Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy
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.
調査の概要
詳細な説明
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Federal
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Islamabad、Federal、パキスタン
- PIMS
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参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
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)
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：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 |
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] |
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アクティブコンパレータ：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 |
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
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Pediatric Balance Scale PBS
時間枠：Assessed at Baseline (0 week ), Mid-intervention ( 4 week) and Post-Intervention (8 week)
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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)
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Paediatric Quality of Life Inventory-CP Module (PedsQL-CP)
時間枠：Assessed at Baseline ( Week 0) , Mid-intervention ( Week 4 ) and Post-intervention ( Week 8)
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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)
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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