Gross Motor Abnormalities in Relation to Balance and Weight Indicators in Diplegia

NCT ID: NCT06642922

Last Updated: 2024-10-17

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 104 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-10-20
• Study Completion Date: 2023-07-12

Brief Summary

The goal of this observational study is to investigate the correlation between BMI and balance and gross motor capacities in children with spastic diplegia. The main question it aims to answer is:

Is there a correlation between BMI, balance disturbances and gross motor capacity in children with spastic diplegic cerebral palsy? Researchers compared between results of biodex balance system , GMFM and BMI measures participants stood on biodex balance platform for balance measurement and performed Gross Motor Function Measurement items for gross motor capacities assessment

Detailed Description

Spastic diplegia is the most common type of CP that results in problems with posture, balance, as well as gait control. For children suffering from spastic diplegic CP, balance problems provide a significant difficulty since they make it difficult for them to achieve and maintain balance . Additionally, they commonly demonstrate delayed development of gross motor function that has been connected to functional outcomes, such as daily living tasks . The prevalence of obesity in the CP population has risen over the last decade from 7.7 to 16.5 %. . Obesity is associated with health risks and difficulties in balance and walking. this cross-sectional-correlation study was conducted at the Outpatient Clinic at the Faculty of Physical Therapy, Cairo University. The study included 104 diplegic children aged from 5-10 years, 53 in normal weight group and 51 in overweight group. Dynamic balance was evaluated by overall stability index (OSI) in biodex balance system and gross motor capacities (GMC) were evaluated by standing &walking dimensions in GMFM

Conditions

Spastic Diplegia Cerebral Palsy

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Study Groups

group 1

normal weight group , 53 participants BMI , balance , and gross motor capacities were assessed for each participant

No interventions assigned to this group

group 2

overweight and obese group , 51 participants BMI , balance , and gross motor capacities were assessed for each participant

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

Children selected according to the following criteria:

• Diagnosed with diplegic CP
• Their ages will range between 5 and 10 years
• Subjects will participate according to BMI classification ; normal weight in the first group and (obese , overweight) in the second group .
• They must be able to stand independently.
• Have minimum height of 100 cm.
• Have a developmental level of grade I or II according to gross motor function classification system GMFM.
• Able to understand and follow instructions.

Exclusion Criteria

• Auditory defects.
• Visual defects.
• Cognitive or vestibular defects.
• Use of an assistive device.
• Fixed deformity, bony or joint limitation.
• Surgery (tendon lengthening).

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 10 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Lamis Neyazy Elrakhawy

OTHER

Sponsor Role: lead

Responsible Party

Lamis Neyazy Elrakhawy

principal investigator

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

khaled A Mamdouh

Role: PRINCIPAL_INVESTIGATOR

Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University

Hoda A Eltalawy

Role: STUDY_DIRECTOR

Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University

Radwa s Abdulrahman

Role: STUDY_DIRECTOR

Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University

Locations

Lamis Neyazy

Giza, , Egypt

Countries

Egypt

Other Identifiers

faculty of physical therapy

Identifier Type: REGISTRY

Identifier Source: secondary_id

P.T.REC/012/004585

Identifier Type: -

Identifier Source: org_study_id