Effect of Specially Designed Balance Board on Standing Balance in Children With Diplegic Cererbral Palsy

NCT ID: NCT06964386

Last Updated: 2025-05-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-01
• Study Completion Date: 2024-02-01

Brief Summary

This was done to:

1. To determine the effect of a specially designed balance board on balance ability.

2. To determine the effect of the traditional balance training program on balance ability.

3. To compare between the effect of a specially designed balance board and the traditional balance training program on balance ability.

Detailed Description

Children with cerebral palsy (CP) often experience abnormal posture, loss of motor control, and poor trunk control, leading to limitations in daily activities. Improving balance abilities is crucial for maintaining equilibrium in sensory environments. Vestibular stimulation can help develop feed-forward mechanisms and new functional skills. This study aims to improve balance abilities in children with diplegic CP, explore the impact of balance boards on vestibular and hand function, and assist mothers in their child's improvement.

Conditions

Balance Board; Standing Balance; Diplegic Cerebral Palsy

Study Design

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

Study Groups

the traditional program

twenty Children in group A received designed physical therapy program in addition to traditional balance training

Group Type: EXPERIMENTAL

The traditional physical therapy rehabilitation exercises

Intervention Type: OTHER

It included 30 minutes of exercises as:

• Incorporated stretching (adductors, calf, and hamstring muscles)
• Range of motion for hip, knee, and ankle joints.
• Core stability exercises.
• climbing stairs and weight-bearing activities for strengthening, such as sit-to-stand and attaining standing position by half kneeling

balance training on traditional balance board

Intervention Type: OTHER

Balance training included: - Side stepping - Stepping backward - Changing the center of gravity in one-foot balance.

balance training exercises

twenty Children in group B received the same designed physical therapy program in addition to balance training exercises on special form of balance board

Group Type: ACTIVE_COMPARATOR

The traditional physical therapy rehabilitation exercises

Intervention Type: OTHER

It included 30 minutes of exercises as:

• Incorporated stretching (adductors, calf, and hamstring muscles)
• Range of motion for hip, knee, and ankle joints.
• Core stability exercises.
• climbing stairs and weight-bearing activities for strengthening, such as sit-to-stand and attaining standing position by half kneeling

program on special form of balance board

Intervention Type: OTHER

Standing holding on the sticks of balance board (first by two sticks, then graduated by one stick).

2- Changing the grasp of hand on sticks (reciprocal catching the sticks by right and left hand).

3- Stride standing on balance board. 4- Make exercises advanced by remove sticks and throwing the ball. 5- All previous exercises do with eye closed and eye opened

Interventions

The traditional physical therapy rehabilitation exercises

It included 30 minutes of exercises as:

• Incorporated stretching (adductors, calf, and hamstring muscles)
• Range of motion for hip, knee, and ankle joints.
• Core stability exercises.
• climbing stairs and weight-bearing activities for strengthening, such as sit-to-stand and attaining standing position by half kneeling

Intervention Type: OTHER

balance training on traditional balance board

Balance training included: - Side stepping - Stepping backward - Changing the center of gravity in one-foot balance.

Intervention Type: OTHER

program on special form of balance board

Standing holding on the sticks of balance board (first by two sticks, then graduated by one stick).

2- Changing the grasp of hand on sticks (reciprocal catching the sticks by right and left hand).

3- Stride standing on balance board. 4- Make exercises advanced by remove sticks and throwing the ball. 5- All previous exercises do with eye closed and eye opened

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Their ages ranged from 4 to 8 years old.

2. The degree of spasticity ranged from grade 1 or 1+ according to Modified Ashworth Scale

3. They were at level I or II on gross motor function classification scale.

4. They were able to follow verbal command or instructions.

Exclusion Criteria

Children were excluded if they had one of the following :

1. Fixed deformities of lower limbs.

2. Visual or auditory problems.

3. History of surgical interference in lower limbs less than six months.

4. Botulinum toxin injections to the lower limb during the previous 4 months.

5. Mental retardation.

6. Fixed deformity

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 8 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Zeinab Mohamed Hassan Ewida

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

out-patient clinic, faculty of physical therapy, Cairo university

Cairo, , Egypt

Countries

Egypt

Other Identifiers

Zeinab-004238

Identifier Type: -

Identifier Source: org_study_id