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Effects of Reflex Mediated Core Stability Exercise on Sensory Processing Skills and Gross Motor Function

27 juli 2026 bijgewerkt door: Riphah International University

Effects of Reflex Mediated Core Stability Exercise on Sensory Processing Skills and Gross Motor Function in Children With Cerebral Palsy

Current literature on DNS in CP primarily focuses on motor outcomes like postural control and balance. Therefore, there are fewer studies up to researcher's knowledge about DNS's impact on broad sensory processing skills in CP. The study will investigate the direct effect of reflex-mediated core stability exercises on a comprehensive range of sensory processing skills in children with CP.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Reflex-mediated core stabilization, also known as dynamic neuromuscular stabilization (DNS). Dynamic Neuromuscular Stabilization (DNS) is a rehabilitation approach based on developmental kinesiology, which observes infant motor behavior from birth to walking. Proposed by Pavel Kolar, it emphasizes posture, breathing patterns, and joint centration, focusing on core stability provided by muscles such as the diaphragm, transverse abdominis, and multifidus. DNS aims to improve muscle strength and endurance by enhancing neuromuscular coordination and integrating the spinal stabilization system. Cerebral Palsy (CP) is a neurodevelopmental disorder affecting posture and mobility due to non-progressive brain lesions, often presenting with abnormal muscle tone, weakness, poor trunk control, and sensory, perceptual, communication, and cognitive issues. Sensory-processing disorders are frequently observed in children with CP. While traditional core stability exercises and sensory integration therapies have shown benefits, this study aims to specifically investigate the comprehensive impact of reflex-mediated core stability exercises (DNS) on both sensory processing skills and overall gross motor function in children with CP.

The study design will be Randomized Controlled Trial, conducted over 10 months at Sehat Medical Complex in Lahore. A total of 26 participants, with 13 in each group, will be recruited using non-probability convenient sampling. Inclusion criteria include children aged 4-12 years diagnosed with spastic-type CP (diplegic) classified within GMFCS Levels III-V who can follow simple verbal instructions, and whose legal guardian provides informed consent. Exclusion criteria encompass severe cognitive impairment, severe muscle contracture >10 degrees or bone deformity, and significant communication deficits. Data will be collected using the Sensory Profiling (SP) and Gross Motor Function Measure-88 (GMFM-88) tools. The experimental Group A will receive 30 minutes of reflex-mediated core stabilization exercises five times weekly, followed by 20 minutes of conventional therapy for 8 weeks. Group B, the control group, will receive conventional therapy. The synopsis will be presented to the Research Ethical Committee of Riphah International University, Lahore, for ethical approval to conduct this study. Data will be analyzed through SPSS version 27.0

Studietype

Ingrijpend

Inschrijving (Werkelijk)

26

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Pakistan
      • Lahore, Pakistan
        • Sehat Medical Complex Hanjarwal

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind

Accepteert gezonde vrijwilligers

Nee

Beschrijving

Inclusion Criteria:

  • Children with both genders.
  • Children diagnosed with Cerebral Palsy (CP).
  • Children aged between 4-12 years (12).
  • Children with spastic-type Cerebral Palsy (diplegic) classified within Gross Motor Function Classification System (GMFCS) Levels III-V.
  • Ability to understand and consistently follow simple verbal instructions.
  • Informed written consent obtained from the child's legal parent or guardian.

Exclusion Criteria:

  • Children with severe cognitive impairment.
  • Severe muscle contracture >10 degrees or bone deformity significantly limiting participation in exercises.
  • Children with significant Communication Deficits
  • Any operational procedure within the last six months

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Reflex mediated core stability exercise

the exercises are progressed over the six weeks and include positions such as:

  • Supine Lying
  • Prone Position
  • Side Lying Position
  • Quadripod Positio
  • Tripod Position
  • Squat
Ander: Reflex mediated core stability exercise

The exercises are progressed over the six weeks and include positions such as:

  • Supine Lying
  • Prone Position
  • Side Lying Position
  • Quadripod Position
  • Tripod Position
  • Squat
Ander: conventional therapy

Participants will be given 20 min of conventional therapy for 8 weeks, five times weekly.

Therapy includes:

Facilitatory techniques are used for gross motor control such as:

  • Quadruped activities
  • Crawling
  • Kneeling
  • Sitting
  • Walking

It also incorporates exercises like:

  • Passive stretches for adductors, hamstrings, quadriceps, and calf muscles in both limbs (three repetitions with a 10-second hold).
  • Active and passive range-of-motion exercises for the lower limbs in sitting and supine positions (three sets with 10 repetitions).
Experimenteel: conventional therapy

Participants will be given 20 min of conventional therapy for 8 weeks, five times weekly.

Therapy includes:

Facilitatory techniques are used for gross motor control such as:

  • Quadruped activities
  • Crawling
  • Kneeling
  • Sitting
  • Walking

It also incorporates exercises like:

  • Passive stretches for adductors, hamstrings, quadriceps, and calf muscles in both limbs (three repetitions with a 10-second hold).
  • Active and passive range-of-motion exercises for the lower limbs in sitting and supine positions (three sets with 10 repetitions).
Ander: conventional therapy

Participants will be given 20 min of conventional therapy for 8 weeks, five times weekly.

Therapy includes:

Facilitatory techniques are used for gross motor control such as:

  • Quadruped activities
  • Crawling
  • Kneeling
  • Sitting
  • Walking

It also incorporates exercises like:

  • Passive stretches for adductors, hamstrings, quadriceps, and calf muscles in both limbs (three repetitions with a 10-second hold).
  • Active and passive range-of-motion exercises for the lower limbs in sitting and supine positions (three sets with 10 repetitions).

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Sensory processing skills
Tijdsspanne: baseline and after 6 weeks
Sensory profiling was designed by an occupational therapist. The questionnaire assessing the sensory processing of children aged 3-10 was filled out by their parents or caregivers. It consisted of 125 items. The survey consisted of 14 subsections under 3 main headings. These main topics were sensory processing, modulation, and emotional behavioral responses.
baseline and after 6 weeks
Gross motor function
Tijdsspanne: baseline and after 6 weeks
The Gross Motor Function Measure (GMFM) is a tool that has been developed to assess change in gross motor function in children with cerebral palsy aged 5 months to 16 years of age.
baseline and after 6 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Riphah International University

Onderzoekers

  • Hoofdonderzoeker: Saifah Ashfaq, dpt, ripah international university

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 april 2026

Primaire voltooiing (Werkelijk)

20 juli 2026

Studie voltooiing (Werkelijk)

27 juli 2026

Studieregistratiedata

Eerst ingediend

5 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

27 juli 2026

Eerst geplaatst (Werkelijk)

28 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

28 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

27 juli 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • REC/RCR&AHS/25/0705

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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