Comparison of the Effects of Vojta and Bobath Treatment on Gait and Balance in Diplegic Cerebral Palsy

NCT ID: NCT06757101

Last Updated: 2025-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-25

Study Completion Date

2024-02-25

Brief Summary

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This study aims compare the effects of Vojta verses Bobath therapy on gait in children with diplegic cerebral palsy and to compare the effects of Vojta versus Bobath therapy on balance in children with diplegic cerebral palsy. The study will also determine the combined effects of Vojta and Bobath on gait and balance in children with diplegic cerebral palsy.

Detailed Description

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The study may provide non-invasive and cost-effective treatment option in improving balance \& gait in children with cerebral palsy. This can increase the child independence, confidence and quality of life. Additionally, this study may contribute to the development of evidence-based rehabilitation protocols, which can help guide clinical decision-making and treatment options. The study may provide insight into the feasibility and safety of combining Vojta and Bobath treatments, which can guide future research and practice in this area. Moreover, combination of treatments may have better outcomes as compared to the two individual techniques. The study aims compare the effects of Vojta verses Bobath therapy on gait in children with diplegic cerebral palsy and to compare the effects of Vojta versus Bobath therapy on balance in children with diplegic cerebral palsy. The study will also determine the combined effects of Vojta and Bobath on gait and balance in children with diplegic cerebral palsy.

Conditions

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Cerebral Palsy Spastic Diplegia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Vojta Therapy group

Vojta Therapy group for gait \& balance

Group Type EXPERIMENTAL

Vojta Therapy

Intervention Type OTHER

Exercises will be performed in supine, lateral, decubitus and reflex crawling. Exercises will include Stretching's, ROMs Exercises, Stimulation of 10 different zones for locomotion \& gentle pressure applied to stimulation areas. Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Bobath Therapy group

Bobath Therapy group for gait \& balance

Group Type EXPERIMENTAL

Bobath Therapy

Intervention Type OTHER

Exercises will be performed in supine, lateral, prone and standing position. Exercises includes stretching Exercises, ROMs, Quadruped imbalance exercise, Imbalance from the kneeling exercise, Cervant Knight exercise, Tandem walk, Kicking a ball, Step climbing, marching at one place with alternate foot Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Combined Vojta and Bobath therapy

Combined Vojta and Bobath therapy for gait \& balance

Group Type EXPERIMENTAL

Combined Vojta and Bobath Therapy

Intervention Type OTHER

Combined Vojta and Bobath exercises along with the conventional treatment. Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Interventions

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Vojta Therapy

Exercises will be performed in supine, lateral, decubitus and reflex crawling. Exercises will include Stretching's, ROMs Exercises, Stimulation of 10 different zones for locomotion \& gentle pressure applied to stimulation areas. Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Intervention Type OTHER

Bobath Therapy

Exercises will be performed in supine, lateral, prone and standing position. Exercises includes stretching Exercises, ROMs, Quadruped imbalance exercise, Imbalance from the kneeling exercise, Cervant Knight exercise, Tandem walk, Kicking a ball, Step climbing, marching at one place with alternate foot Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Intervention Type OTHER

Combined Vojta and Bobath Therapy

Combined Vojta and Bobath exercises along with the conventional treatment. Frequency of exercises will be 2 times a week, duration 40 minutes per day.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosed cases of spastic diplegic cerebral palsy
* GMFCS level II \& III
* Modified Ashworth score greater than 1+
* Age 3-8 Years
* Either gender
* Children capable of understanding and executing commands;
* Children who can adopt the orthostatic position necessary to assess balance \& gait

Exclusion Criteria

* Children with any other associated disease (DDH, any orthopedic complication)
* Children with mental retardation;
* Who cannot participate constantly in physical therapy sessions;
* Profound visual or hearing impairments;
Minimum Eligible Age

3 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abrish Habib Abbasi, MS-NMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Child Development Center

Rawalpindi, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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Unsa Baloch/ 01641

Identifier Type: -

Identifier Source: org_study_id

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