child)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. CP with a diplegia
2. Age 7 to 11 years
3. Grade 1and 2 according to the Modified Ashworth scale (RW and Smith, 1987).
4. They could walk with limitation or holding on according to GMFCS (level I&II &III) (Palisano et al., 1997).
5. They were able to understand and follow verbal instructions

Exclusion Criteria:

1. Children with any surgical interference in the upper limb.
2. intellectual disability such that simple tasks could not be understood or executed.
3. Children with any visual or auditory problems.
4. Children with any surgical interference in the lower limb.
5. Children with any structural deformities in joints and bones of lower limbs.
6. Children who suffer from other diseases or associated disorders that interfered with physical activity.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: control group; Received the designed physical therapy program.	Other: Physical therapy program; Stretching exercises; Strength Training Kneeling exercises; Standing exercises; Gait Training
Experimental: study group; Received a designed physical therapy program in addition to scooter bord activities.	Other: Physical therapy program; Stretching exercises; Strength Training Kneeling exercises; Standing exercises; Gait Training; Other: scooter board activities; Scooter board bear walk.; Scooter board crab walk.; Sitting on scooter board, use it to move forward and backward, move the pool rings from one end to another.; Cross sitting on scooter board, pulls along the rope using his/her hands; Sit with knees pulled into the chest (like a bug pose) and move around with arms only.; Prone over scooter board, pulling rope to move forward. Pull self along an anchored rope to retrieve items; Scooter rolls outs. Place knees on floor and hands holding the edge of the front scooter board. Push board out a few inches then pull back, the further you roll, the harder it gets.; Kneeling, Push self forward and backward with the use of a therapy ball (lots of Motor Planning).; Supine flexion on scooter board, Clip clothespins to a rope hanging above.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trunk control measurement scale (TCMS)	TCMS measures trunk control in two basic components: static and dynamic sitting balance. Balance is assessed during flexion, extension, lateral flexion, and rotation movements as selective movements of dynamic sitting. Total score ranges between 0 and 58, and higher scores indicate better control	3 months
2D video-based gait assessment system	2D video-based gait assessment system to measure lateral trunk sway at SLS from frontal view	3 months

Collaborators and Investigators

• Sponsor: Badr University
• Investigators: Principal Investigator: Omnya samy, PHD, lecturer

Study record dates

Study Major Dates

• Study Start (Actual): November 11, 2022
• Primary Completion (Actual): March 12, 2023
• Study Completion (Actual): April 8, 2023

Study Registration Dates

• First Submitted: November 2, 2022
• First Submitted That Met QC Criteria: November 2, 2022
• First Posted (Actual): November 8, 2022

Study Record Updates

• Last Update Posted (Actual): April 11, 2023
• Last Update Submitted That Met QC Criteria: April 8, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: cerebral palsy; core stability; trunk control; diplegia
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Brain Damage, Chronic; Cerebral Palsy
• Other Study ID Numbers: Omnya 2

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Private data for this research

Drug and device information, study documents

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