Effect Of Brain Gym Exercises On Balance And Quality Of Life In Children With Spastic Diplegia

February 22, 2026 updated by: Hagar Mohamed Awaad, Cairo University

Statement of the problem Do brain gym exercises affect balance and quality of life in children with spastic diplegia?

Null hypotheses:

  1. There will be no significant effect of brain gym exercises on balance in children with spastic diplegia.
  2. There will be no significant effect of brain gym exercises on quality of life in children with spastic diplegia.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The Study targets the children with spastic diplegia from both sexes , sample size estimation is 44 children. Children participating in this study will be selected randomly from the pediatric outpatient clinic of Faculty of Physical Therapy Cairo University.

Study Type

Interventional

Enrollment (Estimated)

44

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Egypt
    • Faculty of Physical Therapy
      • Cairo, Faculty of Physical Therapy, Egypt
        • Recruiting
        • Faculty of Physical Therapy Cairo University
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

1 - Children with spastic diplegia who have balance problems in standing and gait.

2-Degree of spasticity ranges from 1 and 1+, according to modified Ashworth scale (MAS) .

3- The age of children will range from 6 to 8 years old. 4-The height of children will be at least one meter. 5- Children are levels I and II according to GMFCS (Gross Motor Classification System ).

Exclusion Criteria:

  1. Children with visual or auditory problems.
  2. Children with intellectual disability.
  3. Children have been injected with Botox injection or have done surgery in the last 6 months.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: group A will take conventional physical therapy and brain gym exercises

Group A will take conventional physical therapy for 45 minutes and brain gym exercises for 30 minutes for three months three sessions per week .

Conventional physical therapy program includes:

Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing

Brain gym exercises include:

Energy exercise:

Drinking water Brain buttons

Midlinemovements:

Cross crawl Lazy eight Belly breathing exercise

Deepening attitude:

Hook- ups

Lengthening activities:

Arm activation The owl

Calf pump
Other: Brain gym exercises
Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midline movements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump
Other: Conventional physical therapy program
Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump
Experimental: Group B the control group will take only conventional physical therapy
will take the same conventional physical therapy program for 45 minutes three times per week for three months.
Other: Conventional physical therapy program
Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Balance
Time Frame: 3 months
Biodex balance system will measure the overall stability index, antero -posterior stability index and medio- lateral stability index, higher score indicate lower stability.
3 months
Quality of life
Time Frame: 3 months
Cerebral Palsy Quality Of Life Questionnaire (CPQOL)contains 66 items each uses a 9- point rating scale ( for items The minimum value 1, maximum value 9)and then transformed to a 0 to 100 scale. As the total score approaches 100 this means better quality of life. The domains evaluated using it are social well being and acceptance, emotional well-being, function and participation and physical health, access to services, pain and impact of disability, and family health..
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Investigators

  • Principal Investigator: Hagar Mohamed Awaad, Assistant lecturer, Cairo University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 1, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

January 28, 2026

First Submitted That Met QC Criteria

February 22, 2026

First Posted (Actual)

February 27, 2026

Study Record Updates

Last Update Posted (Actual)

February 27, 2026

Last Update Submitted That Met QC Criteria

February 22, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC\012\006105

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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