Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy

August 28, 2026 updated by: Ibadat International University, Islamabad

Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy,A Randomized Control Trial

Cerebral palsy (CP) is a group of permanent disorders affecting movement and posture, caused by non-progressive disturbances in the developing fetal or infant brain.

Circuit training and task-oriented training are two emerging approaches in pediatric rehabilitation.

Circuit training focuses on structured exercises performed in sequence to improve strength, agility, and balance, while task-oriented training emphasizes repetitive practice of meaningful, functional activities relevant to daily life.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The purpose of this study is to compare the Circuit Training and Task Oriented Training for upgrading Balance and Paediatric Quality of Life in Children with Spastic Diplegic Cerebral Palsy, focusing on improvements in balance, functional mobility and activity performance. Implemented a single-blinded randomized controlled trial at paediatric rehabilitation centres in Rawalpindi and Islamabad, it will include children aged 6 to 12 years male and females with GMFCS levels I-II who can walk with or without aids. The intervention will last for eight weeks, with both groups receiving standard physiotherapy three times weekly. In the period of eight weeks, result will be measured at baseline and three sessions using validated tools such as the Peadiatric Balance scale, and Peadiatric Quality of life Inventory. Ethical consideration comprise confidentiality, informed consent, and make certain that participation has no effect on medical care. Supporting evidence are its well defined intervention, clear methodology, and use of proven evaluation methodologies, with a purpose to evaluate long term benefits, sustainability of gains, and generalisability through randomised sampling and potential multi-centre recruiting. It also design to address activity and participation elements and classify participants based on age and functional levels for broader applicability. The data will be analysed using SPSS27.0.

Study Type

Interventional

Enrollment (Actual)

25

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 Locations

  • Pakistan
    • Federal
      • Islamabad, Federal, Pakistan
        • PIMS

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:

Children (both gender) aged between 6 to 12 years. Diagnosed with non-progressive motor impairments [cerebral palsy GMFCS I-II] Capable to understand and follow verbal instructions. Children demonstrating stable sitting and standing balance or with minimum assistance.

Exclusion Criteria:

Children with severe cognitive impairments. Recent orthopedic surgery [within last 6 months]. Uncontrolled seizures or cardiopulmonary conditions. Any condition contraindicating physical activity. (19)

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A- Circuit Training

Group A will receive in Circuit Training for enhancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.

Obstacle standing balance Gym ball sitting balance Step-ups with resistance bands Ball toss while standing on foam Tandem walking on straight line
Other: Group A Circuit Training

Warm-up 5 minutes such as stretching and basic active range of motion (AROM) exercises.

Group A (Circuit Training Group) Circuit stations (35 min] Station 1Obstacle standing balance [cones, foam pads] → challenges weight shifting.

Station 2 Gym ball sitting Balance training [child sit on a gym ball with feet flat on floor] alternating foot lifts Station 3 Step-ups with resistance band [forward /lateral] build lower limb strength and promotes symmetrical movement.

Station 4 Ball toss while standing on foam to increase challenge Station 5 Tandem walking on a straight line (forward / backward) improve heel to toe gait and posterior chain activation.

Cool down (5 min) Static stretching and, breathing exercises. Progression: increase difficulty weekly [narrower bases of support, added weights]
Active Comparator: Group B - Task-Oriented Training

Task Oriented Training for ehancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.

Stride stand on the mat and slight stuck by therapist Sit-to-stand with ball tasks (no walking) Walking on foam surface Stepping over soft obstacles Step up and down using a bar
Other: Group B Task-Oriented Training
Warm-up (5 min) Gentle Stretching (hamstring and gastrocnemius) Light aerobic activities (marching in place, stepping over low objects) Task oriented Training (35 min) Stride stand on the mat and slight tuck by therapist Sit to stand with ball tasks (no walking] Stepping over soft obstacles (soft cushions, foam blocks for child to step over) Walking on foam surface Stepping over soft obstacles Step up and down using a bar Cool down (5 min) Static stretching for major lower limb muscles. Deep breathing exercises. Progression: increase difficulty by adding distance, height, resistance, or unstable surfaces

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pediatric Balance Scale PBS
Time Frame: Assessed at Baseline (0 week ), Mid-intervention ( 4 week) and Post-Intervention (8 week)

A clinical test called Pediatric Balance Scale [PBS] is used to examine children's balance skills, especially in those with developmental delays or motor impairments. It is modified version of the adult berg balance scale, intended for use with children.

Asses functional balance in children between 5 and 15 years of age, often utilized for children with conditions like cerebral palsy, developmental coordination disorder, or after neurological injury.

Structure:

Consists of 14 tasks that assess static and dynamic balance, such as sitting to standing, standing unsupported, reaching forward, turning, and standing on one foot.

Scoring:

Each item is scored on a scale from 0 to 4, where 0 indicates inability to perform the task and 4 indicates independent and steady outcome. The highest possible score is 56.

Clinical Use:

Helps to identify balance deficits, monitor progress over time, and guide rehabilitation planning.

Advantages:

Simple
Assessed at Baseline (0 week ), Mid-intervention ( 4 week) and Post-Intervention (8 week)
Paediatric Quality of Life Inventory-CP Module (PedsQL-CP)
Time Frame: Assessed at Baseline ( Week 0) , Mid-intervention ( Week 4 ) and Post-intervention ( Week 8)

To asses quality of life specific to children with cp from both physical and psychosocial perspectives. Contains age-appropriate versions with domain including daily activities, school participation, and mobility.

5-points Likert scale [0 =never, 4 =almost always], transformed to a 0-100 scale; higher score indicates better Quality of life. 10 to 15 min
Assessed at Baseline ( Week 0) , Mid-intervention ( Week 4 ) and Post-intervention ( Week 8)

Collaborators and Investigators

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

Sponsor

Ibadat International University, Islamabad

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)

January 11, 2026

Primary Completion (Actual)

March 10, 2026

Study Completion (Actual)

June 10, 2026

Study Registration Dates

First Submitted

August 28, 2026

First Submitted That Met QC Criteria

August 28, 2026

First Posted (Actual)

September 2, 2026

Study Record Updates

Last Update Posted (Actual)

September 2, 2026

Last Update Submitted That Met QC Criteria

August 28, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IIUI/RERC/ADT/2026/2026/01/22

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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