Core Stabalization and Rebound Therapy and CP

Effect of Core Stabalization Versus Rebound Therapy on Balance in Children With Cerebral Palsy

the study aims to compare the effect of core stabalization and rebound therapy on balance in children with hemiplegic cerebral palsy

Study Overview

• Status: Active, not recruiting
• Conditions: Balance; Whole Body Vibration; Rebound Therapy; cp
• Intervention / Treatment: Other: core stabilization

Detailed Description

PURPOSE:

To compare the effect of core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy

BACKGROUND:

Cerebral palsy is primarily a disorder of movement and posture

HYPOTHESES:

There is no significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy.

RESEARCH QUESTION:

Is there a significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy?

• Study Type: Interventional
• Enrollment (Anticipated): 26
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Faculty of Physical Therapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 8 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• children diagnosed with spastic hemiplegic CP.
• Their chronological age ranged from 5 to 8 years,
• able to follow verbal commands or instructions during testing procedures,
• degree of spasticity in affected lower limbs ranged between1 to 1+ according to Modified Ashworth scale (MAS),
• they are able to understand and follow instructions given to them,

Exclusion Criteria:

• Children who had significant visual or auditory problems that may interfere with testing, - ---- patients who had contractures or fixed deformities related to the joints of the lower limbs, ---- injection with Botulinium toxin or any orthopaedic surgery in lower limbs 6m before study,
• children who were suffering from cardiopulmonary problems or epilepsy.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: rebound therapy; Rebound exercises will be applied for group B. this group will receive rebound exercise training in addition to traditional physical therapy . Rebound exercises were conducted on a mini-trampoline and BOSU ball. Passive bouncing will be conducted while the child was standing with his/her feet a shoulder-width apart. The therapist will held the child's legs while applying upward and downward movement. The bouncing started slowly. The child then will progress to include the rebound exercises, starting with active bounce, where in a hands free manner the therapist will ask the child to speed up or slow down the bounce rate according to the child's abilities	Other: core stabilization; The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks; Other Names: rebound therapy
Experimental: core stabalization; The core stability exercises will be used for core stabilization training of group (A) in addition to traditional physical therapy. The core stability program included 3 levels. Each exercise lasted 5 min, and the children shifted from one exercise to the next after the complete performance of the preceding exercise. The first (simple) level included supine abdominal draw-in (20 repetitions), abdominal draw-in with both knees to the chest (10-20 repetitions), and supine twist (10-20 repetitions). The second (medium) level included pelvic bridging (3e5 repetitions) and twist with a medicine ball (10e20 repetitions). Finally, the third (difficult) level included bridging with the head on a physio ball (the position was held for 3-5 s, followed by a slow relaxation phase, with 10-20 repetitions)	Other: core stabilization; The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks; Other Names: rebound therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
balance	it measures the degree of tilting for each axis during dynamic conditions and calculates a medial lateral stability index (MLSI); an anterior-posteriorstability index (APSI); and an overall stability index(OSI),	12 week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
gross motor function measure-88	measure gross motor function. higher scores indicate better outcome. scores are reported in percentage.	12 week
lafayette hand held dynamometer	measure isometric muscle strength of knee flexors and extensors. higher scores reflect better outcome	12 week
6 minute walk test	measure endurance.	12 week

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: Faculty OP Therapy, Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2023
• Primary Completion (Anticipated): June 1, 2023
• Study Completion (Anticipated): July 11, 2023

Study Registration Dates

• First Submitted: February 13, 2023
• First Submitted That Met QC Criteria: February 13, 2023
• First Posted (Actual): February 22, 2023

Study Record Updates

• Last Update Posted (Actual): March 1, 2023
• Last Update Submitted That Met QC Criteria: February 26, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: P.T.REC/012/003117

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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