Effects of Proprioceptive Training With Routine PT on Gross Motor Function in Spastic Quadriplegic CP

NCT ID: NCT05436847

Last Updated: 2022-06-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 52 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-01
• Study Completion Date: 2022-06-10

Brief Summary

The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children

Detailed Description

Proprioception plays an important role in the correct execution of efferent motor performance as 70% of cerebral palsy population have deficit in receiving somatosensory signals3. Tradition physical therapy exercises including strengthening followed by stretching etc. should be reviewed and the therapy must be more oriented to overall individual growth and development31. There is a need to push the cerebral palsy population to be exercised with proprioceptive stimulation for their maximum participation in the activities of daily life including both personal and social aspects. The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children.

Conditions

Cerebral Palsy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group A

NDT- age appropriate Transitions (age appropriate) Milestones training (age appropriate) Proprioceptive Input- age appropriate (Pushups Static quadruped, squat sitting, trampoline, hopping etc. With weights and splints for joint to joint approximation)

Group Type: EXPERIMENTAL

Proprioceptive Training

Intervention Type: OTHER

Proprioceptive Training using increased joint to joint approximation through ankle weights and joint splints.

Group B

NDT- age appropriate Transitions (age appropriate) Milestones training (age appropriate)

Group Type: ACTIVE_COMPARATOR

Routine Physical Therapy

Intervention Type: OTHER

Neurodevelopmental treatment- age appropriate

Interventions

Proprioceptive Training

Proprioceptive Training using increased joint to joint approximation through ankle weights and joint splints.

Intervention Type: OTHER

Routine Physical Therapy

Neurodevelopmental treatment- age appropriate

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children with the diagnosis of Cerebral Palsy (Spastic quadriplegia)
• Ages of 1 to 5 years
• Both males and females
• Alert and responsive to verbal and non-verbal commands
• Modified Ashworth Sale grade 1 to 2
• Gross Motor Function Classification System level 1V and V

Exclusion Criteria

• Children under the botox treatment for tone management (botulinum injections)
• Diagnosed with any disease other than spastic quadriplegic cerebral palsy i.e. congenital heart defects, epilepsy, recurrent pneumonia, skin infections etc.
• Children underwent any surgery i.e. tenotomy (tendon release), recent heart surgery,
• Recent fracture and subluxation/dislocation due to fall or poor handling
• Any contracture or deformity on upper extremities, lower extremities and spine i.e. flexion contractures, club foot, scoliosis

• Minimum Eligible Age: 1 Year
• Maximum Eligible Age: 5 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Jawad, MSPTN

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Locations

The University of Lahore Teaching Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

IRB-UOL-FAHS/831-VI/2021

Identifier Type: -

Identifier Source: org_study_id