Effect of Reciprocal Electrical Stimulation on Balance and Quality of Life in Hemiparetic CP

May 14, 2026 updated by: Noura Farouk Hammad, Cairo University

Effect of Reciprocal Neuromuscular Electrical Stimulation on Balance and Quality of Life in Children With Hemiparesis

to investigate the effect of the reciprocal neuromuscular electrical stimulation on balance and quality of life in hemiparetic children

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Neuromuscular Electrical Stimulation is widely used to reduce spasticity and strengthen weak muscles.

Reciprocal electrical stimulation ( RES),which mimic natural agonist-antagonist muscle activation , is a promising too for neuromuscular re-education.

RES has been studied for knee stability in diplegic CP and ankle control in adults but its effect on static and dynamic balance in hemiparetic CP remain unexplored . so this study may be a guide in management of balance problems in children with hemiparesis

Study Type

Interventional

Enrollment (Estimated)

32

Phase

  • Not Applicable

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:

  • age range from 6 to10 years .
  • spasticity level 1 , 1+ in lower limb muscles according to Modified Ashworth Scale.
  • Gross Motor Function Classification System (GMFCS) level 1.
  • Able to follow instructions.

Exclusion Criteria:

  • Affections of musculoskeletal system including fixed contractures.
  • Visual , auditory , vestibular ,sensory disorders or cerebellar disease .
  • Botox injection in the last 6 months in gastrocnemius

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: a group of hemiparetic children their balance is disturbed

children diagnosed with hemiparetic CP will receive reciprocal electrical stimulation in combination with neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control.

  • training for active trunk extension to improve posture control and balance .
  • Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board.
  • facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance.
  • approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and
Other: reciprocal electrical stimulation
Mode (A) is selected to apply reciprocal neuromuscular electrical stimulation
Other Names:
  • Everyway-EV906
Other: physical therapy program
  • neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control.
  • training for active trunk extension to improve posture control and balance .
  • Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board.
  • facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance.
  • approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.
Other Names:
  • designed physical therapy program
Sham Comparator: children diagnosed with hemiparetic CP

neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control.

  • training for active trunk extension to improve posture control and balance .
  • Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board.
  • facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance.
  • approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.
Other: physical therapy program
  • neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control.
  • training for active trunk extension to improve posture control and balance .
  • Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board.
  • facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance.
  • approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.
Other Names:
  • designed physical therapy program

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
balance change measured by humac balance system
Time Frame: 3 monthes
the ability to maintain a stable posture and preserve it in counter gravity position
3 monthes
quality of life change xby Egyptian quality of life questionnaire
Time Frame: 3 months
change in social, psychological and physical domains
3 months

Collaborators and Investigators

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

Sponsor

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 (Estimated)

May 20, 2026

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

September 15, 2026

Study Registration Dates

First Submitted

December 3, 2025

First Submitted That Met QC Criteria

May 14, 2026

First Posted (Actual)

May 20, 2026

Study Record Updates

Last Update Posted (Actual)

May 20, 2026

Last Update Submitted That Met QC Criteria

May 14, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • cairo2025

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

Yes

product manufactured in and exported from the U.S.

Yes

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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