Assessment of Respiratory Function Cerebral Palsy Using Plyometric Exercise Sensorimotor Program

NCT ID: NCT05506527

Last Updated: 2022-08-18

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-01
• Study Completion Date: 2023-01-01

Brief Summary

To examine if adding plyometric exercises to sensorimotor exercises would improve respiratory function in children and adolescents with cerebral palsy

Detailed Description

Cerebral palsy (CP) is a varied group of developmental disorders secondary to a static immature brain injury that primarily results in persistent nonspecific impairment of movement and posture. Approximately 25% of all CP cases experience disturbance of motor function with unilateral spasticity pertaining to the upper and lower extremities contralateral to the affected cerebral hemisphere and categorized as spastic hemiplegia. Some asymmetries might be noted when hemiplegic children are attempting to perform motor activities. In supported standing, hemiplegic children may stand preferentially on their more functional side and exhibit postural malalignments that impair the ability to transfer body weight on the affected lower extremity.

Children and adolescents with CP have poor respiratory function, secondary to the disease process. Impaired airway clearance, recurrent aspirations, chest infections, poor cough mechanism, impaired lung function, deformity of the spine and chest, and poor nutrition status influence the respiratory condition of children and adults with CP resulting in reduced lung capacity in these individuals.

Plyometric exercises are a specific pattern of resistive strength training in which the muscle starts to contract eccentrically followed by rapid concentric contraction of the same muscle. It can jointly generate high velocity dynamic movements and high-impact force on the muscles and bones. Currently, a limited number of studies have analysed the efficacy of the plyometric training on respiratory function in children with CP or any other disabling health conditions. Preliminary studies have demonstrated the positive effect of plyometric exercises for the gross motor function in boys with unilateral CP.

Conditions

Cerebral Palsy

Study Design

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

Study Groups

study group 1

Study group A: will receive combined plyometric exercises and sensorimotor program

Group Type: EXPERIMENTAL

Sensorimotor program and plyometric exercise

Intervention Type: OTHER

Children in study group A will receive combined plyometric exercises (vertical paradigm) and sensorimotor program

• Children of the study group B will receive sensorimotor program alone.

study group 2

Study group B: will receive sensorimotor program alone

Group Type: EXPERIMENTAL

Sensorimotor program and plyometric exercise

Intervention Type: OTHER

Children in study group A will receive combined plyometric exercises (vertical paradigm) and sensorimotor program

• Children of the study group B will receive sensorimotor program alone.

Interventions

Sensorimotor program and plyometric exercise

Children in study group A will receive combined plyometric exercises (vertical paradigm) and sensorimotor program

• Children of the study group B will receive sensorimotor program alone.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age will be 8 - 14 years.
• children will be assigned to the study are suffering from spastic hemiplegic cerebral palsy (less than grade 1+ om Modified Ashwar Scale)
• Considering the physical problems, children will be chosen according to Growth Motor Function Classification System (GMFCS) with levels I-III
• The ability to understand simple verbal instructions.

Exclusion Criteria

• Visual and hearing impairment; surgery within the last three months preventing them from taking part in sensorimotor physical therapy
• Severe oromotor issues
• Severe chest infections

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 14 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Egyptian Chinese University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Abdelmoneim El Meligy

lecturer of physical therapy for pediatrics

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Eman Abdel-Halim

Role: STUDY_DIRECTOR

Cairo University

Locations

Cairo University

Giza, , Egypt

Countries

Egypt

Central Contacts

Mohamed Abo-El-Ros, Ph.D

Role: CONTACT

maboelroose@ecu.edu.eg

+201206530584

Marian Fayez, Ph.D

Role: CONTACT

mfayez@ecu.edu.eg

+201222748287

Other Identifiers

P.T.REC/012/003787

Identifier Type: -

Identifier Source: org_study_id