Effects of Routine Physical Therapy With and Without Neurodevelopmental Technique on GMF, Spasticity and HRQOL in Diplegic CP

NCT ID: NCT06444230

Last Updated: 2024-06-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 72 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-07-27
• Study Completion Date: 2024-04-01

Brief Summary

The aim of this study is to investigate the effects of routine physical therapy with and without neurodevelopmental technique on gross motor function, spasticity and health related quality of life in diplegic cerebral palsy.

Detailed Description

The neurological illness known as cerebral palsy is caused by damage to the growing brain and therefore is indicated by anomalies of muscle strength, mobility, and motor functions. Cerebral palsy affects posture, muscle tone, and movement development. Neurodevelopmental technique and routine physical therapy are considered to be effective in treatment of cerebral palsy. This study will investigate the combined effects of neurodevelopmental technique and routine physical therapy versus routine physical therapy on gross motor function, spasticity, and health related quality of life in diplegic cerebral palsy.

Conditions

Cerebral Palsy

Study Design

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

Study Groups

Neuro-developmental Physical Therapy+ Routine Physical Therapy

• Protocol of 40 minutes focusing on gross motor functional movements including upright sitting at the table, walking, kneeling, running and stair climbing.
• Used a Neuro-developmental method to inhibit undesirable movement patterns and facilitate favorable movement patterns.
• Weight-bearing exercises that involved proprioceptive training while in various positions (such as quadruped, kneeling, half kneeling, and standing).
• Facilitating weight transfer forward, backward, and sideways during balancing reactions from various balance board postures

Group Type: EXPERIMENTAL

Routine Physical therapy with Neurodevelopmental technique

Intervention Type: OTHER

participants will recieve a session of 40 minutes including routine physical therapy along with the neurodevelopmental technique for 3 times a week for 12 weeks

Routine Physical therapy

Intervention Type: OTHER

participants will recieve a session of 40 minutes including, stretching, neck and trunk stabilization and strengthening exercise followed by a warm up and cool down for 3 times a week for 12 weeks follo

Routine Physical therapy:

All children in this group received physical therapy of 40 minutes, 3 times per week for 12weeks, which included passive stretching with focus on diplegic limb 8 minutes, neck and trunk postural control for 8 minutes, strength training 8 minutes, ambulation and gait training for 8 minutes with 2 minutes rest interval between each set of exercise.

Group Type: EXPERIMENTAL

Routine Physical therapy with Neurodevelopmental technique

Intervention Type: OTHER

participants will recieve a session of 40 minutes including routine physical therapy along with the neurodevelopmental technique for 3 times a week for 12 weeks

Routine Physical therapy

Intervention Type: OTHER

participants will recieve a session of 40 minutes including, stretching, neck and trunk stabilization and strengthening exercise followed by a warm up and cool down for 3 times a week for 12 weeks follo

Interventions

Routine Physical therapy with Neurodevelopmental technique

participants will recieve a session of 40 minutes including routine physical therapy along with the neurodevelopmental technique for 3 times a week for 12 weeks

Intervention Type: OTHER

Routine Physical therapy

participants will recieve a session of 40 minutes including, stretching, neck and trunk stabilization and strengthening exercise followed by a warm up and cool down for 3 times a week for 12 weeks follo

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with an age of 8 to 18 years of both genderswith confirm diagnosis of diplegic cerebral palsy
• Patients could ambulate functionally
• Patients having limited or no prior exposure to NDT
• Individuals with mild to moderate diplegic cerebral palsy, based on established classification scales (GMFM grade I-III)

Exclusion Criteria

• Patients with other motor or sensory dysfunctions and unable to understand and obey commands
• Patient undergone any orthopedic surgery that was ought to treatspasticity
• Patients with spasticity level 4-5 according to Modified Ashworth Scale
• Patients with Botulinum toxins type A injection within last 6 months

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Shehzeena Ashraf

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Shehzeena Ashraf

Role: STUDY_CHAIR

University of Lahore

Locations

University of Lahore

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC-UOL-536-09-2023

Identifier Type: -

Identifier Source: org_study_id