Segmental Trunk Stability Training on Sitting and Upper Limbs Functions in Children With Spastic Cerebral Palsy
NCT ID: NCT04937439
Last Updated: 2021-06-24
Study Results
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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UNKNOWN
NA
45 participants
INTERVENTIONAL
2020-01-01
2022-01-01
Brief Summary
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1. Investigate the effect of segmental trunk stability training on sitting in children with spastic CP.
2. Investigate the effect of segmental trunk stability training on upper limbs functions in children with spastic CP.
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Detailed Description
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The trunk plays a key role in maintaining the postural control mechanism and also in the organization of balance reactions in this developmental process. The trunk control is also required for a stable base of support which is necessary to execute functional activities for limb movements.
The optimal level of trunk support for a child with spastic CP still remains unknown. Thus, providing intermediate levels of trunk stabilization would be a better solution than providing full support in children with CP. Innovation is necessary to improve outcomes for children with moderate to- severe CP who are at level IV and V on GMFCS. However, these children are often excluded from posture research . Very little research has examined postural constraints in children with moderate-to-severe CP.
As there is a lack of tools used in precise trunk stabilization during training, a further researches are needed. Recently, a special attention has been given to the segmental trunk control and its effects on improvement of gross and fine motor skills. Most of previous studies have been applied during segmental fixation of the trunk at multiple levels from static position either sitting or standing. In the present study, the effect of external segmental stabilization of the trunk at selected parts will be monitored during the active training and participation of the child.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Segmental trunk training A
Children in this group will receive specially designed physical therapy program while wearing a segmental trunk support from the level of pelvis to a level just below the rib cage.
Traditional Physical Therapy program
1. Facilitation of head control will be conducted.
2. Facilitation of trunk control will be applied
3. Facilitation of rolling
4. Facilitation of righting, protective and equilibrium reactions from supine, prone and sitting on a ball
5. Stretching exercises for the muscles liable to be tight
6. Facilitation of sitting
Segmental trunk training A
Group (A) will wear an external segmental trunk support extended from the level of pelvis to a level just below the rib cage.
Segmental trunk training B
Children in this group will receive the same program given to (group A) while wearing a segmental trunk support from the level of pelvis to a level just below the inferior angle of scapula.
Traditional Physical Therapy program
1. Facilitation of head control will be conducted.
2. Facilitation of trunk control will be applied
3. Facilitation of rolling
4. Facilitation of righting, protective and equilibrium reactions from supine, prone and sitting on a ball
5. Stretching exercises for the muscles liable to be tight
6. Facilitation of sitting
Segmental trunk training B
Group (B) will receive the same program given to (group A) while wearing an external segmental trunk support extended from the level of pelvis to a level just below the inferior angle of scapula.
Segmental trunk training C
will receive the same program given to (group A and B) while wearing a segmental trunk support from the level of last rib to the level of the inferior angle of scapula.
Traditional Physical Therapy program
1. Facilitation of head control will be conducted.
2. Facilitation of trunk control will be applied
3. Facilitation of rolling
4. Facilitation of righting, protective and equilibrium reactions from supine, prone and sitting on a ball
5. Stretching exercises for the muscles liable to be tight
6. Facilitation of sitting
Segmental trunk training C
Group (C) will receive the same program given to (group A and B) while wearing an external segmental trunk support extended from the level of last rib to the level of the inferior angle of scapula.
Interventions
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Traditional Physical Therapy program
1. Facilitation of head control will be conducted.
2. Facilitation of trunk control will be applied
3. Facilitation of rolling
4. Facilitation of righting, protective and equilibrium reactions from supine, prone and sitting on a ball
5. Stretching exercises for the muscles liable to be tight
6. Facilitation of sitting
Segmental trunk training A
Group (A) will wear an external segmental trunk support extended from the level of pelvis to a level just below the rib cage.
Segmental trunk training B
Group (B) will receive the same program given to (group A) while wearing an external segmental trunk support extended from the level of pelvis to a level just below the inferior angle of scapula.
Segmental trunk training C
Group (C) will receive the same program given to (group A and B) while wearing an external segmental trunk support extended from the level of last rib to the level of the inferior angle of scapula.
Eligibility Criteria
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Inclusion Criteria
2. Their level of motor function will be 4 or 5 according to Gross Motor Function Classification System - Expanded and Revised
3. The degree of spasticity for these children will ranged from grade 1 to 2 according to Modified Ashworth Scale
4. All children's level of segmental trunk control will be level 3 according to Segmental Assessment of Trunk Control
5. They will be able to follow instructions during evaluation and treatment.
Exclusion Criteria
2 Years
4 Years
ALL
No
Sponsors
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Horus University
OTHER
Responsible Party
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Mohamed Arafat
Principal investigator
Principal Investigators
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Mohamed Arafat, Assistant Lecturer
Role: PRINCIPAL_INVESTIGATOR
Horus University, Egypt
Locations
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Outpatient clinic, faculty of Physical Therapy, Horus University, Egypt
Damietta, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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Arafat_phd
Identifier Type: -
Identifier Source: org_study_id
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