Effect of Reciprocal Electrical Stimulation on Balance and Quality of Life in Hemiparetic CP

to investigate the effect of the reciprocal neuromuscular electrical stimulation on balance and quality of life in hemiparetic children

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Key information

Conditions

Hemiparetic Cerebral Palsy Nervous System Diseases Neurologic Manifestations Paresis Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

6 year–10 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Neuromuscular Electrical Stimulation is widely used to reduce spasticity and strengthen weak muscles.

Reciprocal electrical stimulation ( RES),which mimic natural agonist-antagonist muscle activation , is a promising too for neuromuscular re-education.

RES has been studied for knee stability in diplegic CP and ankle control in adults but its effect on static and dynamic balance in hemiparetic CP remain unexplored . so this study may be a guide in management of balance problems in children with hemiparesis

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

age range from 6 to10 years .
spasticity level 1 , 1+ in lower limb muscles according to Modified Ashworth Scale.
Gross Motor Function Classification System (GMFCS) level 1.
Able to follow instructions.

Exclusion criteria

Affections of musculoskeletal system including fixed contractures.
Visual , auditory , vestibular ,sensory disorders or cerebellar disease .
Botox injection in the last 6 months in gastrocnemius

Treatment and study plan

reciprocal electrical stimulation

Other

Mode (A) is selected to apply reciprocal neuromuscular electrical stimulation

Other names: Everyway-EV906

physical therapy program

Other

neurodevelopmental approach directed toward inhibiting abnormal muscle tone and abnormal reflexes and facilitation of postural control through reflex inhibiting positions using proximal and distal key points of control.
training for active trunk extension to improve posture control and balance .
Balance training from different positions ,from the quadruped position, kneeling ,half kneeling and standing position on mat and tilting board.
facilitation of protective reactions by applying a fast and large amplitude of stimulus to train saving reactions from sitting on roll and also from standing position by pushing the child to encourage the child to take protective steps either forward , backward .or sideways to regain balance.
approximation as a proprioceptive training applied in a slow and rhythmic manner for the upper limbs ,lower limbs , and trunk to control spasticity and stimulate the joint mechanoreceptors from semi reclined and quadruped positions.

Other names: designed physical therapy program

Primary outcomes

balance change measured by humac balance system

Time frame: 3 monthes

the ability to maintain a stable posture and preserve it in counter gravity position
quality of life change xby Egyptian quality of life questionnaire

Time frame: 3 months

change in social, psychological and physical domains

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Reciprocal Neuromuscular Electrical Stimulation on Balance and Quality of Life in Children With Hemiparesis

Important dates

Study start: 2026
Primary completion: 2026
Study completion: 2026
First posted: May 20, 2026
Registry last updated: May 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed