Core Stabalization and Rebound Therapy and CP

NCT ID: NCT05739396

Last Updated: 2023-03-01

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-01
• Study Completion Date: 2023-07-11

Brief Summary

the study aims to compare the effect of core stabalization and rebound therapy on balance in children with hemiplegic cerebral palsy

Detailed Description

PURPOSE:

To compare the effect of core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy

BACKGROUND:

Cerebral palsy is primarily a disorder of movement and posture

HYPOTHESES:

There is no significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy.

RESEARCH QUESTION:

Is there a significant difference between core stabilization and rebound therapy on balance in children with hemiplegic cerebral palsy?

Conditions

Whole Body Vibration; Rebound Therapy; Balance; cp

Study Design

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

Study Groups

core stabalization

The core stability exercises will be used for core stabilization training of group (A) in addition to traditional physical therapy. The core stability program included 3 levels. Each exercise lasted 5 min, and the children shifted from one exercise to the next after the complete performance of the preceding exercise. The first (simple) level included supine abdominal draw-in (20 repetitions), abdominal draw-in with both knees to the chest (10-20 repetitions), and supine twist (10-20 repetitions). The second (medium) level included pelvic bridging (3e5 repetitions) and twist with a medicine ball (10e20 repetitions). Finally, the third (difficult) level included bridging with the head on a physio ball (the position was held for 3-5 s, followed by a slow relaxation phase, with 10-20 repetitions)

Group Type: EXPERIMENTAL

core stabilization

Intervention Type: OTHER

The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks

rebound therapy

Rebound exercises will be applied for group B. this group will receive rebound exercise training in addition to traditional physical therapy . Rebound exercises were conducted on a mini-trampoline and BOSU ball. Passive bouncing will be conducted while the child was standing with his/her feet a shoulder-width apart. The therapist will held the child's legs while applying upward and downward movement. The bouncing started slowly. The child then will progress to include the rebound exercises, starting with active bounce, where in a hands free manner the therapist will ask the child to speed up or slow down the bounce rate according to the child's abilities

Group Type: EXPERIMENTAL

core stabilization

Intervention Type: OTHER

The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks

Interventions

core stabilization

The treatment session lasted one hour with short breaks of around 10 minutes and will be conducted three times per week for twelve successive weeks

Intervention Type: OTHER

Other Intervention Names

rebound therapy

Eligibility Criteria

Inclusion Criteria

• children diagnosed with spastic hemiplegic CP.
• Their chronological age ranged from 5 to 8 years,
• able to follow verbal commands or instructions during testing procedures,
• degree of spasticity in affected lower limbs ranged between1 to 1+ according to Modified Ashworth scale (MAS),
• they are able to understand and follow instructions given to them,

Exclusion Criteria

• Children who had significant visual or auditory problems that may interfere with testing, - ---- patients who had contractures or fixed deformities related to the joints of the lower limbs, ---- injection with Botulinium toxin or any orthopaedic surgery in lower limbs 6m before study,
• children who were suffering from cardiopulmonary problems or epilepsy.

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 8 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Alaa Fahmy Hassan Al Nemr

lecturer in pediatric department, faculty of physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Faculty OP Therapy

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

Faculty Of Physical Therapy

Cairo, , Egypt

Countries

Egypt

References

Al-Nemr A, Kora AN. Effect of core stabilization versus rebound therapy on balance in children with cerebral palsy. Acta Neurol Belg. 2024 Jun;124(3):843-851. doi: 10.1007/s13760-023-02430-8. Epub 2024 Jan 5.

Reference Type: DERIVED

PMID: 38177509 (View on PubMed)

Other Identifiers

P.T.REC/012/003117

Identifier Type: -

Identifier Source: org_study_id