Lower Extremity Functional Training (LIFT) on Gross Motor Function and Gait in Children With Spastic CP

NCT ID: NCT05460936

Last Updated: 2022-11-09

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-05-18
• Study Completion Date: 2022-11-25

Brief Summary

Cerebral Palsy is a developmental disorder caused by damage to the brain before, during or after birth. Spastic Cerebral Palsy is one of the most common types of cerebral Palsy. It affects about 80% of cerebral palsy. Spastic CP is characterized by increased muscle tone, jerky movements, joint stiffness, and muscle tightness. Spastic Cerebral primarily affects strength, coordination, and balance resulting in gait difficulties and affecting gross motor functioning. These abnormalities affect the very basic activities of daily life (ADLs). Even if the child is able to walk the motor skills are usually disturbed which are very important to improve and maintain gross motor functioning. Physical therapy plays a vital role in overcoming these issues.

Detailed Description

In the previous studies the effects of LIFT on the trunk and core has been studies however, the data on the effects on the gross motor skills are very less. In addition to that the effects of lower extremity functional training on the gait have also been limited to a few studies only. The past studies were of very short time period due to which the proper effects of LIFT on the gait and gross motor skills were not very well understood.

Conditions

Cerebral Palsy

Study Design

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

Study Groups

conventional physical therapy

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

Group Type: ACTIVE_COMPARATOR

conventional physical therapy

Intervention Type: OTHER

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

Lower Extremity Functional Training

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Group Type: EXPERIMENTAL

Lower Extremity Functional Training

Intervention Type: OTHER

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Interventions

Lower Extremity Functional Training

motor learning, skill progression, and resistance training to target the balance, strength, and coordination impairments of the lower extremities. Motor learning will be based on strength and balance training using tandem walks, balance boards, and one-leg standing. Skill progression will be used to challenge the LIFT and the strength training will be achieved by performing sit-to-stand, sit-ups, stair climbs, and vertical jumps

Intervention Type: OTHER

conventional physical therapy

Resistive Exercises Stretching exercise of quadriceps , hamstring adductors and abductors.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients who are not able to stand
• Age between 7 to 16 years
• Patients living near the designated center

Exclusion Criteria

• Patients with comorbidities
• Patients with cognitive impairment
• Patients who are not able to follow commands
• Patients with a history of falls

• Minimum Eligible Age: 7 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Wajiha Shahid, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

International Therapy Services Center

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Rising Sun Institute

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

wajiha shahid, phd

Role: CONTACT

wajiha.shahid@riphah.edu.pk

03214885079

Facility Contacts

wajiha shahid, phd

Role: primary

wajiha.shahid@riphah.edu.pk

03036088768

wajiha shahid, phd

Role: primary

wajiha.shahid@riphah.edu.pk

03036088768

References

Baldon Rde M, Serrao FV, Scattone Silva R, Piva SR. Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):240-251, A1-A8. doi: 10.2519/jospt.2014.4940. Epub 2014 Feb 25.

Reference Type: BACKGROUND

PMID: 24568258 (View on PubMed)

Vereijken A, Aerts I, Jetten J, Tassignon B, Verschueren J, Meeusen R, van Trijffel E. Association between Functional Performance and Return to Performance in High-Impact Sports after Lower Extremity Injury: A Systematic Review. J Sports Sci Med. 2020 Aug 13;19(3):564-576. eCollection 2020 Sep.

Reference Type: BACKGROUND

PMID: 32874110 (View on PubMed)

Bowman EN, Elshaar R, Milligan H, Jue G, Mohr K, Brown P, Watanabe DM, Limpisvasti O. Proximal, Distal, and Contralateral Effects of Blood Flow Restriction Training on the Lower Extremities: A Randomized Controlled Trial. Sports Health. 2019 Mar/Apr;11(2):149-156. doi: 10.1177/1941738118821929. Epub 2019 Jan 14.

Reference Type: BACKGROUND

PMID: 30638439 (View on PubMed)

Other Identifiers

REC/RCR& AHS /22/0715

Identifier Type: -

Identifier Source: org_study_id