Whole Body Vibration for Hemiparetic Cerebral Palsy

NCT ID: NCT05896111

Last Updated: 2023-06-09

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-01
• Study Completion Date: 2024-12-31

Brief Summary

This study is to investigate the effect of whole body vibration in children with hemiparetic cerebral palsy on range of motion of shoulder, elbow and wrist and muscle strength of shoulder abductors and flexors, elbow flexors and extensors, wrist extensors and flexors.

Detailed Description

Studies show efficacy of whole body vibration in reducing spasticity, improving strength, balance, ankle dorsiflexion angle and gait parameters in post stroke and spinal cord injury patients improving posture and balance in patients with Parkinson's disease and multiple sclerosis. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy.

Few Studies Have Shown improvement in children with cerebral palsy: spasticity decrease as measured by isokinetic dynamometer. Strength of muscles increase as measured by hand held dynamometer. Motor function increase as measured by Gross Motor Function Measure and Gross Motor Function Classification Scale. Increase of the activation and the co- activation of biceps and triceps. Vibrations increase bone mass and muscle strength in upper limbs.

Vibration therapy decreases spasticity and improve motor performance in children with cerebral palsy. Reduce flexors spasticity and improve functions in the rehabilitation of upper limb spasticity. Focal muscle vibration on triceps brachii muscle can reduce the spasticity for both elbow and wrist joint muscles.

So in this study, the investigators are trying to implement an additional rehabilitation method for upper limbs in hemiparetic children to improve their upper limb range of motion and strength which will reflect an improvement in their upper limb functions and activities of daily living.

Conditions

Physical Therapy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

designed physiotherapy program

These exercises included:

Passive stretching exercises for elbow and wrist flexors. Weight-bearing exercises for the upper limbs. Stimulation of the protective reactions of the upper limbs in all directions. Strengthening exercises for antagonists of the spastic muscles, including elbow and wrist extensors, using different toys and motivation to encourage the children to perform the desired exercises (El-shamy, 2018).

The treatment session for 1hour 5 days / week for 4 weeks.

Group Type: EXPERIMENTAL

Physical therapy exercises.

Intervention Type: PROCEDURE

Exercises to treat hemiparetic cerebral palsy

Whole body vibration.

Each child will be seated on an armless chair in front of the platform and instructed to flex both shoulders at 90°, slightly bend both elbows, and then bend the trunk forward to allow both hands to be placed on the platform. Each subject will be allowed to hold the palms slightly off the platform to minimize discomfort and prevent strong stimulation of the organs, eyes, and head.

Group Type: EXPERIMENTAL

Physical therapy exercises.

Intervention Type: PROCEDURE

Exercises to treat hemiparetic cerebral palsy

Interventions

Physical therapy exercises.

Exercises to treat hemiparetic cerebral palsy

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Children will be included if they have the following:

1. Children diagnosed as hemiparetic cerebral palsy.

2. Children of both sexes in the age group ranging from 3 to 6 years.

3. Spasticity will be grade 1 and 1+ according to modified Ashworth scale.

4. They will be selected with Level I and II according to Gross Motor Function Classification (GMFCS).

5. Children could understand and follow commands given by the therapist.

Exclusion Criteria

Children will be excluded if they have any of the following:

1. History of convulsions and epilepsy.

2. Children with impaired cognitive function.

3. Any surgical procedure for correction of deformity or soft tissue release in the past one year.

• Minimum Eligible Age: 3 Years
• Maximum Eligible Age: 6 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Haytham Ibrahim Morsi

Senior.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Haytham Morsi, M.Sc.

Role: STUDY_DIRECTOR

Cairo University

Locations

Ministry of Health

Giza, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Mahmoud Adel, B.Sc.

Role: CONTACT

10722020440502@pg.cu.edu.eg

01554552868

Haytham Ibrahim, M.Sc.

Role: CONTACT

10722019485962@pg.cu.edu.eg

01013657738

Facility Contacts

Haytham Ahmed, M.Sc.

Role: primary

0453146570

Other Identifiers

P.T.1993

Identifier Type: -

Identifier Source: org_study_id