Vestibular and Motor Functions in Children With Hemiplegic Cerebral Palsy

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-30

Study Completion Date

2022-01-31

Brief Summary

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As many researches have been conducted to see the effects of vestibular system activation on gross motor activities of children with cerebral palsy but there are limited researches on improvement of motor abilities of hemiplegic cerebral palsy child using UEU or BOSU ball or treadmill in a single study. There is lack of research on vestibular stimulation in hemiplegic cerebral palsy along with neurodevelopmental treatment.

This study will improve the gross motor activities of children with hemiplegic cerebral palsy. It will broaden up the ways for physical therapist to deal with this type of cerebral palsy (hemiplegic).

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Detailed Description

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There are various therapeutic approaches that are used to improve motor activities and postural control in CP child. Among these approaches vestibular stimulation is used to improve neuromotor development by different sensory stimulation techniques. It has shown positive effects on motor control of CP child. It also influences all sensory experiences and is an exercise based approach.

Conditions

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Cerebral Palsy Hemiplegic Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

Neurodevelopmental Treatment. Total duration of treatment will be 20 minutes, 3 sessions per for 3 months

Group Type ACTIVE_COMPARATOR

Neurodevelopmental technique

Intervention Type OTHER

1. st month: postural maintenance; exercises with weight on forearms and hands, in sitting, crawling, semi-kneeling and standing positions with support from therapist.
2. nd month: balance and corrective reactions; using CP ball and tilt board.
3. rd month: ambulation training; appropriate to motor development level (crawling, creeping, walking in a semi-kneeling position and walking between parallel bars).

Group B

Neurodevelopmental Technique and Vestibular stimulation. Total duration of treatment will be 50 minutes (20 min NDT+ 30 MIN VS) 3 sessions per week for 3 months.

Group Type EXPERIMENTAL

Neurodevelopmental technique

Intervention Type OTHER

1. st month: postural maintenance; exercises with weight on forearms and hands, in sitting, crawling, semi-kneeling and standing positions with support from therapist.
2. nd month: balance and corrective reactions; using CP ball and tilt board.
3. rd month: ambulation training; appropriate to motor development level (crawling, creeping, walking in a semi-kneeling position and walking between parallel bars).

Interventions

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Neurodevelopmental technique

1. st month: postural maintenance; exercises with weight on forearms and hands, in sitting, crawling, semi-kneeling and standing positions with support from therapist.
2. nd month: balance and corrective reactions; using CP ball and tilt board.
3. rd month: ambulation training; appropriate to motor development level (crawling, creeping, walking in a semi-kneeling position and walking between parallel bars).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age: 3 years to 12 years
* Gender: Both Male and female
* Children with Spastic Hemiplegic CP scoring 1,1+ and 2 on Modified Ashworth scale
* Level III and IV on GMFCS (Gross Motor Function Classification System)

Exclusion Criteria

* Children with other types of Cerebral Palsy (diplegia, quadriplegia etc)
* Children with other Abnormalities and pathologies (delayed milestones, hydrocephalous, epilepsy etc)
* Children Undergone any kind of surgery (cardiac, shunt placement, orthopedic etc)
* Children with any other neurological deficits (spina bifida etc)
* Children with conditions in which vestibular stimulation is not allowed (paroxysmal positional vertigo or vestibular neuritis, Meniere's disease, migraine-associated vertigo, and childhood vertigo).

Minimum Eligible Age

3 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No